Nursing homes owned by ZRR Opco LLC
The CMS ownership file lists ZRR Opco LLC with an ownership interest in 6 certified nursing homes with 355 beds in Iowa (5), Nebraska (1).
CMS ownership and Care Compare data as of September 1, 2026
The same homes are also listed under Avenue94 LLC, a related company in the same ownership file.
What the ownership file says
CMS lists ZRR Opco LLC as a indirect owner of 6 homes. Its earliest ownership association date on file is February 1, 2025, the latest April 1, 2025.
An indirect owner holds its stake through another company. Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups these homes into the chain Accura Healthcare (6).
The homes' record in brief
6 of the 6 homes have a CMS overall rating, averaging 3.0 stars against a national average of 3. 6 are for profit, 0 nonprofit; 6 are certified for Medicaid.
Across the inspections on file the homes carry 137 health citations; 3 citations were rated actual harm or immediate jeopardy, 1 immediate jeopardy. At their latest standard inspections they averaged 3.5 health deficiencies (national 9.2).
1 home was fined in the last three years, $16,801 across 1 fine. Average nursing staff turnover was 49.4% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.32 | 3.75 |
| Registered nurses | 0.61 | 0.62 |
| Weekdays | 3.45 | 3.92 |
| Weekends | 2.98 | 3.33 |
| Share of nursing hours by contract staff | 6.5% | 5.3% |
Daily payroll records of 6 homes, summed. Weekends ran 14% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Accura Healthcare of Creston | Creston | IA | Indirect owner, since February 2025 | 2 | 38 | $16,801 | |
| Accura Healthcare of Muscatine | Muscatine | IA | Indirect owner, since February 2025 | 3 | 18 | ||
| Accura Healthcare of New Hampton | New Hampton | IA | Indirect owner, since February 2025 | 4 | 17 | ||
| Accura Healthcare of Onawa | Onawa | IA | Indirect owner, since February 2025 | 2 | 34 | ||
| Accura Healthcare of Toledo | Toledo | IA | Indirect owner, since February 2025 | 3 | 16 | ||
| Accura Healthcare of North Platte | North Platte | NE | Indirect owner, since April 2025 | 4 | 14 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.
Staff pay reports
Staff pay at homes ZRR Opco LLC owns
No staff pay figure at homes ZRR Opco LLC owns has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.