Iowa
Burns, 'grapefruit-size' wound and death trigger nursing home lawsuit • Iowa Capital Dispatch
One of Iowa’s s largest nursing home operators is facing the 10th wrongful death lawsuit filed against the company this year.
Recently, the family of the late Debbie Thomas sued Care Initiatives of West Des Moines and the Appanoose County nursing home the company operates, Centerville Specialty Care, in state court. The family is seeking unspecified damages for professional negligence, wrongful death and dependent adult abuse.
Care Initiatives, which doesn’t comment on pending litigation, has yet to file a response to the lawsuit. So far this year, at least 10 wrongful death lawsuits have been filed against company, which operates 43 Iowa nursing homes as well as several assisted living centers and hospice locations. In each of the lawsuits, Care Initiatives has denied any wrongdoing. Roughly 2,800 elderly or disabled Iowans receive care from one of the company’s facilities.
In August, the Iowa Capital Dispatch reported Care Initiatives was facing at least 10 then-active lawsuits, some of which were filed in 2023, alleging negligence or wrongful death. Some of those cases have since been resolved, but additional cases have been filed in the past three months.
One of the new cases involves Thomas, an Appanoose County woman who had sustained brain damage at birth in 1958. As an adult, Thomas could read, write and socialize with others and lived an active adult life, according to court records.
State inspection reports indicate that on Dec. 19, 2022, at the age of 64, Thomas was admitted to Centerville Specialty Care for rehabilitation after a brief hospital stay. According to the recently filed lawsuit, Thomas was joined by family members for dinner at the care facility two days after her admission, at which point the relatives found second-degree burns covering Thomas’ legs.
The family alleges Thomas’ bed had been pushed against a wall near a heating element. According to the lawsuit, the staff at Centerville Specialty Care was unaware of the burns until the family discovered them.
The next day, relatives returned to the home and allegedly discovered Thomas had developed a bed sore that the home’s staff characterized as “minor” – although, the lawsuit claims, the staff refused to say whether the wound was infected.
By Jan. 7, Thomas was allegedly diagnosed as malnourished and dehydrated, and on Jan. 27, the staff allegedly found that her blood pressure had dropped to an extremely low level. On Jan. 29, staff at the home called Thomas’ family to inform them Thomas was in a state of decline and was dying, according to the lawsuit.
“Nobody at Centerville Specialty Care called a doctor or an ambulance for Debbie until (her sister) demanded they do so,” the lawsuit claims.
Thomas was rushed to the emergency room at MercyOne-Centerville, where the medical staff allegedly concluded she was severely dehydrated, had a urinary tract infection, her kidneys were failing, and she had potassium levels so low they could trigger a heart attack. According to the lawsuit, doctors then showed the family a bed sore Thomas had sustained and which measured roughly 4 inches across.
Thomas died on Feb. 1, 2023. State records indicate the cause of death was sepsis – an often-deadly infection – that resulted from a bed sore.
Five days later, the Iowa Department of Inspections, Appeals and Licensing initiated an investigation at the Centerville home in response to seven complaints. Four of the complaints were substantiated, according to DIAL records.
The inspectors reported that the hospital’s emergency room physician said that when Thomas arrived there from Centerville Specialty Care, she was in serious pain and was admitted in critical condition with a deep, open, “grapefruit sized” bed sore that had become infected. The physician allegedly described Thomas’ hair as “matted, very dirty and unkempt” when she arrived in the ER.
State inspectors also reported that the physician questioned the accuracy of the nursing home’s claim that Thomas had been up and about and eating breakfast just hours before her admission to the ER.
The state proposed a $9,750 state fine that was then held in suspension while the Centers for Medicare and Medicaid Services considered a federal fine. CMS records indicate the agency eventually imposed a fine of $56,750 against the Centerville home.
A Marshalltown nursing home operated by Care Initiatives is accused of repeatedly failing to provide emergency treatment for a resident with “grossly decayed” teeth.
According to state inspectors, Southridge Specialty Care of Marshalltown failed over several months to thoroughly assess and follow through on physician-ordered interventions for a female resident’s “grossly decayed and non-restorable teeth.”
According to inspectors, the woman reported mouth pain to the Southridge staff from July through October, during which time she lost one tooth and other teeth broke, cutting her tongue.
In early September, a dentist allegedly gave the Southridge staff instructions to send the woman to the University of Iowa Hospitals emergency room to be evaluated by an oral surgeon for severe pain. According to inspectors, the dentist later complained that “nobody took her to the ER.”
