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‘Where’s the outrage?’: Iowa nursing homes in a state of crisis, Democrats say

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‘Where’s the outrage?’: Iowa nursing homes in a state of crisis, Democrats say


DES MOINES, Iowa (Gray Television Iowa Capitol Bureau) – Iowa Senate Democrats are demanding an oversight investigation into the state of Iowa’s nursing homes. After hearing stories for months in the press about abuse and neglect in the state’s senior care facilities, Senate Democrats say enough is enough.

Senior care advocate John Hale questions why lawmakers aren’t more concerned with the condition of the state’s elder care.

“Current stories about resident deaths, about resident sexual assault, about head shaking abuse and neglect. Our question – where’s the outrage? Where is the outrage?,” Hale said.

At Thursday’s press conference, senior care advocates shared stories of mismanagement in the state’s nursing homes. Mary Weaver is a former nursing home inspector for the state. Her friend, who didn’t want her name used, is paying $10,000 a month to a senior care facility. Weaver says her friend hasn’t been given a bath in over a week because there isn’t enough staff.

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“She recently turned her call light on and waited for 90 minutes because she needed to go to the restroom. She is of sound mind but she’s very frail. Well, 90 minutes is too old for an elderly person to hold their urine and so she was incontinent and then she laid in her urine for about half an hour until she received assistance,” Weaver said.

At night, Weaver says there’s only one nursing aide for a facility that has 35 residents. “One night, she got up and went to the bathroom. She made it safely, but on her way back to bed, she fell. This is not the kind of treatment that we want for our older Iowans. This is inhumane. This is neglect,” Weaver said.

Democratic State Senator Claire Celsi of West Des Moines says conditions in Iowa’s nursing homes have reached a state of crisis.

“There’s so many other issues, hundreds of them, that come before us every day, but I can’t think of one that is more important than this one because it’s a matter of life and death for our Iowa citizens who are in these facilities right now,” Celsi said.

The State of Iowa has 414 nursing homes, but only 46 inspectors according to federal data. That places the state’s rank as 49th in the nation for the number of inspectors per facility. Now, Celsi and other Iowa Democrats are asking for a public oversight committee meeting where industry leaders and affected Iowans can share their stories.

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To get that meeting, they need to convince Senate Majority Leader Amy Sinclair, who chairs the oversight committee to schedule the meeting.

“Democrats can only do so much. We need the help of our Republican colleagues to make these changes and to make any new laws that we decide need to be put forth after that,” Celsi said.

Democrats aren’t asking for specific changes yet but want the oversight hearing to begin the process of figuring out a better way to care for residents and workers in the facilities. Celsi says the odds of getting the hearing are 50-50.

Governor Reynolds says she believes solving the healthcare workforce shortage and addressing funding is the path to improving long-term care for Iowa’s seniors, and that her record proves it.

Reynolds’ office said in a statement:

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“Gov. Reynolds has invested more than $20 million to create Registered Apprenticeship Programs which will generate over 2,000 apprentices for much needed health care positions. Gov. Reynolds has also invested over $4 million into the Rural Health Care Loan Repayment & Recruitment Program which recruits doctors and other health care professionals to rural communities. This is why Governor Reynolds, and 14 other governors, opposed new staffing requirements from CMS. The additional government regulation could unravel the workforce progress in Iowa and lead to facilities being closed. Gov. Reynolds has increased Medicaid funding every rebase year as Governor, leading to $163 million of new funding going to nursing facilities to increase quality of care for residents.”

Senate Majority Leader Amy Sinclair says she’s not going to hold a public hearing.

“In the past 12 months over 2,800 citations were issued by regulators. That number of citations demonstrates how serious the state takes the issue of elder care. To address workforce shortages in the industry, since 2017 the Senate has increased funding for nursing home care by nearly $75 million, increased incentives for high-quality of care to over $111 million, and passed critical tort reforms to ensure nursing homes can continue to provide services in rural Iowa. I will not be scheduling a Government Oversight meeting on this topic because it would distract department staff from performing their important work monitoring these facilities.”



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Iowa

Kim Reynolds announces new child care initiatives after lawmakers fail to pass her bill

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Kim Reynolds announces new child care initiatives after lawmakers fail to pass her bill


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  • A new grant program announced by Gov. Kim Reynolds would provide preschools and child care centers with $300,000 over three years to offer all-day care for 4-year-olds.
  • Reynolds also proposed a new fund to solicit donations from businesses to boost child care workers’ wages. And she extended a pilot making child care workers eligible for child care assistance funds.
  • Reynolds proposed similar initiatives in a bill that failed to pass the Iowa Legislature this year.

Gov. Kim Reynolds is launching a new grant program for preschools and child care centers to partner and provide all-day care for 4-year-olds and boost Iowa’s child care workforce.

The move comes after state lawmakers ended the 2025 Iowa legislative session without passing Reynolds’ proposal to add similar programs to state law.

