Care Initiatives, a Texas corporation with a home office in West Des Moines, Iowa, has agreed to repay the United States $214,200 to resolve claims the United States was entitled to restitution for the federal share of Medicaid funds the facility received for an approximately 10-week period while residents at Dubuque Specialty Care, a Care Initiatives facility, were suffering from or testing positive for COVID-19. The United States alleged that repayment of these funds was warranted due to Dubuque Specialty Care’s practices surrounding COVID-19 infections, including the facility’s procedures and criteria for screening symptomatic employees. Care Initiatives cooperated during the investigation and did not admit to any liability as part of the settlement agreement.