Dennis Lloyd Smith v. Catholic Health Initiatives-Iowa Corp, d/b/a MercyOne Des Moines Medical Center; Sariah Steed, RN; Stacey Lea Baker, RN; Patricia Ann Hunter, RN; Megan Rodgers, MSW; Dustin Uhlenhopp, D.O.; and Dale Grunewald, D.O.
CourtCourt of Appeals of Iowa
Date FiledSeptember 2, 2026
Docket25-0679
StatusPublished
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Full Opinion
IN THE COURT OF APPEALS OF IOWA
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No. 25-0679
Filed September 2, 2026
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Dennis Lloyd Smith,
Plaintiff–Appellant,
v.
Catholic Health Initiatives-Iowa Corp, d/b/a MercyOne Des Moines
Medical Center; Sariah Steed, RN; Stacey Lea Baker, RN; Patricia Ann
Hunter, RN; Megan Rodgers, MSW; Dustin Uhlenhopp, D.O.; and
Dale Grunewald, D.O.,
Defendants–Appellees.
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Appeal from the Iowa District Court for Polk County,
The Honorable Patrick D. Smith, Judge.
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AFFIRMED
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Dennis Lloyd Smith, Des Moines, self-represented appellant.
Sarah E. Schleisman, Frederick T. Harris, and Ryan P. Tunink of Lamson
Dugan & Murray LLP, West Des Moines, attorneys for appellees Catholic
Health Initiatives-Iowa Corp, d/b/a MercyOne Des Moines Medical
Center; Sariah Steed, RN; Stacey Lea Baker, RN; Patricia Ann Hunter, RN;
Megan Rodgers, MSW; and Dustin Uhlenhopp, D.O.
Janice M. Thomas and John A. Maschman of Lamson Dugan & Murray
LLP, West Des Moines, attorneys for appellee Dale Grunewald, D.O.
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Considered without oral argument
by Ahlers, P.J., Buller, J., and Bower, S.J.
Opinion by Ahlers, P.J.
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AHLERS, Presiding Judge.
This is the third in a series of lawsuits brought against various
healthcare providers related to care provided to Dennis Smith’s wife from
October to November 2019 after she fell and broke her ankle. The district
court dismissed this action, and Smith appeals. We start with some
background information.
I. Factual and Procedural Background
In October 2019, Smith took his wife to the hospital—Catholic Health
Initiatives–Iowa Corp., d/b/a MercyOne Des Moines Medical Center
(MercyOne)—for her broken ankle. His wife had required near constant
supervision after a stroke in 2000 left her without short-term memory
function. Smith alleges that a nurse at the hospital left negative notes about
his wife in his wife’s medical files that prevented her from being accepted into
a facility capable of meeting her recovery needs. Smith alleges he found
another facility that would accept her, but that facility eventually refused to
let her stay. Because no other facility would take her and she could not put
weight on her ankle, Smith alleges that his wife was forced to remain at the
hospital on “observation” status. While there, Smith alleges a doctor
prescribed a medication intended to help his wife sleep that was explicitly
contraindicated on her chart. Smith further alleges that the doctor got
consent for the medication from his wife despite her mental deficiencies. He
alleges his wife was eventually transferred to Granger Nursing and Rehab
where her doctor, Dr. Dale Grunewald, doubled her dosage of the
medication. The medication allegedly caused his wife to contract
pneumonia, which prevented her from progressing in physical therapy.
Smith alleges he took his wife to see her personal physician, who agreed that
the medication she was prescribed was inappropriate and began weening her
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off it. Smith then brought his wife home from the facility and later initiated
his first lawsuit.
In the first suit (Smith I), Smith named himself as a plaintiff both in
his individual capacity and on his wife’s behalf as her conservator.
Defendants included MercyOne; OPCO Granger, Iowa LLC, d/b/a Granger
Nursing and Rehab (Granger); and employees of both entities. The court
dismissed his wife’s claims ab initio because Smith could not represent her,
as he was not licensed to practice law. The court later dismissed Smith’s
individual claims with prejudice.
In the second suit (Smith II), Smith’s wife sued the same parties for
the same conduct and resulting harm. The court dismissed her claims via
summary judgment because two counts were based on statutes that did not
provide for a private right of action and the remaining counts were barred by
the statute of limitations.
