John Hansen Making a Difference Behind the Scenes at MRHC

John Hansen

John HansenJohn Hansen’s career path is one rooted in family influence and a willingness to embrace a challenge. Despite a background in factory work, John decided to follow in his father’s footsteps and give the maintenance field a try. His decision turned out to be a rewarding one, and he found a true passion for the work at MRHC.

“I never saw myself working in a hospital, but I figured I would give it a try and am really glad I did,” John shared.

Starting as a maintenance tech in February of 2020, John would quickly grow into a leadership role just a year later, becoming the department supervisor in April of 2021. With the work he does and the impact he makes at MRHC, it is no question that non-clinical roles play a vital role in ensuring smooth functioning of healthcare facilities. While a job in maintenance might not be at the forefront of patient care, John emphasizes the importance of his role in keeping everyone comfortable during their stay at MRHC. From ensuring the functionality of facilities to addressing maintenance issues promptly, John’s work contributes significantly to the overall patient experience.

“MRHC is so fortunate to have John. He is knowledgeable in so many different areas, digs into whatever needs fixing, and tries to figure things out on his own,” said Chief Human Resources Officer, Shelli Lorenzen. “John quickly fell into a management role and absolutely owned it. We couldn’t ask for a more dedicated employee. He knows what needs to be done and he does it, even if that means spending the entire weekend at MRHC to move snow so the ambulances can always get to the ER.”

In addition to making a positive impact on patients and helping his coworkers whenever possible, John appreciates the flexibility and support that he has at the hospital. Trust also plays a crucial role in fostering a positive work experience, and John attests that the administrative staff at MRHC trusts him implicitly. Something that is key to a productive and positive workplace.

“MRHC is very family oriented, and I know that when a family issue arises, I can go without question,” he shared. “Dan’s food is just an added bonus to working here.”

John’s journey at MRHC exemplifies the potential for growth and fulfillment in non-clinical roles within the healthcare industry. From his family-inspired career choice to the impact he makes on patient well-being, John’s story is a testament to the diverse and essential roles that contribute to the success of a healthcare institution like MRHC.

To join the MRHC team, click here or call (712) 655-2072 for more information.

Manning Regional Healthcare Center Names Shannon Black as New CEO

Shannon Black

Shannon BlackManning Regional Healthcare Center (MRHC), an affiliate of MercyOne, announced on Thursday that Shannon Black has accepted the MRHC Chief Executive Officer (CEO) position. She will begin her role on February 19.

Black has extensive experience in various health care leadership roles, most recently serving in the Unity Point Clinics system as Clinic Administrator in Waukee and Jefferson. Throughout her 20 years in the health care industry, she has worked to improve patient access, promote team engagement and increase patient experience.

She earned her Bachelor of Science degree in Healthcare Administration from Walden University. In April 2024, she will complete a master’s in healthcare administration from the University of Phoenix.

Outside of work, Black is married to Chad, and they have four children. She enjoys spending time outdoors, bike riding and attending her children’s activities. She is also the head cheerleading coach at Greene County Community School District and has served as a city council member in Jefferson.

“We are delighted to welcome Shannon to the Manning Regional Healthcare Center family as our new CEO. Her proven track record in health care leadership, coupled with her deep passion for patient-centered care, make her the perfect fit to lead us forward while delivering on our promise to provide excellent health care for our entire community,” said Bret Richards, MRHC Board of Trustees Chairman.

“I also express my sincerest appreciation to the MRHC team, including Alana Monson, for her work as interim CEO while we completed the CEO search. Your continued commitment and resilience during this transition have been truly remarkable.”

Manning Regional Healthcare Center, a 17-bed facility federally designated critical access hospital (CAH), is a trusted local provider of high-quality healthcare to the residents of Manning, Manilla, Irwin, Kirkman, and the four-county area of Carroll, Crawford, Shelby, and Audubon counties in Iowa.

