Nursing home
Zearing Health Care
404 East Garfield St, Zearing, IA 50278 · Map
For profit - Limited Liability company · 40 certified beds
Zearing Health Care is a Medicare-certified nursing home in Zearing, Iowa. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.90 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Jan 22, 2026 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Zearing Health Care compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.90 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.00 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.42 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 59.0% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Zearing Health Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Aug 27, 2025 · Full report (PDF)
Show all 8 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 2, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 19, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 19, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 404 East Garfield St
Zearing, IA 50278 - CMS certification #
- 165320
- Ownership
- For profit - Limited Liability company
- Certified beds
- 40
- Avg residents/day
- 32.6
- Provider type
- Medicare and Medicaid
- First certified
- 1997-02-07
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Zearing Health Care using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Zearing Health Care says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
We also specialize in semi-independent and dementia long-term care, hospice, and temporary respite stays.
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24-Hour Skilled Nursing Care
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
We also specialize in semi-independent and dementia long-term care, hospice, and temporary respite stays.
(page, checked Oct 12, 2026) - Apartment types named: private room.
Our facility has been newly remodeled and features spacious private rooms and private bathrooms.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Story County Hospital, Nevada. 13.1 miles away, straight line.
- Nearest Medicare nursing home
- Hubbard Care Center, Hubbard. 9.6 miles away, straight line.
- Nearest home health agency office
- Greenbelt Home Care, Eldora. 16.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Nucara. 12.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50278 as rural (rural area).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 50278.
Mary Greeley Hospice Services, office in Ames, 18.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 19.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Zearing Health Care a good nursing home?
CMS gives Zearing Health Care an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Zearing Health Care staffed?
Zearing Health Care reports 3.90 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Zearing Health Care had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Zearing Health Care have?
Zearing Health Care is certified for 40 beds.