Smith brought this action (Smith III) in his individual capacity against
Dr. Grunewald, MercyOne, and several MercyOne employees, some of
whom were not previously named as defendants in Smith I or Smith II. He
asserted claims for breach of contract, breach of implied contract, conspiracy,
intentional infliction of emotional distress, and fraud. All defendants filed
motions to dismiss arguing the judgments in Smith I and II barred Smith’s
claims based on the doctrine of claim preclusion. The district court granted
the motion. Smith appeals. He contends that claim preclusion does not
apply, the court denied him due process by not allowing him to file additional
briefing, and the court was biased against him as a self-represented party.1
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Smith also filed an appellate motion to take judicial notice of filings made in his
wife’s conservatorship court file, which is not part of our record. The defendants resist
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II. Standard of Review
We review rulings on pre-answer motions to dismiss for correction of
errors at law. Benskin, Inc. v. W. Bank, 952 N.W.2d 292, 298 (Iowa 2020).
We affirm if there is no right of recovery under the facts stated in the petition.
Id. We conduct de novo review of claims that an individual’s due process
rights were violated. State v. Hutton, 796 N.W.2d 898, 901 (Iowa 2011).
III. Claim Preclusion
Smith argues the district court misapplied the elements of claim
preclusion. He also contends the court’s ruling lacked the specificity
required for analyzing claim preclusion.
As to the latter argument, we find that Smith failed to preserve the
issue for appellate review. To preserve an issue for appeal, a party must raise
the issue, and the district court must rule on it. Lamasters v. State, 821
N.W.2d 856, 862 (Iowa 2012). “[I]f the appellant claims as error on appeal
that the district court failed to make sufficiently specific findings and conclusions,
then the appellant must file a[n Iowa R]ule [of Civil Procedure] 1.904(2)
motion to preserve that point.” Id. at 864 n.2. Here, Smith never filed a
motion under rule 1.904(2) claiming the court’s ruling lacked the specificity
the law requires, and the court did not rule on it. Therefore, he has not
preserved error on this claim. Accordingly, we only consider his claim that
the court misapplied the elements of claim preclusion. See id.
the motion. While judicial notice may be taken on appeal, it is generally “not proper for
the court to consider or take judicial notice of the records of the same court in a different
proceeding without an agreement of the parties.” State v. Washington, 832 N.W.2d 650,
655–56 (Iowa 2013) (citation omitted). As there is no agreement here, we deny Smith’s
motion and decline to take judicial notice of his wife’s conservatorship file.
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“The general rule of claim preclusion holds that a valid and final
judgment on a claim bars a second action on the adjudicated claim or any part
thereof.” Pavone v. Kirke, 807 N.W.2d 828, 835 (Iowa 2011). A party
asserting a claim-preclusion defense must prove three elements: (1) “the
parties in the first and second action are the same parties or parties in
privity,” (2) “the claim in the second suit could have been fully and fairly
adjudicated in the prior case (i.e., both suits involve the same cause of
action),” and (3) “there was a final judgment on the merits in the first
action.” Id. at 836. We address these elements in turn.
As to the first element, privity exists between parties in the separate
suits when there is an agent-principal relationship such that liability of the
principal rests on respondeat superior rather than independent torts like
negligent supervision or training. Peppmeier v. Murphy, 708 N.W.2d 57, 63
(Iowa 2005). There is no question that the plaintiffs in both Smith I and
Smith III are the same—that being Smith. As to defendants, Dr. Grunewald
and MercyOne were defendants in both cases. All other defendants Smith
added in Smith III are employees of MercyOne and were alleged to be acting
in their capacities as employees when they allegedly harmed Smith, and
MercyOne’s liability in Smith I was based on its employees’ conduct. As
such, the added defendants here are in privity with MercyOne in Smith I, and
the first element of claim preclusion is met. See id.
As to the second element, the claims in this suit must have been fully
and fairly adjudicated in the prior suit. See Pavone, 807 N.W.2d at 836.
