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Skilled nursing facility · CMS certified · CCN 165320

Zearing Health Care, LLC

404 East Garfield St, Zearing, IA 50278 · Story County · one of 387 skilled nursing facilities in Iowa
40
certified beds
2 / 5
overall CMS rating
For-profit
ownership type
79.5%
occupancy, Oct 2026: 32 residents a day · Iowa 81.4%
1.11
case mix, 0.79x the national average
3.68
nurse hours per resident day · Iowa 3.82
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Zearing Health Care, LLC compares

Better than most of Story County on 1 of 8 lines.

Occupancy, Oct 202679.5%Behind mostHigher than 2 of the 6 other buildings in Story County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 87.2%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.68Behind mostHigher than 1 of the 6 other buildings in Story County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.30. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostHigher than 1 of the 6 other buildings in Story County, level with 1

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 1 of the 6 other buildings in Story County; the other 5 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Behind mostLevel with 1 of the 6 other buildings in Story County; the other 5 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Better than mostHigher than all 6 other buildings in Story County

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.75Behind mostHigher than 2 of the 6 other buildings in Story County

Registered nurse hours for each resident, each day. The middle of the set: 0.88. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited6Behind mostFewer than 2 of the 6 other buildings in Story County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 3. Source: CMS Provider Information, Oct 2026 file.

Better than most of Iowa on 3 of 8 lines.

Occupancy, Oct 202679.5%Behind mostHigher than 140 of the 383 other buildings in Iowa

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 83.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.68Behind mostHigher than 188 of the 380 other buildings in Iowa, level with 1

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.69. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostHigher than 73 of the 384 other buildings in Iowa, level with 71

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 76 of the 384 other buildings in Iowa; the other 308 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Behind mostHigher than 45 of the 380 other buildings in Iowa, level with 91

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Better than mostHigher than 299 of the 382 other buildings in Iowa, level with 83

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.75Better than mostHigher than 208 of the 377 other buildings in Iowa, level with 6

Registered nurse hours for each resident, each day. The middle of the set: 0.69. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited6Better than mostFewer than 217 of the 386 other buildings in Iowa, the same as 33

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Iowa
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Zearing Health Care, LLC
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Street View
404 East Garfield St, Zearing, IA
Map around Zearing Health Care, LLC
Map · Story County
Story County, Iowa
7 skilled nursing facilities; average overall rating 3.3, Iowa 3.1.
See how Story County compares ›
Cost report, against Iowa
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Iowa. The rank counts from the top: 1st is the highest figure among Iowa's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Iowa that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
81.2%
369
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
5.2%
370
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
54.1%
368
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$332
372
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$334
372
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$7
372
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
2.0%
370
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating2 / 5 · state 3.1
Health inspection1 / 5 · state 2.8
Staffing3 / 5 · state 3.8
RN hours per resident per day0.75 · state 0.74
Overall rating, last 8 quarters
055Q3’245Q4’245Q1’255Q2’255Q3’255Q4’254Q1’263Q2’26latest
down 2 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingIowanationrecent quarters
Needed more help with daily activities20.4%worse than state16.6%13.5%2025Q2: 18.5%2025Q3: 20.0%2025Q4: 27.3%2026Q1: 13.0%2026Q2: 21.7%
18.5% → 21.7%
Q2’25 to Q2’26
Catheter inserted and left in3.5%worse than state1.4%0.7%2025Q2: 0.0%2025Q3: 6.1%2025Q4: 3.0%2026Q1: 3.0%2026Q2: 1.8%
0.0% → 1.8%
Q2’25 to Q2’26
Urinary tract infection0.8%better than state2.4%1.5%2025Q2: 0.0%2025Q3: 3.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Fall with major injury0.8%better than state3.9%3.2%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 3.1%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report2.1%1.5%too few quarters to chart
Ability to walk independently worsened13.1%better than state15.2%12.7%too few quarters to chart
Pressure ulcers2.8%better than state4.1%4.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 3.4%2026Q2: 7.9%
0.0% → 7.9%
Q2’25 to Q2’26
Given an antipsychotic15.2%better than state19.8%15.4%too few quarters to chart

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jan 2026
last standard survey
6
deficiencies cited · Iowa avg 9.3
$36,945
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Iowa
state rate files
$303
median daily rate across the Iowa buildings in our rate book, Jul 2026 file
Iowa rates and what changed ›
Story County
buildingbedsoverallGreen Hills Health Care Center565 / 5Northridge Village385 / 5Story Medical Senior Care605 / 5Accura Healthcare of Ames, LLC753 / 5Rolling Green Village Care Center582 / 5Zearing Health Care, LLC402 / 5Bethany Life1261 / 5
All Iowa buildings in Story County ›
Iowa at a glance
387
buildings
25,131
licensed beds
80%
occupancy
53%
for-profit
Iowa market intelligence report ›
What changed in Iowa
Top Ten States That Lead the Nation in Nursing Home Short-Staffing Violations
Iowa nursing homes lead the nation in short-staffing violations
Live legislation, Iowa ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyHubbard Care CenterHubbard · 9.6 mi605 / 5under 70%State Center Specialty CareState Center · 11.7 mi394 / 570-85%Rolling Green Village Care CenterNevada · 13.1 mi582 / 570-85%Story Medical Senior CareNevada · 13.2 mi605 / 5over 85%Bethany LifeStory City · 15.5 mi1261 / 5over 85%Eldora Specialty CareEldora · 16.4 mi464 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Zearing Health Care, LLC?
Zearing Health Care, LLC in Zearing, IA carries an overall CMS rating of 2 out of 5 stars in the Oct 2026 CMS file.
How many beds does Zearing Health Care, LLC have?
Zearing Health Care, LLC is certified for 40 beds in the Oct 2026 CMS file.
How full is Zearing Health Care, LLC?
CMS's reported average residents put Zearing Health Care, LLC's occupancy in the 70-85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.