About MercyOne

MercyOne is a connected system of health care facilities and services dedicated to helping people and communities live their best life. MercyOne’s care providers and staff make health the highest priority. The system’s clinics, medical centers, hospitals and affiliates are located throughout the state of Iowa and beyond. Headquartered in central Iowa, MercyOne is a member of Trinity Health (based in Livonia, Michigan) – one of the largest not-for-profit Catholic health care systems in the nation. Learn more at

MRHC Welcomes New Occupational Therapist, Amy Osbahr

Amy Osbahr

The therapy department at MRHC recently welcomed Amy Osbahr, OTR/L, a new occupational therapist. Trained and certified in an array of specialized therapies and experience working with all ages, Osbahr brings a wealth of knowledge and expertise to MRHC.

“I have treated a wide range of patients from 3 months old to 105 years old,” Osbahr shared, a testament to her commitment to meeting the unique needs of every individual she encounters.

Osbahr is certified in many different areas from neurological rehabilitation (catering to conditions like strokes, cerebral palsy, and multiple sclerosis) to orthopedics (managing joint replacements, wrist pain, sprains, fractures, arthritis, and more). She is also trained/certified in ASTYM treatment, blood flow restriction Therapy (BFR), LSVT-BIG Parkinson’s management, lymphedema treatment, and vestibular rehabilitation. In addition, Osbahr can perform workstation and ergonomics assessments as well as custom wheelchair assessments.

Additional common occupational therapy services include assisting adults who have difficulties with routine care such as brushing their teeth, getting dressed, feeding themselves, or driving to work.

Pediatric therapy is another area of expertise for Osbahr. She can address conditions such as autism, developmental delays, Down syndrome, muscular dystrophy, and more. Osbahr can also help ensure that children are meeting developmental milestones and progressing as they should, as well as helping with handwriting and behavioral health.

“I’m looking forward to using my skills in this new opportunity, and I am thankful to be part of the MRHC team,” said Osbahr.

A graduate of the College of St Mary’s in Omaha, Nebraska, Osbahr has since dedicated herself to the occupational therapy field, gaining a wide array of skills and certifications over her two-decade career. With over 15 years at RehabVisions, Osbahr has had experience with a variety of specialized therapies within inpatient, outpatient, and home health settings.

Her previous roles have been with the Glenwood Resource Center, Methodist Hospital’s ICU and medical floors, and the psychiatric unit at Jennie Edmundson Hospital. She worked on-site at Smithfield, focusing on work-related injuries and rehabilitation. Osbahr has also worked at numerous nursing homes across Southwest Iowa, demonstrating her dedication to reaching and assisting individuals in need throughout the region.

To schedule an occupational therapy appointment, call (712) 655-8100.

Influential Visits Pave the Way for Behavioral Health Initiatives in Rural Iowa

Director Garcia visit

In a significant development for Iowa, influential lawmakers are turning their attention to the critical needs of behavioral health across Iowa, particularly in rural areas where access to comprehensive services and reimbursements remain a challenge. Recent visits from prominent figures underscore a renewed commitment to addressing the root causes of substance abuse and promoting mental health support in communities throughout the state.

Director Garcia visitOn National Rural Health Day (November 16th), Iowa Health and Human Services Director, Kelly Garcia, and State Epidemiologist, Dr. Robert Kruse, visited MRHC and the Recovery Center. Their presence underscored the critical need for integrated behavioral health services, with a focus on mental health and substance abuse. Engaging with healthcare professionals, community leaders, and the hospital’s board and senior leadership team, Director Garcia and Dr. Kruse discussed collaborative solutions to improve statewide healthcare and to also address the unique needs of rural communities.

During her visit to Manning on September 12th, Iowa Attorney General Brenna Bird highlighted the importance of tailoring initiatives to the unique challenges faced by these areas stating, “Rural communities often encounter barriers in accessing quality healthcare and addiction treatment services. The opioid settlement funds are one-time funds that could provide an opportunity to bridge those gaps and make a lasting impact on the lives of those affected by opioid addiction in our rural communities.” Brenna Bird

Earlier this year, agreements were reached with manufacturers, distributors, and pharmacies to provide nearly $50 billion in payments for state and local governments across the nation. Funding was distributed to each state, and in Iowa a portion of those funds were distributed to each county for the county supervisors to disperse locally. The rest of the funds are currently held at the state level with the anticipation that lawmakers will determine appropriations in the next legislative session.

