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Complaint Investigation

Zearing Health Care, Llc

August 27, 2025 · Zearing, IA · 404 East Garfield St
Citations 2
CMS Rating 3/5
Beds 40
Provider ID 165320
Healthcare Facility
Zearing Health Care, Llc
Zearing, IA  ·  View full profile →
Inspection Summary

Zearing Health Care, LLC in Zearing, IA — inspection on August 27, 2025.

Found 2 citations. 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.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

from discrimination.

The Resident Dignity policy reviewed 10/17/24, instructed to the facility to treat each resident with respect and dignity, with care delivered in a person-centered way to preserve individuality, autonomy, and quality of life.

The facility is committed to promoting and protecting the dignity of all residents.

The staff, contractors, volunteers, and visitors must treat residents with respect, uphold their right, and foster an environment where choices, preferences, and self-determination are honored at all times.

Every resident has the right to a dignified existence and self-determination.

The facility must treat individuals with respect and care in a way that supports their quality of life and individuality.

The Cell Phone policy, reviewed 10/7/24, instructed the following:a.

Personal cell phone use during work hours must not interfere with resident care, staff responsibilities, or the professional atmosphere of the facility.b.

Resident dignity and privacy are the highest priority; staff are strictly prohibited from using cell phones in ways that compromise confidentiality.The Wheelchair Foot Pedal Use policy, reviewed 10/17/24, directed wheelchairs require foot pedals (footrests) and used whenever a resident is being transported regardless of independence level to prevent lower-limb injury and maintain safe positioning.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Zearing Health Care, LLC

404 East Garfield St Zearing, IA 50278

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 8/27/25 at 11:35 AM, Staff A, stated Resident #1 got stuck under the table.

Staff A and another CNA had to move the table for her to be able to sit back up. At that time Staff B entered the dining room and said I've never seen her (Resident #1) like this.

Staff A, acknowledged she responded out of frustration, she does this all the fucking time.

After the incident Staff A, stated she finished helping resident eat dinner, got them settled in to bed, and the rest of the night ran like normal. At 9:55 PM Staff A, stated Staff B approached her and told her that her language could be considered verbal abuse.

Staff B notified the facility Administrator, and they directed Staff B to tell her to leave the facility.

Staff A reported she didn't have any communication after the incident at dinner until Staff B told to leave at 9:55 PM.

The Abuse Prevention, Identification, Investigation, and Reporting policy, reviewed 10/17/24, directed the following:a.

All allegations of Resident abuse, neglect, exploitation, mistreatment, injuries of unknown origin and misappropriation should be reported immediately to the charge nurse.

The charge nurse is responsible for immediately reporting the allegations of abuse to the Administrator, or designated representative.b.

Upon receiving a report of an allegation of resident abuse, neglect, exploitation, or mistreatment, the facility shall immediately implement measures to prevent further potential of abuse of residents from occurring while the facility investigation is in process. If this involves an allegation of abuse by an employee, this will be accomplished by separating the employee accused of abuse from all residents through the following or a combination of the following, if practicable: i.

Suspending the employee ii.

Segregating the employee by moving the employee to an area of the facility where there will be no contact with any residents of the facility; and in rare instances iii.

Separating the employee accused of abuse from the resident alleged to have been abused but allowing the employee to care for and have contact with other residents, only if there is a second employee who remains with and accompanies the employee accused of abuse at all times to supervise all contacts and interactions with the residents.

Facility ID:

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.


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