Staffing shortages in Iowa nursing homes remain “alarmingly high” and are almost twice the national average, according to the state director of AARP Iowa. Brad Anderson says staffing shortages can lead to poor resident care and, in some unfortunate cases, serious neglect. “Forty-two percent of (Iowa) nursing homes are experiencing a staffing shortage, compared to the national average of 22%,” Anderson says, “which obviously has an enormous impact on resident care.” One reason for the high rate of staffing shortages in Iowa is too many nursing home beds for staff to cover, he says, especially in rural areas.