A recent audit conducted by Iowa's state auditor's office indicates that the state is failing to meet federal requirements for nursing home inspections, with an average interval of 17. 1 months between inspections, surpassing the mandated maximum of 12. 9 months. The audit revealed that approximately half of Iowa's nursing homes have inspection periods that exceed federal regulations. In response, the Iowa Department of Inspections and Appeals dismissed the audit's claims, labeling them as misleading and asserting that they are conducting timely inspections.

DIAL Communications Director Stefanie Bond stated that the findings were "inaccurate, incomplete, and confusing. " State Auditor Rob Sand emphasized that the information is vital for policymakers amidst growing concerns over nursing home conditions, particularly following the closure of several facilities since 2022. Currently, Iowa has 403 federally certified nursing homes that serve nearly 20,000 residents. The audit's release coincides with heightened scrutiny of the state's nursing home system, raising questions about the quality of care provided. As the state prepares for an upcoming report from the Centers for Medicare and Medicaid Services, the findings from the audit may impact future regulatory measures.