Connect with us

Iowa

New report details low staffing, high turnover in Iowa nursing homes

Published

on

New report details low staffing, high turnover in Iowa nursing homes


More than 43% of Iowa nursing homes do not meet upcoming federal mandates on staffing levels, a new national report shows.

The report also indicates 21 Iowa care facilities each cycled through three to five nursing home administrators during 2023.

Using newly published data collected by the federal government, a nonprofit advocacy group called the Long-Term Care Community Coalition has issued a detailed report outlining the staffing levels at every Medicare-certified nursing home in the nation during the fourth quarter of 2023.

Advertisement

The report compares actual staffing levels with the Biden administration’s new rule mandating specific staffing levels in Medicare-certified nursing homes. That rule requires the presence of a registered nurse 24 hours per day, seven days a week in all facilities, as well as 3.48 hours per day, per resident of total nursing-staff time.

The rule will be phased in over the next five years and includes exemptions and waivers for facilities in rural areas that are making a good-faith effort to meet the new mandates.

The coalition’s report shows that 6 in every 10 U.S. nursing homes would have met the new nurse-staffing standard in the fourth quarter of 2023. Iowa homes fell below the national average, with 56.5% of them meeting the new standard.

The fact that a majority of facilities already meet the new minimum standard while still facing quality-of-care deficiencies has been an issue with many advocates, who say the standards don’t go far enough. They point to a federal study that shows each resident needs at least 4.1 hours of nursing care each day ― a standard met by only 26% of all nursing homes nationally and 24% of all homes in Iowa, according to the coalition’s report.

Advertisement

The report indicates the Iowa homes with the lowest nurse staffing levels in the fourth quarter of 2023 were Arbor Springs of West Des Moines, Midlands Living Center of Council Bluffs, Linn Haven Rehab & Health Care of New Hampton, Pleasant Acres Care Center of Hull, Northbrook Healthcare and Rehabilitation Center of Cedar Rapids, Crest Haven Care Centre of Creston and Aspire of Perry. All reported less than 2.5 hours of total nursing care per resident, per day, according to the report.

A separate set of data published by the Centers for Medicare and Medicaid Services indicates that 14% of Iowa’s 422 nursing facilities were cited for insufficient staffing in fiscal year 2023. That’s more than double the national average, which was 5.9%.

Only five other states ― Hawaii, Michigan, Montana, New Mexico and Oregon ― had a worse record of compliance with the sufficient-staffing requirement. Iowa neighbors Nebraska, South Dakota, Wisconsin and Missouri had no more than 2% to 6.8% of their facilities cited for insufficient staffing in 2023.

Report pinpoints high turnover in some Iowa homes

The report also highlights a problem in many nursing homes nationwide: high staff turnover, which disrupts continuity of care and leads to errors by workers who aren’t familiar with residents’ needs.

According to the data, several Iowa homes had annual nurse staffing turnover rates of more than 85%, indicating that, on average, almost every nursing position in the facilities had been vacated and refilled in 2023.

Advertisement

The Iowa homes with the highest rate of nursing-staff turnover, ranging from 85% to 100%, were Risen Son Christian Village of Council Bluffs, Sunrise Retirement Community of Sioux City, Wesley Acres of Des Moines, Arbor Springs of West Des Moines, Dunlap Specialty Care, Azria Health Park Place of Des Moines, Sunny Knoll Care Centre of Rockwell City and Montezuma Specialty Care.

The report also identifies the Iowa nursing homes that had the highest number of administrators who left employment with the facility during 2023.

The Elmwood Care Centre of Onawa and Heritage Specialty Care of Cedar Rapids are each reported to have had five administrators who left the facility in 2023. Azria Health Park Place of Des Moines, Sunny Knoll Care Centre of Rockwell City, Crest Haven Care Centre of Creston, Cedar Falls Health Care Center, Premier Estates of Muscatine, Westwood Specialty Care of Sioux City, Casa De Paz Health Care Center of Sioux City, Wesley Park Centre of Newton and Garden View Care Center of Shenandoah each are reported to have had four administrators leave during the year. Ten other Iowa nursing homes had three administrators leave during the year.

The coalition’s report shows that nationally, 4 of 5 nursing home residents live in facilities that are providing less than the federally recommended, but not mandated, 4.1 hours of total nursing-staff time per resident, per day. In addition, more than half a million nursing home residents live in facilities that don’t meet the new federal staffing requirement of 3.48 hours.

