Elder Concerns, L.C. is a private practice of geriatric care agency located in Des Moines, IA which has provided social work case management of Iowa seniors for over 28 years.  Elder Concerns, L.C. is owned an operated by a single individual, Mary Alice Butler, a master’s level licensed social worker who has dedicated her life to making life better for Iowa seniors.  She employs a master’s level social worker, Pamela Nelson-Grotrian who has worked with our clients for a quarter of a century. Karina Johnson, a bachelor's level social worker, joined us in 2019.

Meet Our Team


Mary Alice Butler, MSW, LISW

Master of Social Work and
    Aging Studies Certificate,
    University of Iowa, 1989

Licensed Independent Social Worker,     

    State of Iowa, 1993- ongoing

Advanced Social Work Case Manager    

    Certificate, NASW, 2007- ongoing

Owner/Manager and Care Advocate,      

    Elder Concerns, L.C., 1993- ongoing

Member NASW 1993- ongoing

Member Aging Life Care 1998- ongoing


Pamela Nelson-Grotrian, MSW, LISW

Master of Social Work 
    University of Minnesota, 1993

Licensed Independent Social Worker,             State of Iowa, 1998- ongoing

Care Advocate, Elder Concerns, L.C., 

    1996-2010, 2012- ongoing


Karina Johnson, BSW

Bachelor of Social Work

      Grand View University, 2020

Care Advocate, Elder Concerns, L.C.,

       2019- ongoing

Member NASW 2020- ongoing