The state-run Iowa Veterans Home in Marshalltown has been fined again for not meeting care standards.
The Des Moines Register reports that a fine of $250 a day stems from the death of a resident last month and was the third time in four months that the home had been fined.
Federal officials also extended restrictions on new admissions until the home demonstrates that problems have been corrected.
The Iowa Department of Inspections and Appeals says workers at the home didn't set an alarm that would have alerted them that a frail, 91-year-old woman was trying to get out of bed. She fell and suffered leg fractures that were blamed for her death.The home's top administrator, David Worley, says the home is working to improve resident care.