The report suggests one positive trend in nursing homes: a decreased reliance on temp-agency workers who often cost more but are less familiar with individual residents’ needs. After years of increased use of temp-agency workers during the COVID-19 pandemic, the use of such workers nationwide accounted for 8% of all nursing staff hours, which is down from 8.7% the previous quarter.

Advertisement

In Iowa, the average percentage of temp-agency workers was 7.3% in the last quarter of 2023, which was down slightly from 7.6% the previous quarter, and down significantly from 10.2% the previous year.

Find this storyat Iowa Capital Dispatch, which is part of States Newsroom, a network of news bureaus supported by grants and a coalition of donors as a 501c(3) public charity. Iowa Capital Dispatch maintains editorial independence. Contact Editor Kathie Obradovich for questions:kobradovich@iowacapitaldispatch.com.



Source link

Iowa

Iowa Supreme court affirms eviction order for Short’s Burger & Shine

Published

on

Iowa Supreme court affirms eviction order for Short’s Burger & Shine


Following a years-long legal saga, the Iowa Supreme Court recently upheld a decision to evict Short’s Burger and Shine from its South Clinton Street building.

The May 22 decision, delivered by Chief Justice Susan Christensen, agreed with the Johnson County District Court’s decision to evict the downtown burger restaurant after finding that it did not notify the building’s owner — a trust operated by Midwest One Bank — of its intent to extend the lease.

The decision concludes one part of the Short’s legal saga. The now-closed restaurant is also in litigation for a discrimination and retaliation lawsuit Short’s owner, Kevin Perez filed in 2024 against Midwest One Bank, the trust of late building owner Haywood Belle, Belle’s widow, a bank employee, and the City of Iowa City

Advertisement

Iowa City’s Short’s Burgers and Shine closed in 2024

Short’s closed in early 2024 after the court determined Perez hadn’t renewed the business’s lease on time.

Short’s opened at 18 S. Clinton Street in 2008 with the goal of honoring the legacy and story of former building owner H.D. Short, who shined shoes for 50 years, beginning in 1920. The original ownership group included Perez, Dan Ouverson, and former Hawkeye and NFL player Nate Kaeding, who now runs the Gold Cap Hospitality ownership group.

Eviction proceedings started when Short’s temporarily closed in April 2022 “to fix poor building conditions” without notifying Midwest One Bank, the executor of Belle’s trust.

The closure breached a part of the lease agreement that said the restaurant would default on its lease if it “failed to engage” in normal business for more than 15 consecutive business days, the court found. The renovations also violated a provision that forbade structural changes or improvements without prior written approval.

Advertisement

Midwest One Bank sent notice on May 10, 2022, that Short’s would default on its lease if it did not reopen for regular business and cease renovations within 10 days, according to court documents. Shorts responded, claiming it could not reopen for business until renovations were complete because the gas could not be turned back on until repairs were finished.

Midwest One Bank “terminated” the lease and started eviction proceedings in May 2022. Shorts was allowed to continue operating and occupying the building while the case was litigated.

Midwest One Bank filed two eviction claims and delivered notice that Short’s needed to vacate the building by the end of the lease on April 30. Short’s did not vacate, and Midwest One Bank pursued a third eviction claim, accusing the owners of failing to provide notice of renewal.

Advertisement

Short’s argued that because they continued renovations, disputed eviction, and secured insurance, it was evidence of their intent to renew.

The restaurant owners also argued that pending eviction proceedings prevented them from renewal. The court argued that Short’s simply did not declare intent to renew for “whatever reason.”

“Mere forgetfulness does not entitle a party to equitable relief,” the decision reads.

Liam Halawith covers Johnson County local government and public safety for the Press-Citizen. Reach him by email at lhalawith@registermedia.com. Follow him on X at @liam_halawith.   

Advertisement



Source link

Continue Reading

Iowa

Fired Iowa nurse aide wins jobless benefits after numerous resident-care complaints

Published

on

Fired Iowa nurse aide wins jobless benefits after numerous resident-care complaints


WEST DES MOINES, Iowa (IOWA CAPITAL DISPATCH) – An Iowa nursing home worker fired after being accused of repeatedly neglecting residents’ needs is entitled to unemployment benefits, a judge has ruled.

