Mosaic: Ownership, Lawsuits, and Safety Record
Michael Hill and the team at Michael Hill Trial Law investigate abuse, neglect, and wrongful-death cases involving group homes and intermediate care facilities (ICF/IIDs), and we represent families nationwide. The firm focuses on neglect and abuse in group homes, ICF/IIDs, nursing homes, and assisted living facilities. Mosaic is a national nonprofit, headquartered in Omaha, Nebraska, that provides residential and day services to people with intellectual and developmental disabilities. It serves about 5,000 people across 12 states.
If someone you love was injured or died in a group home or ICF operated by Mosaic or one of its brands, you may have legal options, and time limits can be short. Case reviews are free and confidential. Start your case or call (800) 659-2712.
Last reviewed: November 12, 2026. Ownership and financial figures are drawn from public filings, state and federal records, and news reporting; regulatory and lawsuit items are from government records and court filings, each cited at the end of this page. Lawsuits and criminal charges are allegations unless a court has ruled; state findings may be appealed.
Group Home & ICF/IID Case Types We Handle
The injuries and neglect we investigate in group homes and intermediate care facilities.
Mosaic at a Glance
- Legal name: Mosaic
- Headquarters: Omaha, Nebraska
- Founded: 2003 (merger of Bethphage and Martin Luther Homes)
- Ownership: Nonprofit (faith-based; affiliated with the Evangelical Lutheran Church in America)
- Scale: About 5,000 people served; group homes, host homes and ICFs in 12 states
- Revenue: $401.5M (fiscal year ended June 2025)
- Brands: Mosaic; Mosaic-Axtell; Mosaic-Beatrice
- Headline issues: Iowa resident-funds citations; a pending Nebraska neglect lawsuit
Group homes and ICF/IIDs are licensed and inspected mainly by the states and, for ICF/IIDs, by federal CMS — there is no federal five-star rating like the one for nursing homes. Counts below are from public records and are not a complete litigation history; they do not by themselves indicate the quality of any individual home.
What Group Homes and ICF/IIDs Are — and Why Harm Happens
A group home is a residential setting where a small number of people with intellectual or developmental disabilities (I/DD) live together with staff support. An intermediate care facility for individuals with intellectual disabilities (ICF/IID) is a federally certified, Medicaid-funded facility that must meet federal standards for active treatment, health care, and client protections. Many residents cannot fully protect themselves or reliably report what happens to them, which is exactly why staffing, supervision, and training decide whether people are safe.
The injuries that recur in these settings are rarely mysterious. They include falls and fractures; bedsores and pressure injuries; choking on the wrong diet texture; dehydration, malnutrition, and bowel obstruction and fecal impaction; medication errors; wandering and elopement; physical or sexual assault by staff or other residents; and, in the worst cases, wrongful death. The common thread is understaffing — a home that accepts residents it is not staffed or trained to care for makes the harm foreseeable.
Who Owns Mosaic?
Mosaic is a nonprofit organization based in Omaha, Nebraska, with roots in two Lutheran disability-service ministries that merged in 2003. It is governed by a volunteer board and led by longtime President and CEO Linda Timmons. Mosaic reported revenue of $401.5 million for the fiscal year ended June 2025 and net income of $24.9 million, with net assets of about $184 million.
Mosaic exited Texas in December 2019, transferring operations serving roughly 600 people to the private-equity-backed Caregiver, Inc. Its CEO cited funding cuts for disability services. Mosaic itself is not private-equity owned.
| Date | Event |
|---|---|
| 2003 | Bethphage and Martin Luther Homes merge to form Mosaic |
| Dec. 2019 | Transfers its Texas operations to Caregiver, Inc. |
| FY June 2025 | Reports $401.5M revenue and $24.9M net income |
Revenue, Public Funding, and Finances
Revenue grew from $242.8 million in fiscal 2019 to $401.5 million in fiscal 2025. Program services generate the large majority of revenue. CEO Linda Timmons received about $1.16 million in total compensation in the fiscal year ended June 2025.
Mosaic Leadership
Linda Timmons has been President and CEO since 2008. Other executives include CFO Scott Hoffman, COO Jenniffer LeDoux and Chief Legal Officer Mike Lyons.
