Iowa

Burns, 'grapefruit-size' wound and death trigger nursing home lawsuit • Iowa Capital Dispatch

Published

1 year ago

November 20, 2024

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.

Care Initiatives home cited for dental care

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.

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Iowa

Democrats will debate in Iowa US Senate primary shaped by outside money and big-name endorsements

Published

4 hours ago

May 14, 2026

Press Room

Democrats will debate in Iowa US Senate primary shaped by outside money and big-name endorsements

DES MOINES, Iowa (AP) — Two Democrats vying to be Iowa’s next U.S. senator are scheduled to debate Thursday, as each seeks to convince voters he’s better positioned to flip the Republican-held seat in a contest that has seen heavy outside spending and high-profile endorsements.

State lawmakers Zach Wahls and Josh Turek are competing in a June 2 primary. It is one of a few remaining competitive Democratic Senate primaries this year, as the party looks to find the best approach to reclaim the U.S. Senate this fall.

Iowa’s Republican Sen. Joni Ernst opted out of a reelection bid, leaving the seat open for the first time since she replaced retiring Democratic Sen. Tom Harkin in 2014. Republican Senate leaders have backed Ashley Hinson, a congresswoman representing northeast Iowa, committing $29 million for her to help keep their thin majority.

Democrats see an opportunity to flip seats in the once-competitive state, despite President Donald Trump’s double-digit win in the last presidential election and an all-Republican federal delegation. But first they need to settle which federal candidate will be at the top of the ticket. Early voting began Wednesday.

An influx of cash has shaped the final stretch

While Wahls and Turek have raised and spent similar amounts, a Democratic political organization, VoteVets, has spent about $7 million to support Turek in the final stretch of the campaign. That’s more than the two candidates have spent combined.

Turek, who is not a veteran, was born with spina bifida after his father’s exposure to chemicals while serving in the Vietnam War. The group has said Turek is uniquely positioned to advocate for veterans’ services, especially health care and military families.

Wahls has criticized the influx of cash as insiders in Washington trying to exert outsized influence, and it’s likely to come up again Thursday, as it did at an Iowa Press debate last week.

Tensions over the future of the party

Wahls has been vocal about who should — or should not — lead Senate Democrats, saying he would not vote for Sen. Chuck Schumer of New York to be the caucus leader.

“The leadership of Chuck Schumer has failed the Democratic Party, it has failed the state and it has failed this country,” Wahls said during last week’s debate. “Dark money has an agenda, and that agenda is to protect the broken status quo and the failed leadership of Sen. Schumer.”

Schumer has tried to keep the focus on Republicans.

Wahls is endorsed by U.S. Sen. Elizabeth Warren of Massachusetts, who joined him in Iowa for campaign events over the weekend. The progressive senator told voters the Senate needs Democrats who are willing to “get in there and stand up and fight.” Wahls also often highlights the support he’s seen from unions and local elected officials.

Turek responded to Wahls’ criticism saying he’s not a “DC insider.”

“I don’t know these folks,” he said. Turek explained his criteria for leader candidates but stopped short of saying he wouldn’t support Schumer.

“I will go up and ask whoever is deciding to run for leadership … ‘What are you going to do for Iowa? What are you going to do for Iowans? What are you going to do for the middle class?’” Turek said.

In the last week, Turek unveiled a rare endorsement from Harkin, who represented Iowa in Washington for three decades, as well as former Transportation Secretary Pete Buttigieg. Turek also has collected endorsements from sitting U.S. senators, including Illinois’ Tammy Duckworth, New Hampshire’s Maggie Hassan and Nevada’s Catherine Cortez Masto.

Drawing greater contrast on issues

In the first debate last week, Turek and Wahls were aligned on many issues. Both said that they would not support the Republican president’s tariffs or the war in Iran and that they do support raising the minimum wage and restoring health care access with a public insurance option. They criticized corruption in Washington and proposed higher taxes on corporations and wealthy Americans.

