Hawarden Regional Healthcare has a progressive physical medicine & rehabilitation department committed to excellent patient care. Staff members are compassionate, professional, caring individuals practicing the latest evidence-based medicine to deliver high quality service to all customers. The physical medicine staff is dedicated to providing the right care by listening to their patients, designing a comprehensive plan of care with their patients, being an advocate for their patients, and by staying in close communication with patients and physicians. Each therapeutic program is designed with the client’s, therapist’s, and physician’s goals in mind. Goals commonly emphasize improving quality of life and may reflect increasing mobility, decreasing pain, improving function, and limiting disability at home or in the community depending on the type of therapy. The department offers a professional yet relaxed environment to give clients the best care possible.

When you receive a referral for physical or occupational therapy it is important that you seek care from a licensed therapist. The knowledge and experience of your licensed therapist will provide you the best care possible. All of our therapists are licensed in their fields and are more than happy to help you!

Many insurers currently do not require a referral for Physical Therapy, so don’t hesitate to give us a call if you have a question, or something we can help you with.

Specialty Areas of Practice Include:

We are proud to be part of a small community where our patients feel welcomed and are treated as family. Please contact us by calling (712) 551-3108 or feel free to stop by the department for more information. Normal business hours are 8:00am to 5:00pm, Monday through Friday. Please scroll down to meet our staff and learn more about each discipline within the department.

Our technicians are available at the front desk to assist you with your appointment prior to seeing the therapist. They include:


Katie McKenny

Katie McKenny has been a part of the Therapy Team since 2001 working as a PT Tech. McKenny has seen a lot of growth over those years. “We have so many really good therapists and offer such a variety of therapies.” McKenny’s favorite part of the job is definitely the patients! “You really get to know a lot of nice people and to see them to recovery is very rewarding.” When not at work McKenny enjoys gardening with her husband Steve and playing with their three granddaughters.


Shelly Schlumbohm

Go WEST SIOUX is Schlumbohm’s motto! Being an avid West Sioux supporter her whole life, Schlumbohm enjoys going to ballgames and cheering on the whole team. If there is a game on, Schlumbohm knows the score. Being a PT tech since 1999 Schlumbohm has gotten to know who roots for who around here. When not in working the Physical Therapy department, you can find her at a West Sioux game, playing with her grandson, or walking the trails around town.


Physical Therapy

We have five doctors of physical therapy and one physical therapist assistant to help you with your recovery. We use our hands, heads, and hearts to design a patient-specific and patient-centered program to address weaknesses, motion restrictions, coordination deficits, and other impairments. Please read on to meet our physical therapists and to see a list of conditions commonly treated.

Lynn Kious, DPT

Lynn Kious has been practicing physical therapy since 2012. She graduated with a Doctor of Physical Therapy from Clarke University in Dubuque, Iowa. Her undergraduate degrees include a Bachelor of Science in Biology and a Minor in Chemistry, also completed at Clarke. Kious’ main interests are in orthopedics and sports medicine. She enjoys viewing the human body as a mechanical process and welcomes patients presenting with a clinically complex condition. Kious has treated various patients including those who suffer from complex neuromuscular disorders such as Guillain-Barré, spinal cord injuries, and cerebral palsy. Kious is passionate about providing the best care possible to her patients and welcomes anybody dealing with an old or new problem.

Michael May, DPT, CWS

Michael May has practiced physical therapy in Hawarden since 1993.  He received his Master’s and then Doctorate in Physical Therapy from Des Moines University.  His undergraduate work was completed at Northwestern College where he earned a Bachelor of Arts in Biology, with a Minor in Chemistry and Certificate in Education.  May loves the combination of teaching and healthcare he can provide in Physical Therapy.  He is a generalist at heart working with almost all ages and diagnoses, but has emphasized manual therapy in his practice treating a wide variety of orthopedic and neurological conditions.  He also recently passed the national boards, becoming a Certified Wound Specialist (CWS) bringing specialty expertise in advanced wound care to Hawarden’s Physical Medicine Department.