Mosaic Brand Names and the Entity on the License
The name on a state license, inspection report, or court filing is often a subsidiary or brand. Families searching state records should look for these names:
| Family | Names you may see |
|---|---|
| Mosaic | ['Mosaic-Axtell', 'Mosaic-Beatrice Campus', 'Mosaic-East 42nd Street', 'Mosaic-Easton'] |
Where Mosaic Operates
Mosaic operates in 12 states. Documented concentrations include Nebraska (including the Axtell and Beatrice ICFs) and Iowa (Des Moines-area homes), with additional group homes and host-home programs in Illinois and other states.
Mosaic Lawsuits, Government Findings, and Regulatory Record
Mosaic's documented record in this review centers on two 2026 Iowa citations involving residents' money and reporting failures at its Des Moines-area homes, and a pending Nebraska neglect lawsuit. Earlier Illinois advocacy reports flagged staffing shortages at Mosaic homes in Rockford. CMS survey records for the Nebraska ICFs were not pulled for this review.
| Category | Count |
|---|---|
| Iowa resident-funds citations | 2 |
| Pending lawsuits | 1 |
| State fines | 1 |
This is not a complete litigation history, and the existence of a lawsuit or complaint is not proof of wrongdoing. A settlement is not an admission of liability. Findings by state agencies may be appealed.
Notable matters
- 2026 — State citation: Iowa resident-funds and reporting violations (Mosaic-East 42nd Street, Des Moines). The Iowa Department of Inspections, Appeals and Licensing cited the home for nine regulatory violations, including failing to report abuse allegations and failing to separate an accused staff member from residents, after a resident's facility-held debit card was used for household goods and groceries Mosaic should have paid for. Mosaic said internal and state investigations found the underlying allegation unsubstantiated. Amount: $325. Source
- 2026 — State citation: Iowa reporting and resident-funds accounting violations (Mosaic-Easton, Des Moines). Cited for failing to report all allegations of abuse or exploitation and failing to complete a full accounting of seven residents' funds. A manager reportedly said an allegation was not reported because there was not a specific victim. Source
- 2026 — Lawsuit filed (allegations; outcome not found): Ramirez v. Mosaic and Steven Heller (Madison County District Court, Nebraska). A guardian's suit, filed in January 2026, alleges breach of contract and negligence, claiming that a disabled adult attending a Mosaic day program in Norfolk repeatedly came home soiled and smelling of urine and was denied hydration between 2024 and 2025. Court records note that Nebraska DHHS protective-services complaints were deemed unfounded. These are allegations; the outcome was not found. Source
Complaint and Harm Types in the Mosaic Record
Across the public records reviewed, these are the kinds of harm that recur — the same kinds our firm investigates in group homes and ICF/IIDs. If your loved one experienced any of these, it may support a claim:
Who May Be Legally Responsible
Because Mosaic operates through separate state entities and brands — and because the parent company, the licensed operator, the employer of the staff, and in some cases the property owner may be different companies — a lawsuit may need to name more than one defendant. Names that have appeared in records involving these homes include:
- Mosaic
- Mosaic-Axtell
- Mosaic-Beatrice Campus
- The Mosaic Foundation
What to Do If You Suspect Neglect or Abuse in a Group Home or ICF
- Get medical care. Call 911 or go to the hospital for any serious injury, sudden decline, or unexplained bruising, fracture, or weight loss.
- Report it. Notify the home’s administrator in writing, the state or county developmental disabilities agency that receives incident reports, adult protective services, and law enforcement for any suspected crime.
- Find the licensed entity. Ask for the license or check your state’s provider lookup; the company on the license is often a state subsidiary or brand name rather than the parent company.
- Document everything. Take photos, write down dates, times, and names, and save texts and emails.
- Request records. Ask for incident reports, the individual service or program plan, medication administration records, and staffing schedules. Guardians and authorized representatives usually have access rights.
- Be careful with statements and documents. Do not give recorded statements to insurers or sign releases or arbitration agreements before talking to a lawyer. Deadlines can be short.
