Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Zearing Health Care, Llc during CMS and state inspections, most recent first.
A deficiency was cited for not ensuring a resident's right to dignity, self-determination, communication, and the exercise of their rights was honored.
A medication error occurred when an RN administered oral medications intended for one resident to another with severe cognitive impairment, resulting in the recipient experiencing lethargy and decreased responsiveness. The error was discovered during documentation, and the facility's policy requiring verification of the correct resident was not followed.
A resident with moderate cognitive impairment and Huntington's disease was allegedly prevented from smoking by an RN and an LPN, leading to distress. The incident was not reported immediately as required by facility policy. Staff A and Staff B witnessed the event and wrote statements, but these were not promptly delivered to the Administrator. The Administrator learned of the incident a week later through a staffing agency, highlighting a delay in reporting the abuse allegation.
A resident with moderate cognitive impairment and Huntington's disease was allegedly abused by an RN and an LPN, but the incident was not reported to the administration. Despite staff witnessing the event and writing statements, the alleged abuser continued working for a week. The facility's policy for immediate reporting and preventive measures was not followed, leading to a deficiency.
Failure to Honor Resident Rights
Penalty
Summary
A deficiency was identified regarding the failure to honor the resident's right to a dignified existence, self-determination, communication, and the exercise of their rights. The report notes that the facility did not ensure these resident rights were upheld, but does not provide specific details about the actions or inactions that led to this deficiency, nor does it mention any particular events or residents involved.
Medication Administration Error Due to Failure to Follow Five Rights
Penalty
Summary
A medication administration error occurred when a Registered Nurse (RN) gave oral medications intended for one resident to another resident. The RN prepared medications for a resident with moderately impaired cognition and diagnoses including non-Alzheimer's dementia, Huntington's disease, anxiety, and difficulty walking. However, the RN mistakenly administered these medications—clonazepam and hydroxyzine—to a different resident who had severe cognitive impairment, was dependent in all activities of daily living, and also had diagnoses of non-Alzheimer's dementia and Huntington's disease. The error was identified approximately ten minutes later when the RN attempted to document the administration in the electronic Medication Administration Record and noticed the photo did not match the individual who received the medication. The resident who received the incorrect medications was assessed and initially showed no adverse reactions, with vital signs within normal limits. However, later assessments noted lethargy, decreased interactivity, and audible chest congestion. The resident's responsiveness fluctuated, with periods of alertness and interaction returning over the following days. The resident also experienced delayed swallowing and decreased appetite during the monitoring period. The incident was documented in the facility's records, and the staff followed the facility's protocol for assessment and monitoring. The facility's policy on medication administration requires staff to follow the five rights of medication administration, including verifying the right resident using two identifiers and administering medications as ordered by the physician. Staff interviews confirmed that the RN was aware of these requirements and had received education on the five rights. Despite this, the RN failed to follow the policy, resulting in the administration of medications to the wrong resident.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an allegation of abuse in a timely manner involving a resident with moderate cognitive impairment and Huntington's disease. The incident occurred when the resident attempted to go outside for a smoke break after the designated time. Staff D, an RN, and Staff E, an LPN, allegedly grabbed the resident and prevented her from going outside, causing the resident to become upset and exhibit behaviors. Staff A and Staff B, both CNAs, witnessed the incident and wrote statements, but these statements were not immediately delivered to the Administrator. Staff B reported the incident within 24 hours, but due to the involvement of both nurses on duty, there was no one to report to at the time. The facility's policy requires immediate reporting of abuse allegations to the charge nurse, who must then report to the Administrator or a designated representative. The policy also mandates reporting to the Iowa Department of Inspections and Appeals within two hours of the allegation. However, the Administrator only became aware of the incident a week later when contacted by Staff A's staffing agency. This delay in reporting violated the facility's policy and state regulations, as the staff did not report the incident immediately, and the statements were not promptly reviewed by the Administrator.
Failure to Report and Act on Alleged Abuse Incident
Penalty
Summary
The facility staff failed to report an alleged abuse incident involving a resident with moderate cognitive impairment and Huntington's disease. On the day of the incident, a Certified Nurse Aide (CNA) witnessed a Registered Nurse (RN) and a Licensed Practical Nurse (LPN) physically restraining the resident when she attempted to go outside to smoke. Despite writing statements about the incident, the CNA and another staff member did not ensure these statements reached the facility administration. Consequently, the alleged abuser continued to work with the resident and other residents for approximately seven days after the incident. The facility's policy requires immediate reporting and preventive measures upon allegations of abuse, but these were not followed. The Administrator only became aware of the situation a week later when contacted by the CNA's staffing agency. During this period, the alleged abuser continued to work multiple shifts, as evidenced by timecard records. This failure to report and act promptly resulted in a deficiency, as the facility did not separate the alleged abuser from the resident or other residents, contrary to their abuse prevention policy.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 99 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Zearing
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hubbard Care Center | 9.6 mi | — | 6 | 0 |
| State Center Specialty Care | 11.7 mi | — | 11 | 0 |
| Rolling Green Village Care Center | 13.1 mi | — | 2 | 0 |
| Story Medical Senior Care | 13.2 mi | — | 2 | 0 |
| Bethany Life | 15.5 mi | — | 17 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Zearing Health Care, Llc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.