Iowa › Story County › Zearing
Zearing Health Care, LLC
404 East Garfield St, Zearing, IA 50278
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Zearing Health Care, LLC is a For-profit, limited liability company nursing home in Zearing, Iowa, certified for 40 beds and caring for about 32 residents a day.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (11, 3, 0 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 35.0 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $22K.
Reported nurse staffing is 3.7 hours per resident per day (0.9 RN), close to the Iowa median of 3.7.
Compared with county, state and nation
| Measure | This facility | Story Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 14 | 16 | 28.7 |
| Citations per 100 beds | 35.0 | 25.3 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 4.2 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | — | 47.1% | 41.9% | 45.8% |
| Fines listed | $22,205 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Jan 2026, 5 Dec 2024.
Severity mix: J ×1 G ×2 D ×7 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2026 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 7 Jul 2026 |
| 30 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Jul 2026 |
| 30 Jun 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 7 Jul 2026 |
| 30 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 22 Jul 2026 |
| 30 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Jul 2026 |
| 30 Jun 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 22 Jul 2026 |
| 22 Jan 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 20 Feb 2026 |
| 22 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 20 Feb 2026 |
| 22 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Feb 2026 |
| 27 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Sep 2025 |
| 27 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Sep 2025 |
| 2 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 2 Jul 2025 |
| 19 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Feb 2025 |
| 19 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Feb 2025 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Jun 2026 | Fine | $22,205 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.1% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 3.4% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.0% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.5% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Zearing Health Care Center Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Midwest SNF Holding Company LLC | 5% or greater direct ownership interest | 100% | 09/01/2015 |
| Chosen Consulting Inc | 5% or greater indirect ownership interest | 100% | 09/01/2014 |
| Midwest SNF Manager LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2014 |
| Chosen Consulting Inc | Adp of the snf | NOT APPLICABLE | 03/19/2025 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Midwest SNF Holding Company LLC | Adp of the snf | NOT APPLICABLE | 03/19/2025 |
| Midwest SNF Manager LLC | Adp of the snf | NOT APPLICABLE | 03/19/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Story County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Green Hills Health Care Center | Ames | 56 | 5 | 4 | 5 | 7 | 12.5 | — | 21 Nov 2024 |
| Northridge Village | Ames | 38 | 5 | 4 | 5 | 6 | 15.8 | — | 9 Jan 2025 |
| Story Medical Senior Care | Nevada | 60 | 5 | 4 | 5 | 5 | 8.3 | — | 19 Nov 2025 |
| Accura Healthcare of Ames, LLC | Ames | 75 | 3 | 3 | 3 | 19 | 25.3 | — | 16 Apr 2026 |
| Rolling Green Village Care Center | Nevada | 58 | 3 | 3 | 3 | 16 | 27.6 | $9K | 16 Apr 2026 |
| Bethany Life | Story City | 126 | 2 | 1 | 5 | 33 | 26.2 | $52K | 5 Mar 2026 |
All 7 facilities in Story County
Questions and answers
How many deficiencies has Zearing Health Care, LLC been cited for?
14 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Zearing Health Care, LLC been fined?
Yes. CMS lists fines totalling $22K in the period covered.
How does staffing at Zearing Health Care, LLC compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Zearing Health Care, LLC?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Midwest SNF Holding Company LLC, Chosen Consulting Inc and Midwest SNF Manager LLC. Individual owners and managers are not listed on this site.
When was Zearing Health Care, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jun 2026; the most recent standard health survey was 22 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.