Zearing Health Care, LLC

In the surveyor’s words

From the most serious findings on record at Zearing Health Care, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Jun 30, 2026

  Based on observation, interview, and record review, the facility didn't clarify and implement an emergency overdose medication order upon admission, failed to maintain an available stock of emergency medication, didn't provide staff with access or training for the automated medication storage system, and failed to accurately measure and administer titrated liquid narcotic doses for 1 of 1 resident reviewed (Resident #1).The State Agency informed the facility of the Immediate Jeopardy (IJ) on [DATE] at 1:45 PM that began as of [DATE]. […]

• Actual harm, isolatedF689Jun 30, 2026

  Based on clinical record review, staff interviews, observations, and facility policy, the facility failed to perform smoking assessments to identify hazards for residents who smoked, suffered burns while smoking, and failed to implement new interventions to replace the ineffective ones to prevent further burns or decrease the risk burns for 3 of 3 residents (Resident #6, #8, #9) reviewed for smoking. The facility reported a census of 34 residents. Findings include:1. Resident #6's Minimum Data Set (MDS) dated [DATE] assessment identified a Brief Interview for Mental Status (BIMS) score of 9, indicating moderately impaired cognition. The MDS identified Resident #6 required partial or moderate assistance with bed mobility and substantial or maximal assistance with transfers and oral hygiene. […]

• Actual harm, isolatedF692Jun 30, 2026

  Based on clinical record review, staff interviews and policy review the facility failed to implement weight loss interventions in a timely manner for 2 of 3 residents reviewed (Resident #6 and #3) for weight loss. The facility reported a census of 34 residents. Findings include:1. Resident #6's Minimum Data Set (MDS) dated [DATE] assessment identified a Brief Interview for Mental Status (BIMS) score of 9, indicating moderately impaired cognition. The MDS identified Resident #6 required substantial or maximal assistance with eating. The MDS included diagnoses of non-Alzheimer's dementia (brain function decline) and Huntington's disease (neurodegenerative disorder). […]

• No harm, potential for more than minimal, patternF755Jun 30, 2026

  Based on clinical record review, facility investigation file, observation, staff interviews, and facility policy review, the facility failed to have two staff members present when narcotic medications were destroyed for 4 of 4 residents reviewed for controlled substance use (Resident #1, #2, #3, #4). Additionally, the facility failed to remove expired medications from the medication cart in a timely manner (Resident #3 and Resident #4) and have a system in place to adequately dispense and reconcile controlled drugs (Resident #1 and #6). The facility reported a census of 34 residents. Findings include:1. Resident #1's Minimum Data Set (MDS) dated [DATE] assessment identified a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. […]

• No harm, potential for more than minimal, patternF552Jan 22, 2026

  Based on clinical record review and staff interview the facility failed to obtain informed consent for psychotropic medications that have black box warnings (the most serious safety warning the Food and Drug Administration (FDA) uses and requires the healthcare provider to have a comprehensive discussion with the resident/representative about the risks, benefits and alternatives for use) for 5 of 5 resident reviewed for psychotropic medications (Resident #1, #2, #3, #4 and #10). The facility reported a census of 31 residents. Findings include: 1. Resident #1's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. […]