Show Inspection Reports
Total Health inspections
5
Near Iowa average
Iowa average:
4.9
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Birkwood Village of Fort Madison
Birkwood Village of Fort Madison is an Assisted Living Home in Iowa
Birkwood Village of Fort… is an Assisted Living Home in Iowa
Birkwood Village of Fort Madison
Birkwood Village of Fort Madison is an Assisted Living Home in Iowa
Birkwood Village of Fort… is an Assisted Living Home in Iowa
Birkwood Village of Fort Madison offers a range of lifestyle choices including independent living, assisted living, memory support, long-term care, skilled nursing, rehabilitation, ventilator care, and respite care. The community focuses on the physical and emotional well-being of its residents, ensuring a warm and welcoming environment. Residents can enjoy a variety of activities and amenities designed to enhance their quality of life.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
42
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.5%
Residents per day (avg)
59
Occupancy rate
70.5%
Residents per day (avg)
59
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
83% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
6% of new residents, often for short stays.
Typical stay
2 years
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Proprietary home
Corporation
Home revenue
$9.1M
Operating loss
-$85.7K
Proprietary home
Corporation
Home revenue
$9,138,459.00
Operating loss
$-85,684.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.2M
42-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
2 years in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy Rate
69%
Occupied Beds
29 of 42
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Assisted Living Programs
License Date
November 28, 2023
Additional licensing details
License number:
S0480
CMS Certification Number:
165227
County:
Lee
Ownership & operating entity
Birkwood Village of Fort Madison is administrated by Brenda Graham.
Owner name:
No Related Entities Found
Safety & Compliance
Safety Features:
24/7 staff for security.
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
3193728163
Amenities & Lifestyle
Programs & Activities
Activities
Engaging and fun schedule of activities developed by a full-time Recreation Program Director.
Specific Programs
Independent Living, Assisted Living, Memory Support, Long-Term Care, Skilled Nursing & Rehabilitation, Ventilator Care, Respite Care, Activity Calendars, Amenities, Floor Plans, Resources, About, Careers, Contact
Dining & Nutrition
Food Description
Dining experience includes made-to-order breakfast, lunch, and dinner menus with alternate options.
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
2 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:August 12, 2025
1 deficiency
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Assisted Living around Fort Madison
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Birkwood Village of Fort Madison
+10%
-1%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 52627
116
No
-
HOLTKAMP, MARK
70.5%
$9,136,961.00
$3,604,700.00
39.5%
59.20
4.2379
2
31
2
+10%-1%-7%
The Kensington in Fort Madison
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Fort Madison
91
No
61
-
-
-
-
-
-
-
-
-
-
-
-
Birkwood Village of Fort Madison
Type of care:
SNF
AL
Community:
IA 52627
Bed Count:
116
Pets Allowed:
No
Operator:
HOLTKAMP, MARK
CCN:
165227
Occupancy:
70.5%
Home Revenue:
$9,136,961.00
Payroll Costs:
$3,604,700.00
Payroll %:
39.5%
Avg Residents/Day:
59.20
Overall Rating:
Adj Nurse Hours:
4.2379
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
31
Severe Citations:
2
RN share vs State Avg:
+10%
+10%
Staffing vs State Avg:
-1%
-1%
Occupancy vs State Avg:
-7%
-7%Living Spaces & Floor Plans
Studio Floor Plan
1 Bedroom Standard Floor Plan
1 Bedroom Standard Plus Floor Plan
1 Bedroom Deluxe Floor Plan
1 Bedroom Moderate Floor Plan
1 Bedroom Moderate Deluxe Floor Plan
1 Bedroom Select Floor Plan
2 Bedroom Floor Plan
2 Bedroom Deluxe Floor Plan
Memory Care Studio Floor Plan
Memory Care Studio Plus Floor Plan
Memory Care Studio Select Floor Plan
Places of interest near Birkwood Village of Fort Madison
144.8 miles from city center
Fort Madison, IA 52627
Calculate Travel Distance to Birkwood Village of Fort Madison
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
