Zearing Health Care, LLC
404 East Garfield St, Zearing, IA 50278 · Story County · 40 certified beds · avg 32 residents/day · certified since Feb 7, 1997
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 30, 2026 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 7, 2026 (Deficient, Provider has plan of correction)
▲ Actual harm, one-off · Jun 30, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 7, 2026 (Deficient, Provider has plan of correction)
▲ Actual harm, one-off · Jun 30, 2026 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 7, 2026 (Deficient, Provider has plan of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 30, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jun 30, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 30, 2026 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Jun 30, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jun 30, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 30, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Jan 22, 2026 | E · Potential for harm, repeated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jan 22, 2026 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 22, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Feb 19, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 19, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 5 | 0 | D |
| 2026 | 9 | 3 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $22,205.
| Date | Type | Amount / length |
|---|---|---|
| Jun 30, 2026 | Fine | $22,205 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.64 | 4.37 | 3.95 | top 34% in Iowa; top 20% in the U.S. |
| Registered Nurse hours | 1.12 | 0.85 | 0.69 | top 17% in Iowa; top 12% in the U.S. |
| Weekend total nurse staffing | 4.18 | 3.86 | 3.50 | top 33% in Iowa; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.62 | 0.51 | 0.48 | top 25% in Iowa; top 21% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 44.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.68, RN 0.89, weekend 3.32. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chosen Consulting INC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 09/01/2014 |
| Midwest SNF Holding Company LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2015 |
| Orlinsky, Moshe | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2014 |
| Chosen Consulting INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Midwest SNF Holding Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2025 |
| Midwest SNF Manager LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2014 |
| Midwest SNF Manager LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2025 |
| Orlinsky, Moshe | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2014 |
| Orlinsky, Moshe | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2014 |
| Sammon, Brad | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2014 |
| Sammon, Brad | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2014 |
| Vangorp, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Vangorp, David | Individual | ADP of the SNF | NOT APPLICABLE | 05/21/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hubbard Care Center | 9.6 mi | Hubbard, IA | ★★★★★ | 5/5 | |
| State Center Specialty Care | 11.7 mi | State Center, IA | ★★★★★ | 3/5 | |
| Rolling Green Village Care Center | 13.1 mi | Nevada, IA | ★★★☆☆ | 3/5 | |
| Story Medical Senior Care | 13.2 mi | Nevada, IA | ★★★★★ | 4/5 | |
| Bethany Life | 15.5 mi | Story City, IA | ★★☆☆☆ | 1/5 | |
| Eldora Specialty Care | 16.4 mi | Eldora, IA | ★★★☆☆ | 2/5 | abuse |
| Accura Healthcare of Ames, LLC | 18.4 mi | Ames, IA | ★★★☆☆ | 3/5 | |
| Iowa Veterans Home | 19.8 mi | Marshalltown, IA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165320.