Iowa
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.
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.
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.
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.
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.
Iowa
DCI agent say he was fired for questioning Iowa college gambling probe
ISU’s Kevin Dresser on gambling probe: ‘I knew this thing was a mess’
Iowa State’s Kevin Dresser on the gambling probe: “I hope all these athletes at Iowa and Iowa State take the state of Iowa to the cleaners.”
A longtime investigator for the Iowa Division of Criminal Investigation says he was forced out of the agency because he voiced reservations about a high-profile investigation into gambling in college athletics.
Mark Ludwick was hired by Iowa’s top investigative agency in 1997 and was terminated in November 2024, according to a lawsuit filed Feb. 20 in Polk County. According to his complaint, Ludwick was fired after two “frivolous” investigations, one claiming he’d exceeded the speed limit driving to a murder scene, and the other for assistance he provided to a domestic abuse victim.
The real reason, Ludwick alleges, is that officials were embarrassed after Ludwick testified under oath about what he regarded as weaknesses in their sports wagering investigation, which resulted in dozens of Iowa State University and University of Iowa student-athletes facing suspensions, 25 being criminally charged and 19 pleading guilty to underage gambling.
Ludwick testified in early 2024 he believed investigators had conducted illegal searches to identify the online gamblers and that he and other agents had been directed to lie to students about whether they were subjects of the investigation. He also alleged that stress about the case contributed to another agent’s fatal heart attack, although the agent’s relatives disputed the connection.
Now Ludwick is accusing the state of violating Iowa’s whistleblower protection statute. He declined through his attorney to comment. The Iowa Attorney General’s Office also declined to comment, and the Iowa Department of Public Safety, which includes the DCI, did not respond to an inquiry about the case.
Gambling investigation raised constitutional concerns
In the gambling investigation, DCI investigators used software tools provided by GeoComply, a Canadian company that contracts with online sportsbooks like FanDuel and DraftKings, to look for evidence of illegal gambling activity. Using a GeoComply system, the investigators created a so-called “geofence” around college athletic facilities that allowed them to detect student athletes using wagering accounts registered to parents and friends to place bets ― sometimes on their own games.
Although the investigation resulted in numerous arrests and suspensions, it also drew controversy, in particular for agents’ failure to obtain warrants before conducting their location searches. GeoComply, which had encouraged Iowa to use its service, responded by cancelling the state’s access.
A large group of current and former students sued the state, accusing investigators of violating their constitutional rights. In November 2025, a federal judge ruled that the state’s investigation “does not comport with the Fourth Amendment,” which provides protection from illegal searches.
Nonetheless, the court dismissed the lawsuit, finding the officers involved were entitled to immunity. An appeal is pending.
Ludwick’s reservations emerge in depositions
Ludwick was an experienced investigator for the DCI, working on high-profile cases including the 2015 murder of Shirley Carter, whose son was tried and acquitted, and the 2017 deaths of two girls in a fire started by a relative.
While not the lead agent on the 2023 gambling investigation, Ludwick was tapped to assist by interviewing some of the student athletes. He later testified he grew concerned that the state’s geofence searches amounted to illegal, warrantless searches, and declined to participate in the case any further. He alleges that other DCI agents shared his concerns and also maneuvered to avoid being involved in the case.
Ludwick says he reported his concerns to his superiors. In January 2024, he was deposed by defense attorneys for four of the students, and “testified truthfully during his deposition that he believed an illegal search had been conducted.” Defense attorneys cited Ludwick’s remarks within days in filings covered by numerous media outlets, including the Des Moines Register, which “caused embarrassment and increased scrutiny for the Iowa Department of Public Safety, Commissioner Bayens, and other employees,” Ludwick’s suit states.
According to the complaint, officials launched an investigation into Ludwick for speeding on March 5, weeks after the embarrassing testimony was reported. On Aug. 8, officials initiated a second investigation after, Ludwick says, “he attempted to help a victim of domestic abuse flee her abuser.” He denies his actions violated Iowa law or department policy.
William Morris covers courts for the Des Moines Register. He can be contacted at wrmorris2@registermedia.com or 715-573-8166.