142
Total Staff
91
Employees
51
Contractors
29,088
Total Hours (Quarter)
42
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 8 | Yes |
| Licensed Practical Nurse | 23 | 9.5 | Yes |
| Certified Nursing Assistant | 74 | 7.1 | Yes |
Staff by Category
Administration ⓘ
2 staff
6.6hs shift avg
Nursing Staff ⓘ
120 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
3 staff
8.1hs shift avg
Therapy Services ⓘ
10 staff
5.3hs shift avg
Activities & Recreation ⓘ
5 staff
9.8hs shift avg
Social Services ⓘ
1 staff
6.8hs shift avg
Dietary Services ⓘ
1 staff
8.1hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
9.1%
of total hours from contractors
2,650 contractor hours this quarter
Licensed Practical Nurse: 9
Registered Nurse: 11
Certified Nursing Assistant: 27
Administrator: 1
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 47 | 27 | 74 | 15,125 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 14 | 9 | 23 | 6,515 | 91 | 100% | 9.5 |
| Qualified Activities Professional | 5 | 0 | 5 | 1,771 | 91 | 100% | 9.8 |
| Registered Nurse | 7 | 11 | 18 | 1,664 | 91 | 100% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,065 | 70 | 77% | 8.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 493 | 61 | 67% | 8.1 |
| Administrator | 0 | 1 | 1 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 348 | 47 | 52% | 7.1 |
| Medication Aide/Technician | 5 | 0 | 5 | 317 | 46 | 51% | 6.2 |
| Physical Therapy Assistant | 2 | 0 | 2 | 227 | 31 | 34% | 7.1 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 198 | 32 | 35% | 5.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 161 | 47 | 52% | 3.4 |
| Qualified Social Worker | 1 | 0 | 1 | 108 | 16 | 18% | 6.8 |
| Physical Therapy Aide | 2 | 0 | 2 | 83 | 27 | 30% | 2.9 |
| Medical Director | 0 | 1 | 1 | 30 | 18 | 20% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 5 | 5% | 4.5 |
Health Inspection History
Total Health citations
31
43% above Iowa average
Iowa average:
21.7
6.2 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
29 citations
Complaint investigations
12 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
2
122% above Iowa average
Iowa average:
0.9
Moderate Health citations
29
Minor Health citations
0
Citations history (last 3 years)
Nursing Services moderate citation
Apr 24, 2025
Corrected
Nutrition moderate citation
Apr 24, 2025
Corrected
Pharmacy moderate citation
Apr 24, 2025
Corrected
Pharmacy moderate citation
Apr 24, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
56
Total Residents
Medicare
5
(8.9%)
ⓘ
Medicaid
38
(67.9%)
ⓘ
Private Pay/Other
13
(23.2%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
13.9
36% worse than Iowa average
Iowa average:
10.2
Functional decline score
24.0
11% worse than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
20.6%
9% above Iowa average.
Walking Ability Worsened
31.0%
57% above Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.3%
23% below Iowa average.
Safety & clinical stability
Falls with Major Injury
1.5%
58% below Iowa average.
High Risk Residents with Pressure Ulcers
10.9%
150% above Iowa average.
Urinary Tract Infection
2.1%
17% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
2.2%
43% below Iowa average.
Antipsychotic Use
6.8%
64% below Iowa average.
Preventive care
Pneumococcal Vaccine
99.0%
5% above Iowa average.
Influenza Vaccine
98.2%
3% above Iowa average.
Nutrition & physical health
Lost Too Much Weight
5.6%
12% above Iowa average.Short-stay resident measures
Pneumococcal Vaccine
92.6%
9% better than Iowa average
Antipsychotic medication increase
0.0%
100% better than Iowa average
Influenza Vaccine
88.9%
21% better than Iowa average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$16K
This home paid 66% less in fines than the state average.
Iowa average:
$48K
Number of Fines
2
This home received 18% more fines than the state average.
Iowa average:
1.7
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Iowa average:
0.5
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Sep 5, 2023
$3K
Civil Money Penalty
Mar 14, 2023
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Birkwood Village of Fort Madison based on CMS SNF Cost Reports.
Occupancy Rate
70.5%
↓ 7.5pp vs 2022
Net Income
-$85,684
↓ ~$605K vs 2022
Total Payroll
$4,760,904
↓ ~$120K vs 2022
Profit Margin
-0.9%
↓ 6.6pp vs 2022
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