Charles GrassleySenator Charles Grassley as well as Republican presidential candidate and North Dakota Governor, Doug Burgum, accompanied by his wife, Kathryn, also visited MRHC earlier this fall to gain a better understanding of the healthcare needs affecting rural areas and the unique position of MRHC and the Recovery Center.

These visits provided lawmakers with a firsthand look at the Recovery Center’s efforts to support residential and outpatient recovering addicts. MRHC, serving as a model for rural healthcare services, became a platform for discussions on comprehensive strategies to address behavioral health challenges, reimbursements, and access to care in rural Iowa.Doug Bergum

Director Garcia emphasized the importance of addressing behavioral health needs, stating, “By understanding the challenges faced by the communities across our state, utilizing research-based methodologies, and taking a comprehensive approach to address the most critical health needs, we can develop targeted and effective strategies to improve our overall health outcomes.”

These visits reflect a broader, bipartisan commitment to address rural healthcare challenges in a unified and strategic way. This holistic approach starts with a grassroots understanding of the challeng es affecting rural hospitals accompanied by discussions to adjust policies at the state and federal levels. These collaborations reflect an aligned dedication to build healthier and more resilient commun ities across the state.

As Iowa takes a significant stride forward in the battle against opioid addiction, the opioid settlements stand as a beacon of hope for rural communities. MRHC Administration and the leadership of the Recovery Center are taking this opportunity to educate local county supervisors as well as statewide leaders to better understand the services that already exist, their vision for addressing this epidemic, and the potential for MRHC and the Recovery Center to serve even more clients and their families.

Free Medicare Information Seminar at MRHC on November 28

Medicare event

Medicare open enrollment is going on now until December 7th. Keep in mind that Medicare plans can change coverage, premiums, co-payments, co-insurance, and provider networks every year. Ensure your plan meets your needs and is the most affordable option by attending the free “Welcome to Medicare” seminar on November 28th from 7-9pm at MRHC.

Interested individuals must call (712) 655-2072 by November 24th to register. Attendees should enter through the Emergency entrance and follow the posted signs.

This free seminar, offered by MRHC and the State of Iowa’s Senior Health Insurance Information Program (SHIIP), a free and confidential service, will cover Medicare Parts A & B benefits, Prescription Drug Benefits (Part D), Medicare Advantage Plans, Medicare supplement insurance, as well as share tips to help individuals identify Medicare fraud, errors, and abuse.

Even if you do not yet qualify for Medicare, MRHC’s volunteer SHIIP Counselor, Nancy Danner, recommends that “the best time to start getting information is before you actually need it, so I advise thinking about it at least 6-12 months before someone turns 65 years old.”

If you are unable to attend the seminar, Danner is available every Wednesday at MRHC to meet with individuals by appointment. She can provide information to aid in Medicare decision-making and answer questions related to Medicare itself, benefits, plan options, claims, and how to guard against becoming a victim of Medicare fraud. She will not provide recommendations for plans or agents but can answer questions and provide impartial information to help individuals make educated decisions and assist people who have a limited income.

Anyone interested in making an appointment with Danner can email or call MRHC at 712-655-2072. If a client is only wishing to talk on the phone, they may leave their phone number and Danner will return their call.

From Executive Chef to Healthcare Support Services Director: Grove’s Culinary Journey Making a Healing Impact

Dan Grove

Dan GroveA culinary career can take many unexpected turns, leading to surprising and fulfilling destinations. This is the case for Dan Grove, whose passion for cooking initially led him to kitchens of prestigious hotels and restaurants, ultimately guiding him to a pivotal role at MRHC, where his culinary expertise now plays a crucial role in patient care.

