I was introduced to the rampant negligence in our elder care “industry” in the early 1990s, during my first term as a State Representative. On walks home from the State Capitol, I’d make unannounced visits to one of the nursing homes in my legislative district. Some of the conditions I observed were nothing short of appalling.

Sadly, things have only gotten worse. The for-profit nursing home industry has a powerful lobby, and it plays hardball through generous campaign contributions to key lawmakers, almost exclusively Republican.

A December 22, 2023 Iowa Capital Dispatch story by Clark Kaufmann lays out the nursing home money problem: 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.

Not every issue is this cut and dried. But when you follow the money, it’s clear that key Republican leaders are all kinds of cozy with the nursing home industry. Continue Reading →