Abby Stainbrook, DPT

Abby Stainbrook joined Hawarden Regional Healthcare in July 2015. She received her Doctorate of Physical Therapy from the University of Nebraska Medical Center in 2010. Her undergraduate degree was obtained from the University of Northern Iowa with a Bachelor of Arts in Exercise Science. She has previous experience in treating a wide variety of orthopedic and neurological conditions with people of all ages, with a particular interest in working with pediatric patients. Stainbrook enjoys getting to know her patients and helping them to return to their daily and recreational activities. Stainbrook lives in Ireton with her husband and two children, where she enjoys spending time with family, reading, and going camping and boating.

Lindsey Tuntland, DPT

Lindsey Tuntland has been a physical therapist at Hawarden Regional Healthcare since 2012. She graduated from the University of Nebraska Medical Center in 2012 with her Doctorate in Physical Therapy. Tuntland completed her undergraduate degree in Health Promotion at South Dakota State University in 2009. She enjoys being part of the Physical Medicine and Rehabilitation team and working with people of all ages and diagnoses to improve their quality of life. Her area of interest is in women’s health physical therapy. Tuntland attended a “Pelvic Floor Physical Therapy Level 1” course through the American Physical Therapy Association in September 2013. She is currently able to treat females with urinary incontinence and continues to pursue further education in women’s health. In her free time, Tuntland enjoys spending time with her family and staying active. She and her husband, Justin, have one son, Aksel.

Collin Wiggins, DPT

Collin Wiggins has practiced physical therapy in Hawarden since 2005 after receiving his Doctorate in Physical Therapy from the University of North Dakota. Wiggins has experience treating all ages and diagnoses, but has received focused training on vestibular rehabilitation and providing physical therapy in skilled nursing facilities. As a Credentialed Clinical Instructor (CCI) through the American Physical Therapy Association, he is able to use his knowledge and expertise to instruct physical therapy and physical therapy assistant students during their clinical experiences. Wiggins enjoys getting to know his patients and helping them on their path of recovery.


Debra Lewison, PTA

Deb Lewison graduated from the Physical Therapist Assistant program at Western Iowa Tech in 2006. Lewison began practicing in Hawarden and the Hawarden region in 2007. Lewison treats patients in a variety of settings including the nursing home, homecare, inpatient and outpatient care. Her primary focus is geriatrics.

Conditions Treated May Include but are not Limited to:

  • • Arthritis & Chronic Pain or Stiffness
  • • Balance and Fall Protection
  • • Dizziness & Vertigo
  • • Gait and Transfer Training
  • • Generalized Weakness
  • • Headaches
  • • Incontinence
  • • Low Back Pain & Sciatica
  • • Neurologic Disorders or Deficits
  • • Pain with Pregnancy
  • • Pelvic Dysfunction
  • • Post-Operative Rehab
  • • Sports Injuries, Sprains and Strains
  • • Wound Care


Occupational Therapy

Hawarden Regional Healthcare has two occupational therapists available. Occupational therapy spends more time focusing on improving upper extremity function to make daily activities easier. Emphasis is placed on regaining independence that was lost by injury or illness.

Please read on to meet our occupational therapists and to see a list of conditions commonly treated.

Mackenzie Feldhacker, OTD, OTR/L, CLT-LANA

Mackenzie Feldhacker has been a member of the Department of Physical Medicine and Rehabilitation since 2014.  She is a graduate of Creighton University with a Doctorate of Occupational Therapy and a Bachelor of Science in Health Sciences.  She specializes in treatment of Lymphedema and is a certified therapist through the Lymphology Association of North America.  She has experience treating spinal cord injury, stroke, arthritis of the hand and wrist, carpal and cubital tunnel syndromes, Parkinson’s disease, and fractures of the hand and wrist. She is passionate about returning clients to the activities they find meaningful, particularly with the use of adaptive equipment, wheelchair seating and positioning, assistive technology, and therapeutic use of everyday activities.


