nursing home lobbying

Assisted living facility: Resident’s camera captured staff neglect

by Clark Kauffman, Iowa Capital Dispatch
April 1, 2026

An assisted living center in Iowa recently used a video camera owned by a female resident’s family to document the staff’s neglect of the woman.

The use of resident-owned cameras in senior care facilities is a hotly contested issue in Iowa with resident advocacy groups repeatedly pushing for legislation that would prohibit state-licensed care facilities from banning the use of such devices.

Over the past 10 years, industry lobbyists have vigorously opposed the legislation and state lawmakers have repeatedly failed to approve the measure.

Nursing homes invest in lobbying, campaign contributions; reap millions in taxpayer money

by Clark Kauffman, Iowa Capital Dispatch
December 22, 2023

Editor’s note: Shortly after this story was published, the Iowa Health Care Association removed from its website the publicly accessible audio recordings of IHCA lobbyists and members. As a result, the links in this story to those recordings may not work.

It was early on a Monday afternoon in September 2022, and Iowa Gov. Kim Reynolds was at the Marriott Hotel in downtown Des Moines, delivering a speech to a group of nursing home executives gathered for their annual convention.

It was a friendly and receptive audience – as evidenced by the donations the Reynolds campaign had collected in the previous four weeks from some of those in attendance.

The political action committee that represents Iowa’s nursing home industry had donated $30,000 to Reynolds’ 2022 reelection effort. David Chensvold, nursing home consultant and president of HealthCARE of Iowa, gave $20,000. Ted LeNeave, CEO of Accura Healthcare, gave $10,000, as did Lisa Toti, president of Accura Healthcare. Richard Allbee, CEO of the ABCM nursing home chain, gave $5,000, as did Douglas Johnson, CEO of Blue Stone Therapy.

In her prepared remarks, Reynolds reminded industry officials of her efforts to loosen “regulatory barriers” and shield the companies from legal liability resulting from wrongful death claims and other lawsuits. She also spoke of her successful efforts to increase Medicaid funding for the industry by $23 million in 2019, and again by $19 million in 2021.

“You’re not getting much help from the federal government, which apparently has never seen something it doesn’t like to regulate or mandate,” she said. “I can’t control Washington’s approach, but I can promise this: In Iowa, you’ll continue to get the support you’re being denied in Washington.”

The same day Reynolds spoke, a group of state lawmakers assembled on the stage at the Marriott and posed with plaques in appreciation of their efforts on behalf of the industry during the 2022 legislative session.

Standing shoulder to shoulder were seven legislators — all Republicans, like the governor: Speaker of the House Pat Grassley, Senate President Jake Chapman, House Majority Leader Matt Windschitl, Rep. Joel Fry, Rep. Ann Meyer, Sen. Tim Kraayenbrink, and Sen. Mark Costello.

An Iowa Capital Dispatch review of legislation, campaign contributions, federal tax returns, inspection reports and audio recordings of industry lobbyists reveals the extent to which money influences critical public policy decisions related to the protection of Iowa’s elderly and people with disabilities.

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