Why Families Bring Group Home and ICF Cases to Michael Hill Trial Law
These cases are won by lawyers who try them. Michael Hill and the team at Michael Hill Trial Law focus on neglect and abuse in group homes, ICF/IIDs, nursing homes, and assisted living facilities, and the firm has obtained record results, including $26 million, the highest recorded verdict against a nursing home in Ohio history. The firm’s main office is in Cleveland, Ohio; it practices nationwide, its attorneys are licensed in numerous states, and it works with affiliate firms across the country. The review is free, and you owe nothing unless we recover for you.
Start your free, confidential case review | Call (800) 659-2712
Frequently Asked Questions About Mosaic
Who owns Mosaic?
Mosaic is a nonprofit organization based in Omaha, Nebraska, with faith-based roots connected to the Evangelical Lutheran Church in America. It is not owned by private equity.
How large is Mosaic?
Mosaic reports serving about 5,000 people across 12 states through group homes, host-home programs and intermediate care facilities (ICFs). It reported $401.5 million in revenue for the fiscal year ended June 2025.
What regulatory problems has Mosaic had?
In 2026, Iowa regulators cited two Mosaic homes in Des Moines for resident-funds and reporting violations, including a $325 penalty at one home. Mosaic said internal and state reviews found an underlying allegation unsubstantiated.
Is Mosaic being sued?
A guardian filed a negligence and breach-of-contract lawsuit against Mosaic in Madison County, Nebraska, in 2026, alleging a disabled adult was repeatedly left soiled. The allegations are unproven and the case outcome was not found.
Can I sue a group home or ICF operator for neglect or abuse?
Generally, families may bring civil claims against a group home or ICF operator when neglect or abuse causes injury or death, and the parent company and the licensed entity may both be proper defendants. Deadlines, damage rules, and required pre-suit steps vary by state, and arbitration clauses and Medicaid liens can matter. A lawyer licensed in your state can explain your options. Michael Hill Trial Law offers free, confidential case reviews for families nationwide.
Who is legally responsible when someone is harmed in a group home?
Often more than one company. These operators frequently run each home through a separate local entity that holds the license, while the building may be owned by another company and staff employed by a third; for-profit owners and investors can sit above all of them. The right defendants depend on who held the license, who employed the staff, who managed care, and who owned the property at the time of the harm.
What if we signed an arbitration agreement?
Courts do not always enforce these arbitration clauses. Whether one applies depends on who signed it, the authority that person had, and the state's law. Keep a copy of everything you signed and have a lawyer review it before assuming you cannot bring a claim.
How do I check a group home or ICF's inspection and complaint record?
Group homes are licensed and inspected mainly by state developmental-disabilities and health agencies; ICF/IIDs are also certified and inspected under federal CMS rules. Use the state agency's provider lookup for the state where the home is located, and ask the agency for inspection reports and substantiated complaints.
About Michael Hill Trial Law
Michael Hill Trial Law represents families in group home, ICF/IID, nursing home, and assisted living abuse and neglect cases. The firm’s main office is in Cleveland, Ohio; it practices across the country, its attorneys are licensed in numerous states, and it works with affiliate firms throughout the United States. The firm has recovered hundreds of millions of dollars for clients, including a $26 million jury verdict for wrongful death, the highest nursing home verdict in Ohio history. Prior results do not guarantee a similar outcome. Learn more about group home and ICF/IID neglect cases, wrongful death, and physical and sexual assault, or meet our team.
Sources
Information on this page comes from government records, court filings, regulatory reports, company statements, and news reports, linked below. Lawsuits and criminal charges are allegations unless a court has ruled. Findings by state agencies may be subject to appeal.
- Mosaic (official site)
- Mosaic IRS Form 990 (ProPublica Nonprofit Explorer)
- Iowa care homes cited over residents' money (Ottumwa Radio)
- Nebraska neglect suit against Mosaic (Nebraska Examiner)
- Nebraska suit coverage (News Channel Nebraska)
- Caregiver, Inc. acquires Mosaic's Texas operations (D Magazine)
- Nebraska ICF/IID licensing roster (NE DHHS)
This page provides general information about a company that operates group homes and intermediate care facilities. It is not legal advice and does not mean that any particular home or employee did anything wrong. Attorney advertising. Prior results do not guarantee a similar outcome. Last reviewed November 12, 2026.
