A Muscatine nursing home that has been repeatedly cited for resident-safety violations and short-staffing is now being cited for staffing issues that contributed to a resident’s death.

According to the Iowa Department of Inspections, Appeals and Licensing, which inspects and oversees the state’s nursing homes, on July 24, 2025, the staff at the Lutheran Living Senior Campus discontinued one-on-one supervision of a male paraplegic resident who had been involved in an assault a few weeks earlier.

The move was made, according to inspectors, “to address a staffing shortage.” Shortly after the one-on-one supervision was dropped, and just hours before his forced discharge from the facility, the resident apparently killed himself.

The resident, who had previously been diagnosed with major depr

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