Because all claims that can be brought together must be, “claim preclusion
will apply not only to matters actually determined in an earlier action but to
all relevant matters that could have been determined.” Id. at 835 (cleaned
up). This includes “all rights of the plaintiff to remedies against the
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defendant with respect to all or any part of the transaction, or series of
connected transactions, out of which the action arose.” Villarreal v. United
Fire & Cas. Co., 873 N.W.2d 714, 720 (Iowa 2016) (quoting Restatement
(Second) of Judgments § 24, at 196 (A.L.I. 1982)). What constitutes a
“transaction” or “series” for purposes of this analysis is “determined
pragmatically, giving weight to such considerations as whether the facts are
related in time, space, origin, or motivation, [and] whether they form a
convenient trial unit.” Id. (citation omitted).
Here, all harm that Smith alleges he suffered resulted from the
defendants’ care of his wife from October to November of 2019. Although
some of his claims in this suit bear different labels, the facts he alleges to
prove them substantially overlap with the facts he set out to prove his claim
in Smith I. Smith “is not entitled to a ʻsecond bite’ simply by alleging a new
theory of recovery for the same wrong.” See Pavone, 807 N.W.2d at 836
(quoting Bennett v. MC #619, Inc., 586 N.W.2d 512, 516–17 (Iowa 1998)). The
relevant inquiry includes asking “how far the witnesses or proofs in the
second action would tend to overlap the witnesses or proofs relevant to the
first.” Id. at 837 (quoting Restatement (Second) of Judgments § 24 cmt. b,
at 199 (A.L.I. 1982)). In both Smith I and here, to be successful on his claims,
Smith would need to prove his wife was provided inadequate care that
damaged him. He would need to rely on the same evidence in both cases.
Therefore, these claims constitute the same transaction or series of
transactions for claim-preclusion purposes. See id. The second element of
claim preclusion has been established.
As to the third element, there must be a final judgment on the merits.
Dismissals that are not voluntary and not based on want of jurisdiction or
improper venue “operate as adjudications on the merits unless they specify
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otherwise.” Iowa R. Civ. P. 1.946. In Smith I, the court dismissed Smith’s
claims against Dr. Grunewald and MercyOne on the merits. Neither
dismissal was voluntary nor based on jurisdiction or venue. And the
dismissal orders did not specify that they were not on the merits.
Accordingly, the dismissals in Smith I were final and on the merits. As such,
the third element of claim preclusion is established.
Because all elements of claim preclusion have been established, the
doctrine applies to all claims actually brought in Smith I and all claims that
could have been brought in Smith I, which includes all claims before us in
Smith III. See Pavone, 807 N.W.2d at 835 (applying claim preclusion to “all
relevant matters that could have been determined” (citation omitted)). The
district court correctly dismissed this action on that basis.
IV. Due Process & Miscellaneous Claims
Smith also claims that the court denied him due process by not
allowing additional briefing. We find no merit in this claim. Smith was given
proper notice and an opportunity to be heard before a court of competent
jurisdiction, which satisfies his due process rights. See Johnson v. Mitchell,
489 N.W.2d 411, 414 (Iowa Ct. App. 1992) (“Ordinarily, all that due process
requires in a civil case is proper notice and service of process and a court of
competent jurisdiction; procedural irregularities during the course of a civil
case, even serious ones, will not subject the judgment to collateral attack.”).
Along with his due process claim, Smith also contends that the district
court was biased against him based on his self-represented status. He bases
this claim on the fact that the district court asked him a question that it did
not ask the other parties and gratuitously “admonished” him in the last
paragraph of its ruling. We see no bias arising from the court’s questioning.
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And what Smith calls admonitions were simple, accurate statements of the
law regarding the standard for self-represented litigants, namely that courts
do not utilize different standards when persons choose to represent
themselves, courts do not judge by one standard for lawyers and another for
lay persons, and all parties—represented or not—are expected to act with
equal competence. See Kubik v. Burk, 540 N.W.2d 60, 63 (Iowa Ct. App.
1995). Nothing in the court’s statements reflects bias against Smith as a self-
represented party. Accordingly, we reject his claim that the district court was
biased against him.
V. Conclusion
We have considered all of Smith’s arguments on appeal, whether
expressly addressed in this opinion or not, and we affirm the district court’s
ruling dismissing Smith’s action based on claim preclusion.
AFFIRMED.
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