On Oct. 23, the woman was seen again by the dentist who, according to inspectors, observed the woman’s teeth had worsened. “He referred her to go to the university hospital but no one set up the appointment,” inspectors later wrote in their report.
The inspectors’ report indicates University of Iowa Hospitals told the woman’s care providers the soonest they could schedule an appointment for the woman was Jan. 16, 2025, and the emergency room referrals were an attempt to provide immediate care.
On Oct. 29, the woman reportedly met with state inspectors and told them she was still experiencing severe pain and the decayed teeth had yet to be pulled. She allegedly stated that she didn’t know if she could wait a few months to have her teeth removed because “it hurt a lot” and she couldn’t eat or drink.
A proposed $5,500 state fine has been held in suspension for consideration of a federal fine.
Tate Schendel on Waukee Northwest boys soccer’s win over Urbandale
Hear from Waukee Northwest goalkeeper Tate Schendel after the Wolves beat Urbandale in the Class 4A boys soccer state semifinals.
It took two overtimes and six penalty kicks to decide a winner in Waukee Northwest’s Iowa high school boys soccer state quarterfinal matchup against Johnston on Monday.
And it looked like the semifinal would go the same way, that is, until Eman Alicic came up big on a penalty kick in the final minutes of the No. 2 Wolves’ state semifinal game against No. 3 Urbandale on Wednesday, June 3.
“It was too long of a game last time,” joked Northwest goaltender Tate Schendel postgame. “From now on, we’re just going to try to close things out, get it done and keep moving on.”
It took more than 10 minutes for either team to record a shot, and even longer for an attempt to go on goal.
The Wolves hammered a dozen shots in the direction of Urbandale’s goal in the opening 40 minutes, but only a couple came close to going in – including a shot from Alicic that bounced out after hitting the corner of the crossbar.
The J-Hawks had fewer chances at the net, but more attempts hit the target. Of Urbandale’s seven first-half chances, four were on goal – and Schendel stopped all of them.
With one defense keeping shots on goal away from their keeper and the other team’s goalie stepping up to make risky saves, Northwest and Urbandale headed to the locker room tied, 0-0, at halftime.
“He’s been with us now for three years as a starter, and each year he’s come up big and done great things,” Waukee Northwest head coach Carlos Acebey said about Schendel. “I don’t think he gets a lot of credit for how well he plays between the goalposts, and he’s a solid player for us.”
The Wolves took control in the second half, firing off 12 more shots – including seven on goal – to Urbandale’s three shots, only one of which made its way into Schendel’s hands. But despite Northwest’s ability to keep much of the pressure on the J-Hawks’ end of the field, the game remained scoreless deep into the second half.
With just under four minutes remaining in regulation, Eddie Mihura won the ball around midfield, and then Alicic sent a cross-field pass that was misplayed by one of Urbandale’s players and made its way to Sully Ervin.
He took the ball downfield on a breakaway, but didn’t get a chance at the net, as a J-Hawks player took him down in the box, resulting in a penalty kick.
“He’s just a little buzz saw,” Acebey said about Ervin. “He creates a lot of problems just because he’s annoying, but he’s a great annoying for us. I love it.”
Alicic – the sophomore star and leading goal scorer on Northwest’s roster – lined up for the penalty kick and nailed it, sending the ball left as Urbandale’s goalie dove to the right.
“He’s really wiser than people give him credit for,” Acebey said. “He’s a sophomore, but he’s very intelligent. His soccer IQ is off the charts. He’s a player that gives us a lot of confidence…and the last three teams that we played have tried to double team, triple team him, and he still is going to get the ball.”
The J-Hawks attempted to get another chance at a goal in the final minutes of the game, but Northwest had an answer for everything Urbandale tried. The final horn bellowed, and the Wolves celebrated their first trip to the championship game since the program’s inaugural season in 2022.
Northwest will face off against No. 1 Ankeny Centennial – still undefeated – at 2:30 p.m. on June 5 at Mediacom Stadium.
Alyssa Hertel is the college sports recruiting reporter for the Des Moines Register. Contact Alyssa at ahertel@dmreg.com or on Twitter @AlyssaHertel.
Iowa
Zach Lahn projected to win Iowa GOP governor primary, upsetting Trump’s pick in a state Democrats hope to flip
Zach Lahn will win the Republican primary for Iowa governor, CBS News projects, overcoming a Trump-backed congressman and setting up a November contest against Democrat Rob Sand that could be one of this year’s most competitive gubernatorial races.
