John and Terri Hale own The Hale Group, an Ankeny-based advocacy firm working for better lives for all Iowans. Contact them at terriandjohnhale@gmail.com. An earlier version of this commentary appeared in the Des Moines Register and Cedar Rapids Gazette.
Twenty-seven years ago, the Quad-City Times published a six-part series on neglect and abuse in nursing homes. The articles told the stories of residents whose physical and mental health needs were not met, who were subjected to verbal or physical abuse by staff or other residents, and had been injured or had died.
The stories were tragedies. And sadly, tragic stories still regularly appear in Iowa Capital Dispatch and other Iowa media written by Clark Kauffman—the same journalist who authored the stories in 1996.
For more than 27 years, horrific stories of neglect and abuse have stemmed from far too many nursing facilities that have employed too few workers; failed to adequately compensate, train, and respect workers; routinely accepted exceptionally high levels of employee turnover; lobbied elected officials to increase annual appropriations of tax dollars but to also minimize oversight of their efforts; avoided criminal prosecution for their misdeeds; and have put the desire for profit ahead of the needs of the Iowans they exist to serve.
In 27 years, little has changed. At too many facilities, neglect, abuse and dehumanization of older Iowans continue.
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