Unsanitary Nursing Home in Des Moines

September 30, 2025

Iowa inspectors delivered a disturbing report on a 52‑bed nursing home in Des Moines. Their inspection found conditions that would make any business owner shudder:

  • Leaking ceilings and standing water – Rainfall had overwhelmed the roof, leading to collapsed ceiling tiles and brown liquid streaking down walls. Multiple areas of the facility were flooded, with standing water around kitchen equipment.
  • Rodents, insects and droppings – Inspectors documented free‑roaming rodents and bugs around food preparation and storage. Kitchen drains were coated with rodent droppings and mold‑like substances, and staff described an ongoing infestation.
  • Mold‑like growth and foul odors – Water damage created a breeding ground for mold‑like substances near sinks and window air‑conditioning units. Residents’ rooms smelled of urine, and collapsed ceiling tiles left insulation and contaminants exposed.
  • Lack of basic supplies and care – According to the inspection, the facility lacked wound‑care dressings and bandages. Residents reported sitting in urine for hours because of staffing shortages, and the home’s unsanitary conditions heightened the risk of infections.

The nursing home faces fines and potential lawsuits, but the case highlights a broader lesson: any facility – from healthcare settings to manufacturing plants – can create environmental contamination and liability if maintenance and housekeeping lapse. Water leaks can lead to mold; pest infestations can contaminate food; and neglect can expose residents and workers to pathogens. When regulators and attorneys get involved, cleanup costs and legal bills mount quickly.

Unseen liabilities for businesses

Many business owners assume their commercial general liability policies will protect them against accidents or environmental claims. Unfortunately, most standard policies exclude pollution events, and even seemingly “normal” operations can trigger pollution claims:

  • Mold and indoor air contamination – Water intrusion and humidity can lead to mold growth. Mold spores, such as the Aspergillus and Penicillium species found in the Iowa facility, can cause respiratory illness and trigger lawsuits from employees or tenants.
  • Biohazard and waste – Rodent infestations, human waste and unsanitary conditions can spread diseases. Cleaning up requires specialized contractors and proper disposal.
  • Chemical releases and spills – Even small spills of cleaning agents, disinfectants or chemicals used in building maintenance can be considered environmental releases if they reach drains or soil.
  • Regulatory fines and legal actions – Health‑department citations, OSHA violations and lawsuits from residents or neighbours can lead to substantial penalties, court costs and reputational damage.

Why pollution liability insurance matters

Pollution liability insurance (sometimes called environmental impairment liability coverage) is designed to protect businesses from the costly aftermath of contamination incidents. For a nursing home, hospital, school, or any facility that serves the public, a pollution policy can be an essential safeguard. Key benefits include:

  • Coverage for cleanup and remediation – Pays for investigation, mold remediation, pest extermination, water‑damage repair and restoration of indoor air quality.
  • Bodily injury and property damage – Provides for medical costs and property‑damage claims brought by residents, employees or neighbouring property owners affected by contamination.
  • Legal defense costs – Covers attorneys’ fees and court expenses associated with environmental claims or regulatory actions.
  • Business interruption – Compensates for lost income while a facility is closed during remediation and repairs.
  • Crisis management – Many policies include access to environmental consultants who can coordinate response and communication.

Lessons for facility managers and owners

The desolate conditions at Azria Health Park Place serve as a cautionary tale. To avoid similar situations, business owners should:

  1. Conduct regular maintenance and inspections – Fix roof leaks, plumbing issues and HVAC problems promptly to prevent water intrusion and mold growth.
  2. Implement pest management – Work with professional exterminators and seal entry points to prevent rodents and insects from contaminating food or surfaces.
  3. Develop robust housekeeping policies – Ensure that cleaning staff have appropriate supplies and training to maintain sanitation standards.
  4. Train employees on environmental hazards – Educate staff about reporting leaks, odors, or signs of contamination so issues are addressed early.
  5. Review insurance coverage – Work with an insurance professional to evaluate existing coverage and determine if a standalone pollution liability policy is needed. Tailored coverage can be structured for healthcare facilities, landlords, contractors, and other operations.

Bottom line: Environmental hazards aren’t limited to industrial plants. Nursing homes, hospitals, schools and office buildings all face potential exposures when water damage, pests or chemical use go unchecked. Comprehensive pollution liability coverage, coupled with proactive maintenance and housekeeping, can protect businesses from the devastating financial consequences of contamination.