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Routine Guidance Added Final

Iowa Board of Nursing Complaint and Investigation Process

Favicon for nursing.iowa.gov IA Board of Nursing Discipline
Detected March 19th, 2026
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Summary

The Iowa Board of Nursing has published guidance detailing its complaint and investigation process for nursing professionals. The document outlines who can make a complaint, the types of violations the board investigates, and how to submit a complaint, including tips for patients and employers.

What changed

The Iowa Board of Nursing has provided guidance on its complaint and investigation process for licensed nurses. The document details the types of complaints the board can investigate, such as abusive behavior, negligence, substance abuse, and scope of practice violations. It also specifies who may file a complaint (employers, co-workers, patients, or loved ones) and outlines the preferred method of submission via an online form, with options for paper forms and anonymous complaints.

Regulated entities, particularly healthcare providers and employers of nurses, should familiarize themselves with the types of conduct that may lead to a board investigation. While this document is guidance and does not impose new obligations, understanding the process is crucial for compliance and for reporting potential violations. Employers are advised to submit supporting documentation, such as personnel records and patient charts, to expedite investigations, noting that HIPAA allows for the release of protected health information to health oversight agencies like the Board of Nursing.

What to do next

  1. Review the Iowa Board of Nursing's complaint process guidance.
  2. Ensure internal reporting mechanisms align with the types of complaints investigated by the board.
  3. Familiarize staff with the process for submitting complaints and providing supporting documentation.

Source document (simplified)

Board of Nursing Complaint Process

On this page...

Complaints the board may investigate include:

  • Abusive behavior (physical or verbal)
  • Breach of confidentiality issues
  • Criminal convictions (misdemeanors or felonies)
  • Misrepresentation or false documentation
  • Negligence
  • Scope of practice
  • Boundary issues, including sexual misconduct
  • Substance abuse
  • Theft
  • Audit failure
  • Nurse licensure compact violation
  • Practicing without valid license If the complaint is not a violation of the Board rules, the Board cannot act. If the complaint appears to violate the rules, the Board will process it accordingly.

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Who May Make a Complaint to the Iowa Board of Nursing?

Complaints can come from employers, co-worker, patients, or a patient's loved ones. If you have concerns about a nurse's practice, standard of care, or potential substance abuse, report it.

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How Can I Make a Complaint?

Complete the online Nurse Complaint Form.

We request that all complaints come in writing.  If you are unable to file the complaint online, contact us at 515-281-6472 to request a paper complaint form.

For questions, please email us at: enforce@iowa.gov

The Board will accept anonymous complaints. Keep in mind this may limit how much information the investigator may be able to find or access.

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Reporting Tips

All information you provide is helpful in investigating the matter without unnecessary delays. Please provide as much of the following information as possible:

  • The nurse's name
  • The nurse’s current address, telephone number, and email address, if known
  • The nurse’s license number, if known
  • Where does the nurse work? (Include the address and telephone number)
  • Your name, address, and telephone number
  • The name of the patient(s) involved, including address and telephone number, if known
  • What happened?
  • When did this occur (date/time)?
  • Who witnessed this?

Tips for Patients, Law Enforcement, and the Public

If you or a loved one is the patient involved in the complaint, it helps to our investigation to have authorization to access medical records. To release medical information about yourself to the Board, fill out the Authorization for Release of Medical Information.

The information you provide is helpful in making certain we are able to investigate the matter without any unnecessary delay. Please provide as much information as possible.

Tips for Employers

Submitting supporting documentation along with a complaint helps to speed up the investigation. A subpoena may be issued for specific records related to the complaint. Please provide your complaint, or by request to the investigator, as much of the following information as possible:

  • The nurse’s personnel record (application, recent performance evaluations, counseling, and discipline)
  • Where the nurse was working at the time of the incident
  • Relevant patient records, including nurse’s notes, physician’s orders, MAR, narcotic records
    • Note: Do not redact patient names from records. H.I.P.A.A. allows covered entities to provide protected health information to health oversight agencies such as the Board of Nursing. (45 CFR 164.512)
  • Incident reports
  • Internal facility investigative reports and findings
  • Managerial anecdotal notes
  • Statements from the nurse, licensee, or other witnesses
  • Applicable policies and procedures
  • In the case of positive drug screens:
    • the lab report, and whether the drug screen was random or for cause, and if for cause, the basis of the drug screen Back to top ## Discipline Documents

The Board of Nursing posts public discipline documents on the Iowa Board of Nursing public portal. To access the documents, click General Public in the menu bar, and select Discipline Documents.

To view a list of the most recent Board orders, visit the DIAL Board Actions page.

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Complaints & Investigations Related to Nursing

Location DIAL Headquarters 6200 Park Avenue
Suite 100
Des Moines, IA 50321

Email Address enforce@iowa.gov Website(s) Complaint & Investigation Overview Phone(s) Enforcement 515-281-6472

CFR references

45 CFR 164.512

Named provisions

Overview Who May Make a Complaint to the Iowa Board of Nursing? How Can I Make a Complaint? Reporting Tips

Source

Analysis generated by AI. Source diff and links are from the original.

Classification

Agency
State BON
Instrument
Guidance
Legal weight
Non-binding
Stage
Final
Change scope
Minor

Who this affects

Applies to
Healthcare providers Employers Patients
Industry sector
6211 Healthcare Providers
Activity scope
Professional Licensing Complaint Investigation
Geographic scope
US-IA US-IA

Taxonomy

Primary area
Healthcare
Operational domain
Compliance
Topics
Professional Licensing Enforcement Procedures

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