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Tricia L. Hoffman-Simanek is an attorney and senior vice president at Shuttleworth & Ingersoll, P.L.C. Her legal work focuses on long-term care/senior living and medical malpractice litigation, as well as providing health law advice to a variety of healthcare entities.

In 2013, she was appointed by the Governor to serve on the Board of Nursing Home Administrators (a licensing and disciplinary board for Iowa’s licensed Nursing Home Administrators). After she completed two terms on that Board, she took the knowledge and skills gained in the medical malpractice domain and developed a practice of defending long-term care/senior living facilities.

Utilizing the knowledge she gained in defending physicians, nurses, mid-level providers, and facilities over her 20+ years, Tricia also provides advice and representation on a variety of healthcare topics. These include, but are not limited to:

  • Advice and representation regarding facility self-reports
  • Defending Iowa Department of Inspection & Appeals / CMS citations/tags (e.g., 2567s)
  • HIPAA compliance and policies/procedures
  • HIPAA investigations and determinations regarding OCR reporting
  • Professional licensure inquiries and responses
  • Risk management advice
  • Record request / Subpoena responses

She has achieved an “AV” rating with Martindale-Hubbell, Inc.

She and her actuary husband, Brad, have three children and three rescue beagles.

Practice Areas


  • Mount Mercy College, B.A. Criminal Justice Administration & English (1998)
    • Honor’s Program
    • Summa cum laude
  • University of Notre Dame, Notre Dame Law School (2001)
    • Cum laude
    • Journal of College and University Law–Production Editor (2000-2001)

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