Nursing Care Index

Zearing Health Care, LLC

Zearing, Story County, Iowa · CCN 165320 · For-profit (LLC) · not part of a chain

CMS rates Zearing Health Care, LLC 2 of 5 overall as of August 2026. 40 certified beds, 32 residents a day on average. 14 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $22,205.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.68277 hours per resident per day
Registered nurses0.88861 hours per resident per day
Weekend total3.3177 hours per resident per day

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-30
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has plan of correction
2026-07-07
2026-06-30
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has plan of correction
2026-07-07
2026-06-30
complaint survey
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has plan of correction
2026-07-07
2026-06-30
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has plan of correction
2026-07-22
2026-06-30
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has plan of correction
2026-07-22
2026-06-30
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has plan of correction
2026-07-22
2026-01-22 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-20
2026-01-22 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 · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-20
2026-01-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-20
2025-08-27
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-26
2025-08-27
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-26
2025-06-02
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-02
2025-02-19
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-20
2025-02-19
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-20

Fines and payment denials

DatePenaltyAmount
2026-06-30Fine$22,205

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Midwest Snf Holding Company LLC
Organization
5% or greater direct ownership interest100%2015-09-01
Chosen Consulting Inc.
Organization
5% or greater indirect ownership interest100%2014-09-01
Chosen Consulting Inc.
Organization
adp of the snf2025-03-19
Forvis Mazars LLP
Organization
adp of the snf2023-06-01
Midwest Snf Holding Company LLC
Organization
adp of the snf2025-03-19
Midwest Snf Manager LLC
Organization
adp of the snf2025-03-19
Midwest Snf Manager LLC
Organization
operational/managerial control2014-09-01
Orlinsky, Moshe
Individual
adp of the snf2014-09-01
Sammon, Brad
Individual
adp of the snf2014-09-01
Vangorp, David
Individual
adp of the snf2025-05-21
Orlinsky, Moshe
Individual
corporate officer2014-09-01
Orlinsky, Moshe
Individual
indirect ownership interest2014-09-01
Sammon, Brad
Individual
operational/managerial control2014-09-01
Vangorp, David
Individual
operational/managerial control2024-10-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Story County.