Mary Jo Lee, MSOT, OTR/L

Mary Jo Lee, has worked as an occupational therapist in Hawarden since the beginning of 2013. She earned her master’s degree in OT from the University of South Dakota. She has experience working in a wide variety of settings, from acute inpatient to pediatrics to home health.  Additionally, she works with a range of clients, including children, hand patients, and stroke victims. She has received extra training on sensory integration, fine motor delay, and feeding difficulties. Lee is passionate about patient education and ensuring that when patients leave therapy, they are equipped to successfully handle the challenges they face in everyday life.

An Occupational Therapist May Assist You With:

  • • Adaptive Equipment for Dressing, Feeding and Bathing
  • • Arthritis
  • • Functional Cognition Impairment
  • • Hand, Wrist or Elbow Pain
  • • Home, Safety Assessment
  • • Lymphedema
  • • Pediatric Development Concerns
  • • Splint/Orthotic Fabrication
  • • Stroke/Brain Injury
  • • Tingling or Numbness
  • • Tendinitis
  • • Visual Impairment
  • • Weakness


Speech Therapy

At Hawarden Regional Healthcare, the focal point of speech therapy is excellent communication. Therapy is patient-centered and aims to provide individuals with the communication tools they need to thrive at home, in school, work and in the community.

Speech clinicians commonly treat: cognitive impairments such as memory, planning, sequencing; language impairments including developmental or acquired; speech disorders including the formation and reception of words; swallowing disorders due to weak throat muscles or other mechanical disorders; hearing disorders such as those that result from developmental impairments or may have been acquired later.

Common Diagnosis Referred to Speech Therapy Include:

  • • Aphasia
  • • Apraxia
  • • Attention Deficit Disorder
  • • Dysarthria
  • • Dysphagia
  • • Pediatric Feeding Aversions


Please read through the following specialty areas of physical medicine to learn how Hawarden Regional Healthcare can help you!


Growing older and losing the ability to care for ourselves is a fear amongst many. As we age our risk for illness increases, our strength and mobility decrease, and our fear of falling becomes more prevalent. Keeping ourselves mobile is a great way to overcome these physical limitations. Physical therapy may consist of strengthening, balance training, gait training, and transfer training to help you regain control of your independence. If you or your loved one is having a difficult time standing up from a chair, getting out of bed, or are becoming more reliant on a cane or walker, talk to your physician about a referral to physical therapy. Click here to learn more.

Occupational therapy may consist of self-care training, adaptive equipment training, home safety assessments, and environmental modifications to increase independence and allow patients to stay in their homes as long as possible.


Lymphedema is a chronic and progressive disease that occurs when the lymph system has been damaged or blocked, causing an accumulation of fluid and swelling that can occur throughout the body. Swelling most commonly occurs in the arms or legs but can also present in the trunk or breast, head and neck, or genitals. Typical signs of lymphedema include asymmetrical and one-sided swelling of the arms or legs, presence of skin ulcerations or changes, and presence of hardened tissue in the involved extremity. Any person who has had removal of lymph nodes is at risk for developing lymphedema, however greater risk is seen with radiation therapy for breast cancer and surgery. Lymphedema may occur independently as a congenital condition or secondarily with other health conditions such as chronic venous insufficiency and congestive heart failure.

While lymphedema is not curable, an early diagnosis and treatment can significantly impact one’s outcome with this disease. Our Certified Lymphedema Therapist (CLT-LANA) treats lymphedema with Complete Decongestive Therapy (CDT), which consists of four components: Manual Lymph Drainage (MLD), compression, skin care, and decongestive exercise. Decreasing swelling is the main goal of therapy, however reducing pain, increasing range of motion, patient education, and improved quality of life are all benefits of CDT. Click here to learn more about lymphedema. Click here to see a list of Certified Lymphedema Therapists.


Sometimes our illnesses are caused by a dysfunction within the nervous system which then affects the way we move. Conditions like Guillain-Barre, Parkinson’s, stroke, alcoholic toxicity, diabetes and multiple sclerosis will cause weakness, balance problems, impaired coordination, and difficulty walking. Physical and occupational therapists use specialized treatment strategies, compensatory techniques and the knowledge of neuroplasticity to teach your brain and nerves how to regain control of your muscles, helping patients regain independence with mobility and daily activities. Physical therapists may also conduct balance training for fall prevention. Click here to learn more.

