What Healthcare Facilities Can Learn from a $49 Million Window Failure

A major window system failure at the University of Iowa’s Children’s Hospital sparked a costly replacement project – and a $49.4 million arbitration win.

By Jeff Wardon, Jr., Assistant Editor


The University of Iowa recently won a $49.4 million arbitration award in a case related to defective windows at its Stead Family Children’s Hospital, which opened in 2017, The Gazette reports. Cracking and delamination issues were discovered shortly after opening, leading to a lawsuit against Cupples International Inc. in 2022. The hospital has since embarked on a $52.5 million project to replace most of the windows after the original cost estimate began at about $15 million. Due to safety concerns, temporary fixes were implemented. 

Full replacement is expected to be completed by the end of 2026, with the work being done in phases to minimize disruption to patient care. The overall hospital project has seen its budget balloon from $270.8 million to over $400 million, not including the window replacement. 

Building envelope failures can pose serious safety risks, financial burdens and care disruptions. Even new construction projects such as the University of Iowa case, can develop critical defects, making early detection and documentation essential. 

Related Content: High-Performance Windows Support Safety at UW Medicine's New Behavioral Health Center

According to Crossman Law Offices, some hazards associated with faulty windows include: 

  • Falls. Falling through windows or from them is one of the most serious hazards, especially for multi-floor facilities.  
  • Glass shattering. When glass windows are broken, they can cause severe cuts. This includes any glass that falls outside of the window, as that can harm people below the shattered window. 
  • Insufficient emergency egress. Windows are important for emergency evacuations. Windows that are painted shut, locked or otherwise not working can hinder escape during a crisis. 
  • Thermal and ultraviolet (UV) exposure. Extended exposure to sunlight via windows can cause discomfort, skin damage from UV radiation and heat-related illnesses. 

Healthcare facility managers can take action to maintain and enhance the performance of their windows. This starts with putting in place a cleaning routine, according to The Onward Store. Cleaning windows monthly can prevent the build-up of dust, dirt and other grime. Using a microfiber cloth is recommended because it effectively removes dirt without scratching. 

The next step is conducting routine inspections since they can help uncover possible issues before they turn into costly repairs. The Onward Store recommends looking for cracks in the glass, gaps in seals and warping in the frames. These inspections should be done monthly or quarterly, depending on the building’s location and type. 

Repairing minor problems identified in routine inspections is essential as well because it can prevent future damage. Technicians also need to know the limits of their repair expertise. More complex repairs should be left to window specialists.  

Proactive window maintenance, regular inspections and attention to early signs of failure are critical strategies for dodging large-scale disruptions and liabilities related to windows. By incorporating these practices, can ensure the safety and comfort of occupants.

UPDATE: An original version of this article included Knutson Construction Services as part of the lawsuit. In a statement from the firm "Knutson worked directly with the University of Iowa to proactively resolve our company’s limited role in this matter prior to the arbitration hearing. Knutson was not party to the arbitration thereafter and is not impacted by this decision. Knutson was contracted for approximately 3 percent of the overall scope of the construction of the Stead Family Children’s Hospital completed in 2017."

Jeff Wardon, Jr., is the assistant editor of the facilities market. 



July 16, 2025


Topic Area: Safety


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