facebook tracking Zearing Health Care, Zearing IA: CMS Ratings & Inspections
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Zearing Health Care

All states › Iowa › Zearing › Zearing Health Care

404 East Garfield St Zearing, IA 50278 · Story County

(641) 487-7631

Accepts Medicare Accepts Medicaid 40 certified beds For profit

CMS certification number 165320 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Zearing Health Care a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Zearing Health Care as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1. Inspectors issued 14 citations in the last three years. CMS imposed 2 penalties, including $36,945 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.67 hours per resident per day at Zearing Health Care, about the same as the Iowa median of 3.76 (US median: 3.72). About 0.75 of those hours are from registered nurses. On weekends it falls to 3.38 hours, 8% below its all-week average.

Nursing care per resident per day 3.67 hours
Below the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.75 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.38 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds40
Residents per day 34 About 84% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1997
Legal business nameZEARING HEALTH CARE CENTER LLC

Paying for care at Zearing Health Care: Medicare and Medicaid

Zearing Health Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on January 22, 2026 and found 3 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 14 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 14 citations at Zearing Health Care across 5 inspection dates, 11 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 30, 2026 (complaint inspection). The most common areas cited were quality of life and care (4) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level J, June 30, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.

June 30, 2026 · 6 citations · includes complaint inspection

JEnsure that residents are free from significant medication errors.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jul 7, 2026)

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jul 7, 2026)

GProvide enough food/fluids to maintain a resident's health.

Actual harm · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (Jul 7, 2026)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Jul 22, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jul 22, 2026)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Jul 22, 2026)

January 22, 2026 · 3 citations

EEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Feb 20, 2026)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Feb 20, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 20, 2026)

August 27, 2025 · 2 citations · includes complaint inspection

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Sep 26, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Sep 26, 2025)

June 2, 2025 · 1 citation · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jul 2, 2025)

February 19, 2025 · 2 citations · includes complaint inspection

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Feb 20, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Feb 20, 2025)

Questions to ask on a tour of Zearing Health Care

  1. Inspectors cited the home at the immediate-jeopardy level on June 30, 2026 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 27, 2025. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $36,945 in fines.

DateTypeAmount or length
Jun 30, 2026 Fine $14,740
Jun 30, 2026 Fine $22,205

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 1/5 3/5 5/5
August 2026 2/5 1/5 3/5 5/5
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Location

Hospitals near Zearing Health Care

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 13.1 mi
    Story County Hospital Nevada
    Emergency room
    Median ER visit 1h 42m for patients treated and sent home
  • 18.7 mi
    Mary Greeley Medical Center Ames
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 26m for patients treated and sent home
  • 21.3 mi
    Marshalltown Medical & Surgical Center Marshalltown
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 42m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hubbard Care Center Hubbard · 9.6 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 60 beds · Medicaid
State Center Specialty Care State Center · 11.7 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 39 beds · Medicaid
Rolling Green Village Care Center Nevada · 13.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 58 beds · Medicaid
Story Medical Senior Care Nevada · 13.2 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 60 beds · Medicaid
Bethany Life Story City · 15.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 126 beds · Medicaid

More nursing homes near Zearing Health Care ›   All nursing homes in Zearing ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/zearing/zearing-health-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.