Hearth Record

Zearing Health Care, LLC

A nursing home in Zearing, Iowa 50278

404 East Garfield St, Zearing, Iowa 50278. (641) 487-7631.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 14 citations in 5 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

9 health citations at the latest inspection cycle

The Iowa average is 6.6.

Last standard inspection Jan 22, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jun 30, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

14 citations in 5 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

14 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 14 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 11 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 30, 2026: complaint inspection6 citations

  • Ensure that residents are free from significant medication errors.

    Rule F0760. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jul 7, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 7, 2026.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 7, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 22, 2026.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 22, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 22, 2026.

Jan 22, 2026: standard inspection3 citations

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

Aug 27, 2025: complaint inspection2 citations

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2025.

Jun 2, 2025: complaint inspection1 citation

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 2, 2025.

Feb 19, 2025: complaint inspection2 citations

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 20, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 20, 2025.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Feb 7, 1997.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 40 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 2 fines in the last three years, $36,945 in all.
  • No Medicare payment denials in the last three years.
  • 11 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Jun 30, 2026Fine$22,205
Jun 30, 2026Fine$14,740

Who does the caring?

3.67 nurse hours per resident per day

The Iowa average is 3.86.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIowa average
Nurse hours per resident per day3.673.86
Of which registered nurses0.750.74
At weekends3.383.38
Nursing staff turnoverNot given44.1%
Registered nurse turnoverNot given42.1%
Administrators who leftNot givenNot given

Who owns it?

  • Midwest SNF Holding Company LLC owns 100% directly since Sep 1, 2015.
  • Midwest SNF Manager LLC runs it.
  • 8 owners or officers are people: Moshe Orlinsky (owns 5% or more through other companies, 100%); Moshe Orlinsky (corporate officer, 100%); Moshe Orlinsky (owns a share through other companies, 100%); David L Vangorp (runs it (operational or managerial control)); David L Vangorp (additional disclosable party (controls, leases property to, or provides services to the home)); Brad Sammon (runs it (operational or managerial control)); Brad Sammon (additional disclosable party (controls, leases property to, or provides services to the home)); Moshe Orlinsky (additional disclosable party (controls, leases property to, or provides services to the home)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Chosen Consulting Inc.Owns 5% or more through other companies100%Sep 1, 2014
Midwest SNF Manager LLCRuns it (operational or managerial control)100%Sep 1, 2014
Midwest SNF Holding Company LLCOwns 5% or more directly100%Sep 1, 2015
Chosen Consulting Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2025
Midwest SNF Manager LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2025
Midwest SNF Holding Company LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 19, 2025
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2023

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Iowa average 3.4).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections1 of 5
Staffing3 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 21.7 miles, this one had the 3rd most health citations at the latest inspection cycle (9; the middle value was 4.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Zearing Health Care, LLC This nursing home9
Hubbard Care Center9.60
State Center Specialty Care11.75
Rolling Green Village Care Center13.15
Story Medical Senior Care13.22
Bethany Life15.514
Eldora Specialty Care16.46
Accura Healthcare of Ames, LLC18.44
Iowa Veterans Home19.81
Northridge Village20.10
Green Hills Health Care Center21.20
Accura Healthcare of Marshalltown21.711

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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