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Complaint Investigation

Zearing Health Care, Llc

February 19, 2025 · Zearing, IA · 404 East Garfield St
Citations 1
CMS Rating 2/5
Beds 40
Provider ID 165320
Healthcare Facility
Zearing Health Care, Llc
Zearing, IA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  4 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Zearing Health Care, LLC in Zearing, IA — inspection on February 19, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF609
6:23 AM Few affected

During an interview on 2/17/25 at 12:25 PM, Staff A, Certified Nurse Aide (CNA), reported she worked with Staff B, CNA, and Staff C, CNA, on 1/3/25.

After she came in the building after she took residents out to smoke, Resident #1 came up to smoke late.

Staff A reported as she assisted another resident take off her coat, Resident #1 grabbed a smoking protector.

Staff D, Registered Nurse (RN), yelled at Resident #1 saying it was too late to smoke. As Resident #1 tried to go out the door, Staff D pulled her arm and grabbed her away from the door. Resident #1 then walked down the hallway to her room.

Staff A reported Staff B and her wrote written statements, then slid them under the Administrator's door but the statements never got to the Administrator.

During a follow-up interview on 2/17/25 at 12:51 PM, Staff A reported after she witnessed Staff E, Licensed Practical Nurse (LPN), grab Resident #1's other arm when she tried to go outside to smoke, she didn't separate the alleged abuser from the residents because her brain froze.

During an interview on 2/18/25 at 3:40 PM, the Administrator reported he first learned of the allegation of abuse against Resident #1 on 1/10/25 after Staff A's staffing agency, who employed her, contacted him via the phone reporting Staff A reported the alleged abuse to the staffing agency.

The Administrator added he expected the staff report allegations of abuse right away.

Review of Staff D's timecard punch detail reflected she worked the following dates and times, after the alleged incident prior to her suspension:

a. 1/3/25: 7:58 PM-6:20 AM

b. 1/4/25: 7:58 PM-6:37 AM

165320

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 165320 B.

Wing 02/19/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Zearing Health Care, LLC 404 East Garfield St Zearing, IA 50278

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Zearing, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Zearing Health Care, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.