Orthopedics & Sports Medicine

Joint pain, fractures, muscle weakness, sprains, strains, headaches, carpal tunnel syndrome, plantar fasciitis, sciatica and low back pain are a few of the common orthopedic disorders that can be treated by physical medicine. Sometimes pain is referred from your spine to the extremity, for example from the neck to the arm. Through a comprehensive examination of the neuromusculoskeletal system, your therapist will determine the cause and source of dysfunction. People who have had an athletic injury or have undergone surgery for joint replacement, spinal surgery, and rotator cuff repair are also referred to therapy for rehabilitation.


Children as young as newborns may also require specialized treatment in the form of pediatric therapy. Children with developmental diagnoses such as autism, Attention Deficit Hyperactivity Disorder (ADHD), Down’s Syndrome, cerebral palsy, and other conditions may be treated to improve a child’s ability to complete daily tasks or to participate in any activities they would normally engage in such as school, athletics, and other social events. Commonly, children requiring pediatric therapy need a type of sensory integration which our therapists understand and are specially trained for. Other conditions treated through pediatric therapy include feeding difficulties, torticollis and plagiocephaly. If you have any concerns about the way your child is developing, please consult with your physician or stop by to speak with one of our therapists.

Vestibular Disorders

The vestibular system includes parts of the inner ear and brain that help control balance and eye movements. If the system is damage by injury, aging, or disease vestibular disorders can occur. Symptoms of vestibular disorders may include but are not limited to vertigo/dizziness, imbalance, vision disturbances, hearing changes, cognitive and/or psychological changes. People suffering from vertigo, dizziness, and impaired balance may benefit from vestibular rehab. One common vestibular disorder, benign paroxysmal positional vertigo or “BPPV” typically responds best to vestibular rehab. With all vestibular disorders, the physical therapist will first examine the patient to determine if they are appropriate for treatment. If warranted, the therapist will perform specialized treatment to restore function to the inner ear, perform habituation exercises to desensitize the brain’s response to movement, and teach the patient how to prevent recurrence. Please click here to learn more.

Women’s Health

The effects of pregnancy and abdominal surgeries can be detrimental to the body. Women suffering from low back pain during pregnancy, pelvic dysfunction following pregnancy, and urinary incontinence can get specific help through Hawarden Regional Healthcare. An individualized physical therapy program will teach proper muscle control strategies to improve function and relieve stress placed on the body, letting women get back to the things they enjoy. Click here to learn more.

Wound Care

Pressure sores, burns, diabetic ulcers, venous ulcers, and infected lesions are common wounds that can prove difficult to heal. Hawarden Regional Healthcare offers you one of the few certified wound specialists (CWS) in northwest Iowa to provide state of the art wound care to help you recover. It is HRH’s desire for staff to develop a plan of care with the patient and physician(s) to optimize the chance of a healed wound. Please click here to learn more. Click here to see a list of certified wound specialists.

Oncology Rehab

Cancer is becoming a diagnosis more frequently treated by physical and occupational therapists because of the many difficulties these patients face on a daily basis. Patients undergoing oncology treatments may experience weakness and fatigue, limitations in daily activities, and decreased motivation to perform meaningful tasks.  We have developed a unique program designed to screen, evaluate, and treat patients who are dealing with cancer, with the intent of improving and/or maintaining current level of function and quality of life. The goals for our oncology program include building strength and endurance, regaining independence with daily tasks, decreasing stress and anxiety, maintaining and conserving energy, and pain management. We have the opportunity to establish a baseline for these areas prior to oncology treatments, as well as monitor changes and address concerns throughout your treatments. We invite you to be screened by one of our physical or occupational therapists to determine if our program may be of assistance to you.  Screening may include testing strength and endurance levels, as well as identifying functional limitations you may have.  There is no cost or commitment with this screening.  Further treatment will be individualized and adapted according to your needs. Click here to learn more about physical activity and cancer.