Grove’s culinary journey began after graduating from Tech High Vocational Trade School. His thirst for culinary knowledge led him to earn an AAS in Culinary Arts from DMACC, solidifying his foundation in the culinary world in 1986. Throughout the years, he took on various roles as an Executive Chef, leaving his mark in renowned establishments like the Holiday Inn, Embassy Suites, and Marriott management services, as well as with local restaurants.

However, the demanding hours and the desire for a better work-life balance prompted Grove to shift his career. In 2007, an opportunity emerged at MRHC, where he joined as the Dietary Manager.

“I always wanted to be a chef. I enjoy cooking and have a passion for it,” shared Grove, CDM, CFPP, CWC. “But I came to a point in my life where the hours required were hard and affected my personal life. The position for Dietary Manager opened at MRHC, and it was a great fit for me having a young child at home.”

Grove’s role expanded over time, blending his culinary expertise with management skills. When the need arose for someone to manage housekeeping (EVS), his position morphed into the Support Services Director. The combination of nutrition services and EVS management aligned well, emphasizing the importance of sanitation in both departments. Grove’s commitment to maintaining impeccable standards in sanitation proved crucial, understanding that a clean and hygienic environment goes beyond the kitchen. Grove argues that it also has an impact on patient well-being.

“Proper nutrition is a huge part in healing the human body so our job in dietary is extremely important and goes a long way in making our patients well,” Grove emphasized. “And I think it goes without saying that a safe, sanitary, and clean environment is so beneficial and mandatory for the patient.”

Reflecting on the shift from restaurant kitchens to healthcare facilities, Grove is often asked if he misses working in that type of atmosphere.

“My immediate answer would be yes, but nothing outweighs my ability to work at a job I love and still be able to have quality time with my wife, children, grandchildren, and friends. This job allows me to do just that,” shared Grove.

Grove’s tenure at Manning Regional now spans an impressive 16 years, a testament to the supportive environment and the organization’s commitment to employee well-being.

“Everyone here is great to work with, and that makes it so easy to come to work each day,” said Grove. “It is a great atmosphere to work in. They truly care about their employees and try to make it a great place to work while still always moving forward and improving for our customer-patient experience.”

From orchestrating fine dining experiences to nurturing an environment conducive to healing, Grove’s culinary career showcases the power of passion, dedication, and a commitment to making a difference in people’s lives, one plate and one sanitized surface at a time.

To join the MRHC team, visit or call (712) 655-2072 for more information.

Dalton Lytle Finds Hope In Recovery and Joy in Helping Others

Recovery Counselor, Dalton Lytle, CADC

“We save lives here and I’m grateful to be part of that,” shared Dalton Lytle, Recovery Counselor who works at Manning Regional Healthcare Center (MRHC). “Manning Recovery Center has changed my life for the better. I am proud to be an employee here and represent what recovery can do for someone.”

Lytle attended college for a short time before beginning his career in bridge construction for eight years. He never intended to return to college, let alone work in an office as an addiction counselor, but after personally receiving treatment at the Recovery Center, he moved to Manning and took a job opportunity as a part-time tech at MRHC. Lytle shares how his personal experience with addiction and recovery helps him relate to his clients on a personal level.

Recovery Counselor, Dalton Lytle, CADC“After working at the Recovery Center for a while it was clear to me that this is what I want to do for a living – help suffering addicts find hope in recovery,” explained Lytle. “Going through treatment here myself, I know the pain and struggles that our clients are going through. Being able to relate and help them through it is very rewarding and I want to continue doing that.”

Lytle is very passionate about his career at MRHC because he has personally reaped the benefits from the Recovery Center’s treatment and urges other addicts to seek help. “The reason I love my job is because I get to help people save their lives,” stated Lytle. “I went through treatment here in 2019. My life was a complete disaster and I had very little hope that things could get better. The Recovery Center showed me that there is hope and gave me the tools to save my life. I could not have done it without the Recovery Center. Treatment was such an eye-opening experience for me. I want to continue helping those who suffer addictions find the same hope that I was given. It’s pretty amazing to see someone come into treatment feeling hopeless and broken, and then watch them transform into a new person full of joy and hope,” Lytle explained.