But they also started to draw some contrasts. More of that is likely Thursday.

Wahls referenced a law Turek supported in the Iowa legislature that makes it a state crime to be in the U.S. illegally. Turek defended his vote, saying it was Biden-era legislation and stressed the importance of a secure U.S.-Mexico border. Turek said he also supports an easier path to citizenship and reforms to immigration enforcement under the Trump administration.

Turek highlighted his working-class background and contrasted his work for a nonprofit with Wahls’ work for a super PAC focused on electing young Democrats.

___

Follow the AP’s coverage of the 2026 election at https://apnews.com/projects/elections-2026/.

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Iowa

Iowa State wrestling adds ex-Hawkeye Dru Ayala from transfer portal

Published

16 hours ago

May 13, 2026

Press Room

Iowa State wrestling adds ex-Hawkeye Dru Ayala from transfer portal

Iowa State wrestling has added another lightweight through the transfer portal, earning the commitment of former Hawkeye Dru Ayala on Wednesday, May 13.

Ayala has been with the Hawkeyes for two seasons, with an 11-4 record as a true freshman and not competing in 2025-26. The 125-pounder will have at least three years of eligibility remaining.

“Grateful for where I’ve been, excited for where I’m going. Go Cyclones,” Ayala said in an Instagram post.

Before his time in Iowa, Ayala was a four-time state medalist with Fort Dodge. He made the state semifinals all four years and had a 153-16 record. He is the brother of former Hawkeye wrestler Drake Ayala, who recently accepted a position as an assistant coach with the Cyclones.

Iowa State has had multiple major departures with Anthony Echemendia, Christian Castillo, Daniel Herrera and others heading to the transfer portal. As a result, the Cyclones have been busy adding to the roster, with Dru Ayala joining Ayden Smith (Rutgers), Brayden Thompson (Oklahoma State) and Rin Sakamoto (Oklahoma State).

Eli McKown covers high school sports and wrestling for the Des Moines Register. Contact him at Emckown@gannett.com. Follow him on Twitter at @EMcKown23.

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Iowa

Candidates for Warren County’s Iowa House District 22 tackle issues

Published

1 day ago

May 13, 2026

Press Room

Candidates for Warren County’s Iowa House District 22 tackle issues

Two candidates are running for the Iowa House District 22 seat encompassing Norwalk, Carlisle, Cumming and Martensdale.

First-term Republican Rep. Samantha Fett faces a challenge from Democrat Rory Taylor, who she defeated in 2024 to fill the open seat.

Both candidates are unopposed for their party’s nomination.

To help voters, the Des Moines Register sent questions to all federal, statewide and Des Moines area legislative candidates running for political office this year. Their answers have been lightly edited for length and clarity.

The primary election is scheduled for June 2.

Click below to see learn more about the candidates and where they stand on key issues:

Political party: Republican.
Age: 46.
Residence: Carlisle.
Occupation: Marketing and communications director for Inspired Life Inc.
Education: Bachelor’s degree in journalism, Drake University.
Political experience: Moms for Liberty – Warren County, Carlisle School Board member 2019-2021, Warren County Central Committee member, Capitol Region Republican Women, Iowa Federation of Republican Women, National Federation of Republican Women.

Who is Rory Taylor?

Political party: Democrat.
Age: 65.
Residence: Norwalk.
Occupation: Retired.
Education: Bachelor’s degree in history, minor in political science, Iowa State University.
Political experience: Bevington City Council.

Fett (R): My top issue is strengthening Iowa’s education system. I believe parents should have a leading voice in their children’s education because families want meaningful options. I support high academic standards, safe learning environments and policies that protect children while ensuring every student has the opportunity to succeed. I will work on policies that continue to focus on all students reaching their potential through measurable, objective achievements and by expanding and enhancing the supply of creative education. Education shapes the next generation, and it remains my highest priority.