Iowa
Official Site of The ECHL | ECHL announces Voluntary Suspension of Iowa Membership for 2026-27 Season
The ECHL announced today that the League’s Board of Governors has approved the request of the Iowa Heartlanders’ Membership for a Voluntary Suspension for the 2026-27 Season.
During the suspension period, the organization will evaluate strategic alternatives aimed at ensuring a sustainable long-term future for professional hockey in the Corridor, including potential investment or ownership partnerships that support the continued success of the Membership.
The ECHL will continue to work with the Heartlanders’ ownership group during the suspension period as the organization evaluates its future. The League remains committed to the continued growth and stability of its member teams and markets.
“This was an incredibly difficult decision that followed months of careful evaluation,” said Heartlanders owner Michael Devlin. “Despite significant efforts to stabilize and strengthen the organization, we concluded that stepping back for a season is the most responsible course while we review long-term solutions. As stewards of the team, we believe this step gives the organization the best opportunity to return on a stronger and more sustainable footing.”
“We worked through every potential path that might have allowed us to continue uninterrupted,” Heartlanders President Matt Getz said. “Ultimately, we believe this pause provides the organization the best opportunity to position the Membership for long-term success.”
The Iowa organization expresses deep gratitude to the fans, partners, players, staff and the City of Coralville who have supported the Heartlanders since the team’s founding.
The ECHL will play with 30 Members during the 2026-27 season.
About the ECHL
Formed in 1988-89 with five teams in four states, the ECHL has grown into a coast-to-coast league with 30 teams in 23 states and one Canadian province for its 38th season in 2025-26. There have been 778 players who have gone on to play in the National Hockey League after starting their careers in the ECHL, including 10 who have made their NHL debuts in the 2025-26 season. The ECHL has affiliations with 30 of the 32 NHL teams in 2025-26, marking the 28th consecutive season that the league has affiliations with at least 20 teams in the NHL. Further information on the ECHL is available on its website at ECHL.com.
Iowa
Explore Effigy Mounds, Iowa’s ancient earthworks above the Mississippi
What to know about Effigy Mounds National Monument in Iowa
Effigy Mounds National Monument preserves more than 200 ancient earthen mounds shaped like bears, birds, and spirits of the natural world.
High on the bluffs overlooking the Upper Mississippi River, Effigy Mounds National Monument preserves more than 200 ancient earthen mounds shaped like bears, birds, and spirits of the natural world. Built by Indigenous peoples more than 1,000 years ago, these formations stand as powerful reminders that America’s story stretches far beyond European arrival. At this quiet landscape of forested ridges and sweeping river views, visitors can walk among sacred sites that continue to hold meaning for many Native nations today. Effigy Mounds is both a cultural touchstone and one of the most visually striking archaeological landscapes in the United States.
Location: Harpers Ferry, Iowa
Google Maps: https://maps.app.goo.gl/2WhrGJ8cqh2nsC8L6
Why it matters
Effigy Mounds honors the artistry, engineering, and spiritual traditions of Indigenous communities who shaped these hills centuries before the United States existed. As the nation marks 250 years, this landscape reminds us that America’s story begins long before 1776. The bear, bird and linear mounds — some perfectly aligned with celestial patterns — preserve cultural memory, identity and resilience. They stand as a testament to the first peoples who understood this land as home.
What to see today
Visitors can follow wooded trails to some of the most iconic shapes, including the Great Bear Mound and soaring bird effigies perched above the Mississippi. Interpretive exhibits explain the moundbuilders’ cultures, craftsmanship, and the region’s deep archaeological significance. Listen for wind moving through oak forests and watch eagles ride the river’s currents below. Rangers and tribal partners share stories of ongoing cultural ties, helping visitors understand these earthworks not as relics, but as living heritage.
Ask a local
Stop in nearby McGregor for a bite at Old Man River Restaurant & Brewery, where locals drift in for beers and scenic river views or the Backwoods Bar & Grill, a popular spot for casual American pub food.
Plan your visit
• Best time: Fall colors or late spring• Hours/admission: Visitor center open daily; free entry• Getting there: Parking at the visitor center; trails begin onsite• Learn more: nps.gov/efmo
Susan Stapleton is the entertainment editor and dining reporter at The Des Moines Register. Follow her on Facebook, Twitter, or Instagram, or drop her a line at sstapleton@gannett.com.
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