The saying ‘Find a job you enjoy doing, and you will never have to work a day in your life,’ rings true for Lytle. “I like working at the Recovery Center because when I get up in the morning, I am excited to go to work. I had never had that feeling before, so it is special,” exclaimed Lytle. He boasts that the best thing about working at MRHC is the easy-going and supportive environment. “It makes work enjoyable and that’s a pretty cool thing.”

“My role at the Recovery Center continues to expand the longer I work here,” explained Lytle. When Lytle was a counselor tech, he was responsible for taking clients to outside meetings and facilitating group sessions, along with various other client needs. “I have recently been promoted to counselor and my role here has expanded. I now get to help our clients more than before by having my own clients that I work with on an individual basis. When it comes down to it, I am here to provide guidance and support for our clients so that they can start a new life in recovery,” stated Lytle.

The biggest issue Lytle wants to bring to light is that addiction happens everywhere, including rural areas. “The Manning Recovery Center is unique. There is something special about this place. Many have said that this is the best treatment center in the state and other surrounding states,” explained Lytle. Although the Recovery Center at MRHC may be rural, Lytle believes that to be an advantage. “I think we stand out because we care about our clients. The groups are smaller here compared to other treatment centers and that makes for a more personal experience. I think we all do a great job making them feel at home and that provides the best environment for healthy growth.”

To join the MRHC team, visit or call (712) 655-2072 for more information on current job openings.

Grassley Visits MRHC on #99 County Tour

Jackie Blackwell, Chief Quality Officer; Michelle Andersen, Chief Nursing Officer, Shelli Lorenzen, Chief HR Officer, and Linn Block, CEO, pose with Senator Grassley outside of MRHC.

Senator Grassley reiterated his pride for Iowa’s long-standing reputation of providing high-quality, cost-effective health care.U.S. Sen. Chuck Grassley (R-Iowa) toured Manning Regional Healthcare Center and met with hospital administration and board leadership on Monday, August 28, as part of his annual 99 county tour. Also present on behalf of MercyOne were Bob Ritz, CEO; Mary Cownie, Chief of Staff; and Mike Trachta, Vice President of Network Affiliates.

As the Ranking Member of the Senate Judiciary Committee, Senator Grassley has worked closely with critical Social Security, Medicare, Medicaid and retirement policies and has potential to influence significant funding reimbursements for rural hospitals and was very familiar with the challenges faced by rural hospitals.

“Representative government is a two-way street, and it requires continued dialogue between elected officials and the people we represent,” Grassley said. “I appreciate the opportunity to hold town meetings, answer questions and take comments from Iowans. My annual 99 county meetings help me regularly keep in touch with Iowans to better represent them in Washington.”

MRHC CEO, Linn Block, MHA, BSN, RN, expressed that, “Funding continues to be a challenge for rural hospitals every year, especially as we see costs skyrocket and reimbursement rates remain the same. However, MRHC did end up breaking even this year, which is great, but it leaves us little room to invest in future priorities that will take our facility to the next level.”

Additional questions to the Senator addressed the workforce shortage and challenges with filling critical patient-care roles.  Shelli Lorenzen, Chief Human Resources Officer, shared, “MRHC has had a few positions open since before the pandemic that we are still struggling to get filled.”Manning Regional Healthcare Center senior leadership team and board leadership, along with members of MercyOne’s administration team sat down for conversations on Monday, August 28, as part of the Senator’s annual 99 county tour.

She shared that MRHC is being innovative to fill some nursing positions and is working with four Indonesian students to secure nursing degrees through the hospital’s reimbursement program. She requested to the Senator that more be done to improve immigration processes and workforce preparedness to help address the workforce shortage.

Due to rural residents’ high dependency on Medicare, rural hospitals are typically more financially vulnerable since Medicare only pays a fraction of hospital’s actual costs. “MRHC receives a much lower reimbursement than the national average making the financial viability of our small, rural hospital difficult to ensure that we can continue providing quality patient access to care,” shared Block.Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC, shares how MRHC is uniquely positioned to provide support for patients facing substance abuse and addiction as well as other ailments thanks to the variety of services being provided under one roof.

