Home›Iowa›Story County›Zearing Health Care, LLC
B
Good

Zearing Health Care, LLC

404 East Garfield St · Zearing, IA 50278

6414877631 · For profit - Limited Liability company

40 beds32.6 residents103 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A+
Excellent
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Zearing Health Care, LLC receives an overall staffing grade of B (Good). With 3.9042 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.01 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 9.83% compared to weekdays. The facility relies heavily on temporary agency staff (25.57% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️25.57% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 9.83% drop-off
Total Nurse HPRD
3.9042hrs/resident/day▲ 0.01
CMS benchmark: 3.48
RN HPRD
1.0048hrs/resident/day▲ 0.32
Recommended: 0.75
Weekend Drop-off
9.83%
4.0158 weekday → 3.621 weekend
Agency Staff
25.57%
18.67% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4166hrs/resident/day
Direct care aides
LPN HPRD
0.4829hrs/resident/day
Licensed practical nurses
Consistency
0.4227std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Story County Average-0.34 HPRD
4.24
03.90 HPRD
vs. Iowa State Average+0.09 HPRD
3.82
03.90 HPRD
vs. National Average+0.01 HPRD
3.90
03.90 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Zearing Health Care, LLC ★
Zearing · This facility
—
B
3.90421.0048★★★★★
Hubbard Care Center
Hubbard
9.6 mi
B
3.70890.5849★★★★☆
State Center Specialty Care
State Center
11.6 mi
C
3.25940.8081★★★★☆
Rolling Green Village Care Center
Nevada
13.1 mi
B
4.0450.735★★★☆☆
Eldora Specialty Care
Eldora
16.4 mi
B
3.49150.6037★★★★★
Southridge Specialty Care
Marshalltown
21.8 mi
C
3.45690.6116★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
11
Total Deficiencies
$0
Fines Assessed
Aug 27, 2025Health
2 deficiencies cited
▼
Jun 2, 2025Health
1 deficiency cited
▼
Feb 19, 2025Health
2 deficiencies cited
▼
Jul 5, 2022Health
6 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.