Taylor (D): Water quality in our state. We need to increase monitoring the water sources we use for our drinking water. Our nitrate levels are in direct correlation to our cancer rates in the state. We need to work with our farmers to mitigate the problem, not blame them for it!

Taylor (D): We need to restructure the voucher program. Students with financial needs could be accommodated, but not the wealthiest of our population. We need to provide more funding for our AEAs and improvement in teacher pay. Bring back our industrial arts programs.

Fett (R): I support policies that put students and families first. That includes strengthening parental rights, expanding educational options and making sure all education models — public schools, homeschool, private and public charter schools — can succeed. I also support a balanced approach to digital learning, since excessive screen time can affect attention and academic progress. I believe Iowa should set developmentally appropriate limits on digital instruction and prioritize strong foundational skills like reading, writing and real classroom connection so every student has the opportunity to thrive.

Fett (R): I support Iowa’s recent tax changes because the state was collecting far more than it needed. With full reserves, a $2 billion ending balance, and over $4 billion in the Taxpayer Relief Fund, returning money to Iowans is the responsible choice. The 3.8% rate keeps Iowa competitive, and temporary revenue dips were planned for. Looking ahead, I would support additional tax law changes that continue this philosophy: keeping government efficient, ensuring strong reserves and returning excess dollars to taxpayers.

Taylor (D): I do not support all the tax changes. I believe moving Iowa’s tax structure for both corporate and income to be more progressive. This would raise taxes on corporations, higher-income individuals and lower taxes on lower-income individuals.

Taylor (D): Water quality standards: Strengthen, enforce and monitor water quality standards to reduce carcinogens like nitrates and PFAS from agricultural runoff.

Fett (R): I support practical, targeted actions that reduce known risks and strengthen research. Iowa is a major radon hotspot, and radon exposure is a leading cause of lung cancer. House File 2297 is an important step requiring passive radon mitigation. A cost-effective protection helps ensure families aren’t unknowingly exposed to dangerous levels. I support the pediatric cancer research bill, which provides dedicated funding to advance research and improve outcomes for Iowa children. This investment and reducing environmental risks give Iowa a stronger and more effective path to lowering cancer rates. Chemical regulation: Improve monitoring of pesticides and fertilizer application, ensuring public health is central to agricultural policy. Radon mitigation: Fund widespread radon testing. Protect Medicaid expansion, which supports cancer screening and care for over 180,000 Iowans. HPV vaccine access: Protect access to human papillomavirus (HPV) vaccinations to prevent future cancer.

Fett (R): Protecting private property rights is essential. Based on that standard, I do not support using eminent domain for carbon capture pipelines, as these projects do not meet the threshold of traditional public use infrastructure and raise significant concerns for landowners. I have consistently opposed the misuse of eminent domain and will continue standing with Iowa landowners on this issue.

Taylor (D): Public projects, such as infrastructure (highways, bridges) and utilities. And as long as there is fair compensation and due process.

Taylor (D): Voucher program would be a start. And the tax cuts that have been made haven’t stimulated the economy as the Republican Party has suggested they would. I don’t see any other cuts I would suggest. The key is tax revenue, and what we have in place now isn’t working!

Fett (R): Iowa’s recent revenue dip was fully expected when income taxes were reduced. I support a disciplined, responsible approach to budgeting that ensures we fund key priorities like public schools, nursing homes and public safety while still allowing Iowans to keep more of what they earn. The Taxpayer Relief Fund was created specifically to manage temporary revenue decreases during tax reform, providing stability without jeopardizing essential services. My focus is on maintaining disciplined budgeting so Iowa continues meeting its obligations without over taxing families.

Read more about the midterm candidates at: https://www.desmoinesregister.com/news/elections/.

Marissa Payne covers the Iowa Statehouse and politics for the Register. Reach her by email at mjpayne@registermedia.com. Follow her on X at @marissajpayne.

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