State records indicate certified nurse aide Abigail Kromah worked for Pine Acres Rehabilitation and Care Center in West Des Moines from May 2024 through December 2025, when she was fired. She subsequently applied for unemployment benefits, which led to a recent hearing before an administrative law judge.

The hearing records indicate Kromah testified that when she was fired on Dec. 19, 2025, the employer informed her that the discharge was due to “numerous resident complaints” regarding the care she had been providing.

According to the judge’s findings in the case, Kromah had received multiple disciplinary warnings related to resident care. In August 2024, she allegedly received verbal and written warnings for failing to answer residents’ call-lights in a timely manner, failing to properly assist residents with their personal care, and for complaining about the residents in common areas of the workplace.

Advertisement

Her employer testified Kromah was also given warnings for refusing work instructions from the nursing staff, and for telling a resident who needed to be toileted to go the bathroom in their briefs.

In August 2025, it was alleged that Kromah failed to check on a resident throughout the entire night. During that shift, a nurse had neglected to unclamp a feeding tube, which caused the tube to leak. When another nurse checked on the resident at 5 a.m., the resident was “drenched in feeding solution from head to toe,” according to the judge’s findings.

‘I can’t live this way… She’s horrible.’

Days later, the home alleged, a resident of the facility entered the hallway in his wheelchair at about 6 a.m., loudly complaining, “I can’t do this anymore,” and, “I can’t live this way.” The man allegedly refused to go back to his room, explaining that Kromah was there and “she’s horrible.”

The man reportedly stated had had switched on his call-light to have his urinal emptied, but Kromah never came to assist him, which meant the urinal overflowed and spilled on him. When Kromah eventually came to the room, the man allegedly said, she changed him into dry clothing but did not clean him.

The home alleged Kromah was given additional warnings in October 2025 for reportedly failing to answer residents’ call lights and failing to complete her rounds every two hours. One resident of the home had allegedly became so frustrated by the lack of response to his call-light that he contacted the police on one occasion, according to the judge’s findings.

Advertisement

State inspection reports indicate Pine Acres Rehabilitation and Care Center was cited for insufficient staff in January 2026, with one resident complaining the issue with call-lights had been a longstanding problem. According to the inspectors, the man said that on one occasion, he couldn’t get help to clear his airway and was afraid he was going to die unless he managed to clear it himself, which he did.

In ruling that Kromah was entitled to jobless benefits, Administrative Law Judge Michael Lunn noted that while she had clearly been warned about deficiencies in resident care, she appeared to have been fired for a separate issue — attendance — for which she had received no such warnings.

A discharge for misconduct cannot be based on past acts such as the resident-care issues, Lunn ruled, but must instead be based on a current act. With no current act of disqualifying misconduct, Lunn stated, Kromah was entitled to collect unemployment benefits.

Iowa Capital Dispatch was unable to locate Kromah to seek comment for this article.

Copyright 2026 IOWA CAPITAL DISPATCH. All rights reserved.

Advertisement



Source link

Continue Reading

Iowa

Iowa begins its summer meal programs

Published

on

Iowa begins its summer meal programs


CEDAR RAPIDS, Iowa (KCRG) – With some schools already on summer break, programs are helping make sure Iowa kids don’t go hungry.

The state’s Seamless Summer Option program provides free meals to children and teens 18 and younger during summer break.

Those meals are served at schools, parks and community centers. Children are served on first come, first served basis.

You can find a full list of those on the USDA’s Summer Meal Finder.

Advertisement

This year, the state has returned to the federal SUN Bucks program.

Eligible families can get up to $120 per child. That is then divided up to $40 a month to help pay for healthy food purchases.

The Des Moines Area Religious Council told KCRG after the state announced its return to the program that area businesses, as well as those in need, would benefit.

“Those dollars are going to go back into local grocery stores. It’s an investment in our community. When we look at feeding programs like SNAP, we know that it has that multiplier effect every time a dollar is spent, you’re getting more out of it,” said Blake Wiladsen, the council’s communication manager.

The state will regulate the program similarly to the state’s SNAP program. Things like candy, soda, vitamins, minerals, pre-made foods, and juice made with less than 50% fruit or vegetables cannot be purchased with Iowa SUN Bucks.

Advertisement

Copyright 2026 KCRG. All rights reserved.



Source link

Continue Reading
Advertisement

Trending