Lahn — a farmer and businessman who has touted his ties to the “Make America Healthy Again” movement — prevailed over a crowded GOP field on Tuesday. Sand, who serves as state auditor, ran for the Democratic nomination unopposed.
His victory bucks the recent winning streak of Trump-backed candidates and marks an upset over Rep. Randy Feenstra, who didn’t attend any primary debates and was viewed by many observers as a frontrunner. President Trump endorsed Feenstra last week, calling him “MAGA all the way,” and several top Iowa GOP figures backed him.
Feenstra conceded late Tuesday night, saying in a speech surrounded by his family that the outcome “wasn’t what I wanted.”
Describing himself as a sixth-generation Iowan, Lahn owns a family farm and runs the agriculture, real estate and technology investment firm Homeplace Ventures. He previously worked for the conservative group Americans for Prosperity. He’s running on a populist-inflected platform that he branded “Iowa First” and has said he wants to boost local ownership of farmland, stem the flow of younger Iowans out of the state and address Iowa’s high cancer rate.
“I fear every day we are losing the Iowa we love,” Lahn said in his victory speech Tuesday, castigating out-of-state investors that he says “treat Iowa land like it’s a commodity instead of our inheritance.”
Lahn was endorsed last year by MAHA Action, a group founded by allies of Health and Human Services Secretary Robert F. Kennedy Jr., and he picked up support from the late Charlie Kirk’s Turning Point Action last week. He was also endorsed by former Rep. Steve King, who was known for incendiary comments about race before Feenstra ousted him in a 2020 primary.
Three other candidates also ran: former Iowa Department of Administrative Services Director Adam Steen, state Rep. Eddie Andrews and former state Rep. Brad Sherman.
Lahn will now face Sand, a two-term state auditor who defeated a GOP incumbent in 2018 after working in the state attorney general’s office.
Sand has focused his campaign on government accountability and faulted Republicans for the state’s economic issues, while pitching universal pre-K and criticizing a school voucher program introduced by GOP officials. He has also sought to cultivate a moderate image on social issues, as Republicans try to cast him as a liberal in centrist’s clothing.
In a campaign video late Tuesday, Sand said Republican voters are “welcome in this campaign,” adding that the state’s political system is “broken” and “all you would get with Zach Lahn it is more of the same.”
Once considered a swing state, Iowa has trended sharply red in recent years as Democrats increasingly struggle on rural Midwestern terrain. Mr. Trump won the state three times in a row, including by a 13-point margin in 2024, and GOP Gov. Kim Reynolds won reelection by 18 points four years ago. Iowa hasn’t elected a Democratic governor in two decades, and Sand is the only statewide elected Democrat, after he won reelection by fewer than 3,000 votes in 2022.
But Democrats are hopeful that a challenging political environment for Republicans, both nationally and in Iowa, could make them more competitive in the midwestern state. The Cook Political Report has rated the Iowa gubernatorial race a tossup, one of five states with that distinction this year, and the University of Virginia’s Center for Politics says the race leans red.
Reynolds — who has led the state since 2017 — has one of the lowest approval ratings of any governor nationwide. Iowa farmers also struggled last year after the trade war with China caused Beijing to cut American soybean imports, pushing down prices of one of Iowa’s most widely grown crops, and the war with Iran has caused a run-up in fuel and fertilizer prices.
Reynolds declined to run for reelection this year, setting up Iowa’s first gubernatorial election without an incumbent in the race since 2006.
Lahn lent his campaign $2 million last year, but is heading into the general election at a fundraising disadvantage. His campaign had just over $700,000 on hand as of mid-May, compared to nearly $18.3 million for the Sand campaign. Sand’s wife runs a sizable food and health products company founded by her family called the Lauridsen Group, and the Democrat’s campaign coffers have been bolstered by millions in contributions from his in-laws.
Sand raised about $9.7 million between the start of the year and mid-May, just over $3 million of which came from members of his wife’s family. Lahn raised just under $1 million.
Beyond the governor’s race, Iowa also has an open Senate contest after Ernst declined to seek reelection, drawing interest from Democrats, though Republicans likely have a sizable edge. Democrats are also heavily targeting two of Iowa’s four House seats, including the 1st District, where incumbent GOP Rep. Mariannette Miller-Meeks won by fewer than 1,000 votes in 2024.
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