Participants encouraged the Senator to look at additional ways to improve Medicare and Medicaid reimbursements to rural hospitals. Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC, was on hand to share how MRHC is uniquely positioned to provide support for patients facing substance abuse and addiction as well as other ailments thanks to the relationship with MRHC and a variety of services being provided under one roof.  However, Medicare and Medicaid funding continues to be a challenge to compensate at a rate that covers the cost of services.

All were grateful to the Senator for visiting and board member Larry Hagedorn expressed his appreciation for the USDA loans that were pivotal in building the new hospital ten years ago.Linn Block, CEO, shakes hands with Senator Grassley outside of MRHC.

“We are grateful for Senator Grassley’s visit and his ongoing support of rural healthcare. We also appreciate the support and relationship with the MercyOne administration, as it takes the whole system working together effectively to address the current and long-term challenges in healthcare,” shared Block.

This is Grassley’s 43rd straight year holding meetings in every one of Iowa’s 99 counties. Grassley has held at least one meeting in every county, every year since he was first elected to serve in the U.S. Senate. He answers questions on any subject. Iowans set the agenda.

Kathy Freese Receives DAISY Award

Kathy Freese

Kathy FreeseKathy Freese, a registered nurse who works in the medical/surgical department, emergency room, and Recovery Center at MRHC as recently recognized for her exceptional role as a nurse and awarded the 2023 DAISY Award.

Freese’s excellent care as a nurse has never gone unnoticed – several patients nominated Kathy for the DAISY Award, sharing their praises about the great care she provides.

“Andrew and I could never thank you enough for all you did for us. You were a Godsend,” shared one patient. Another added that Kathy “is always kind, smiley, and non-judgmental. You could tell she really cares!!”

These testimonials, among many others, made Freese the perfect recipient for the 2023 DAISY Award, a program that honors and celebrates the skillful and compassionate care nurses provide every day. DAISY Award Honorees are recognized within their department, receive an award certificate, and are publicly recognized. Freese was surprised with the award by her co-workers and family on Wednesday, July 28th.

“Kathy is an empathic nurse who always puts her patients at the center of her nursing practice,” said Chief Nursing Officer, Michelle Andersen, RN, BSN. “Thank you, Kathy for taking extraordinary care of those we serve!”

About the DAISY Award

The DAISY (Diseases Attacking the Immune System) Award is an international recognition program established by the family of J. Patrick Barnes after he died from complications of the autoimmune disease, ITP, in 1999.

During his hospitalization, the Barnes family deeply appreciated the care and compassion shown to Patrick and his entire family. When he died, they felt compelled to say “thank you” to nurses in a very public way. More than 2,500 health care facilities in 15 countries and 50 states now honor extraordinary nurses with The DAISY Award.


All nurses who exemplify MRHC’s mission and values and demonstrate our vision daily are eligible to be nominated. DAISY Award honorees are nurses who provide compassionate and remarkable care while demonstrating clinical excellence. Anyone, including patients, patients’ family members, staff members, physicians, visitors, and volunteers, are welcome to nominate any nurse whom they believe is deserving of the award.

Jacobsen Sisters Make an Impact in their Community

Jacobsen sisters

Many employees at MRHC have shared that their coworkers feel like family and that the hospital is like a second home. For four employees in particular, it couldn’t be more true. Four of the Jacobsen sisters, Taya Vonnahme, Mikasia, Neeka, and Kamaya Jacobsen work alongside each other in various roles at MRHC.

Taya VonnahmeTaya, the oldest sister, currently serves as the Director of the Recovery Center at MRHC. After becoming a CNA and working at the Plaza throughout high school, Vonnahme received her LPN from Iowa Lakes Community College in 2009. After transitioning to MRHC full time as a discharge planning nurse in 2011, she continued to add jobs to her title until 2015 when she applied to go back to school for her RN. Once she graduated with her associate degree in nursing, she transitioned to a house supervisor at MRHC and obtained her BSN from Walden University in 2018. In 2020, she earned her master’s degree as a Family Nurse Practitioner with support from the MRHC tuition assistance program.