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Reynolds announced a range of child care-focused steps in a May 20 news release. They include:

  • Creating a new continuum of care grant program to provide grants of $300,000 over three years to preschools and licensed child care providers to offer all-day care for 4-year-olds.
  • Establishing a Statewide Child Care Solutions Fund that matches donations from businesses to boost child care workers’ wages.
  • And extending a pilot program that makes child care workers eligible for state child care assistance funding, even if they exceed the program’s income limits.

“When individuals, businesses and government all work together to solve a problem, Iowans benefit. Nowhere is this more evident than in child care,” Reynolds said in a statement. “Programs like the Child Care Assistance pilot and the Statewide Solutions Fund will continue to increase our child care workforce and capacity. And the Early Childhood Continuum of Care grant will help give working parents what they need — a full day continuum of care for their children.”

Several of the initiatives Reynolds announced Tuesday were in her bill to incentivize partnerships between preschools and child care providers. The legislation passed the Iowa Senate April 23, but it never received a vote in the House.

Democrats had criticized the bill for redirecting existing funding that went to Early Childhood Iowa programs instead of providing new money for child care and preschool programs.

Grants would incentivize preschool and child care partnerships for all-day care

The continuum of care grants will be available to licensed child care centers and participants in Iowa’s statewide voluntary preschool program.

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The grants are worth up to $100,000 per year for three years.

An online request for proposal page said “the source of funding is a combination of state and federal funding sources.”

“This first-of-its-kind grant opportunity supports partnerships between high-quality preschool and child care programs, providing a full day of care that meets the needs of children and working families,” Iowa Department of Education Director McKenzie Snow said in a statement. “We know that about 90 percent of a child’s brain develops by age 5, and Iowa’s new Continuum of Care grant will expand family access to high-quality early childhood options that lay the foundation for learner success in school and beyond.”

Statewide fund seeks donations to boost child care workers’ wages

Reynolds is seeking donations from businesses and individuals for a new Statewide Child Care Solutions Fund, which would provide money to hire new child care workers.

The program would build on a 2024 pilot program that created regional child care solutions funds in several counties around the state.

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Reynolds cited a study by the Common Sense Institute of Iowa that examined the pilot program and determined a statewide fund could add 11,000 new child care slots around the state, create 8,000 jobs around Iowa and allow 5,000 more women to enter the workforce.

Restricted donations would go towards the local fund in the area specified by the donor while the state will provide a 2-to-1 match for unrestricted donations.

A spokesperson for Reynolds could not immediately answer questions about the cost of the state match or how it would be funded.

Reynolds extends pilot program letting child care workers access child care assistance

Reynolds will also extend a pilot program begun in 2023 that makes all child care workers eligible for child care assistance, regardless of their income level, to try to keep more child care workers in the workforce.

Iowa’s child care assistance program subsidizes the cost of child care for low-income families.

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The pilot program currently serves 900 families and 1,500 children, according to the state’s news release.

A spokesperson for Reynolds did not immediately answer questions about how Reynolds would fund the extension of the pilot program.

Stephen Gruber-Miller covers the Iowa Statehouse and politics for the Register. He can be reached by email at sgrubermil@registermedia.com or by phone at 515-284-8169. Follow him on X at @sgrubermiller.





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Iowa Agriculture Secretary Mike Naig rules out run for governor, will run to keep seat

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Iowa Agriculture Secretary Mike Naig rules out run for governor, will run to keep seat


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Iowa Secretary of Agriculture Mike Naig announced he will seek reelection in 2026, officially forgoing a campaign for governor.

Naig, a Republican, had been among those considering a run to replace outgoing Gov. Kim Reynolds after she made a surprise announcement in April that she would not run for another term.

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According to a release, Naig “decided there’s still work to be done growing our state and economy as Secretary of Agriculture.”

“I’m incredibly grateful for the opportunity to serve the people of Iowa as we work to advance an Iowa First agenda that puts farmers, families, and freedom at the center of our future,” Naig said in a statement. “We have made tremendous progress over the past few years, but there remains important work ahead and we’re not done yet —building markets for Iowa products, defending our livestock industry, accelerating soil and water conservation efforts, and making sure rural Iowa thrives for future generations.”

According to the release, a formal campaign launch will occur at a later date.

Naig was first elected to his position in 2018 and reelected in 2022. Before running for his current role, he was deputy agriculture secretary in 2013 and an agriculture industry lobbyist.  

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He said in an April 16 statement that people had encouraged him to consider a gubernatorial bid, and he said that he and his family were “thoughtfully discussing that possibility and keeping all options on the table.”

Brianne Pfannenstiel is the chief politics reporter for the Des Moines Register. Reach her at bpfann@dmreg.com or 515-284-8244. Follow her on X at @brianneDMR.



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Three Thoughts on Iowa WBB Adding Emely Rodriguez

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Three Thoughts on Iowa WBB Adding Emely Rodriguez


Iowa basketball made a notable addition from the transfer portal on Monday, picking up a commitment from Central Florida guard/forward Emely Rodriguez. In Three Thoughts, we’ll take a look at what Rodriguez brings to Iowa, the potential positional fits for Rodriguez with the Hawkeyes, and what her addition means to the rest of the Iowa depth chart.



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