“I knew I wanted to be in healthcare since I was young after watching the impact my family had on people in the community as healthcare providers,” shared Taya, MSN, RN, ARNP, CADC. “Our parents worked for the local EMS, our father worked with the fire department, our uncle works as a paramedic in Carroll County, and our grandmother was a well-known nurse here at Manning Regional. We’ve had a lot of great influences.”Mikasia

A sentiment that Taya’s sister, Mikasia, echoes when she thinks about what encouraged her to pursue a career in the medical field. “My grandmother was a biginspiration,” said Mikasia, BSN, RN. “She was an ER nurse, and getting to dress up in her scrubs and play with her equipment at home is something I remember fondly.”

Mikasia currently works as a House Supervisor at MRHC. After joining the Carroll County Ambulance as a volunteer in 2016 and completing her EMT in 2017, she decided to start nursing school. She completed her CNA in 2018 and started working at MRHC. Through MRHC’s tuition assistance program, Mikasia received her LPN in 2020, her RN in 2021, and finally, her BSN in 2022.

“MRHC has been a blessing with easing the strain of nursing school by offering me tuition assistance,” Mikasia said. “The relief of not having to worry about affording classes, while in the middle of a pandemic, was another huge weight lifted off my shoulders. My co-workers and supervisors at MRHC were also supportive and pushed me to continue my education.”

In addition to their family members and coworkers being an inspiration for their careers and a solid support system, the sisters have always had, and still have, an important impact on each other.

Kamaya Jacobsen“My family is for sure my main support through my career choices, but my sisters are my biggest supporters. They are the ones I go to for any decisions or help I need along the way,” said Kamaya. “It was because of my sisters I got the opportunity to work at MRHC.”

Kamaya works as a CNA on the med/surg floor and a counselor tech in the Recovery Center. Two roles that allow her to frequently work alongside her sisters.

“Being able to work with my sisters is one of my favorite things. We have a unique bond that we get to bring into the hospital that tends to bring a lot of laughter and joy to our patients, clients, and coworkers when they experience us working together,” Kamaya said. “We are very close and do many things in our lives together so why would work be any different? We have a love for our community as well as our jobs, making what we do easier as we get to care for many people that we know in some way or another,” Taya added.

Yet another factor that played a large role in the girls choosing their career paths – knowing they could make a difference in the community they grew up in.

Neeka Jacobsen“I wanted to help my community in a way that would make an impact,” said Neeka, CADC, a CNA, EMT, and counselor tech in the Recovery Center. Mikasia adds, “there are highs and lows when working in a small town. The lows hit a lot harder as these are the people we have grown up with or have watched grow up themselves. I care a lot for my community, and I hurt when we have a loss. But the highs are worth it. Being able to provide great medical care and seeing progress for our patients is very rewarding. I really enjoy that I can share these experiences with my sisters and that when people come in, they know they can count on one of the Jacobsen/Genzen girls.”

Taya goes on to add that, “this community is where I was raised, and I’ve been shown how important community support is. This [career] is how I can continue to support my community.”

The women also share that, in addition to the support they receive from the community, each other, and their family, they would not be where they are without their team at MRHC.

“MRHC has allowed me to get the opportunity of working in different departments which has helped me expand my knowledge and skills over the last few years,” Kamaya shared.

Neeka adds that “they have helped with studying before licensing tests and have supported me through the transition to various roles throughout the hospital. I like the fun working environment as well as how much support we get.”

Taya points out that “the hospital has developed and changed, offering me different opportunities I never anticipated. My co-workers are truly the best reason to work at MRHC. In addition to that, the flexibility for my family and outside duties are always met.”

Mikasia emphasizes that “my co-workers are great and offer support in both my professional and personal life. I like that I am close to home and get to care for patients I know every day. I know I am where I am needed and that I am doing my part as a nurse to help provide excellent care here at MRHC.”

To join the MRHC team or learn more about the tuition assistance program, visit or call (712) 655-2072 for more information on current job openings.