Occupancy rate
69%
In line with Iowa averageMostly 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
Assisted Living in Fort Madison
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Birkwood Village of Fort Madison
Assisted Living in Fort Madison
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 122nd out of 240 homes in Iowa.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 122nd out of 240 homes in Iowa.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 14m per day
vs Iowa avg
-4%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
42
Avg. Length of Stay
179 days
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
Privately-owned community
Operated by a business corporation.
Home revenue
$9.1M
Operating loss
-$85.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$9.1M
Operating loss
-$85.7K
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
In line with Iowa averageOccupied beds
29 / 42
Average residents
51 per day
Facility TypeAssisted Living Programs
StatusActive
IssuanceNovember 28, 2023
CountyLee
License NumberS0480
CMS Certification Number165227
Birkwood Village of Fort Madison is administrated by Brenda Graham.
Owner NameNo Related Entities Found
Safety Features24/7 staff for security.
Rehabilitation Services
Respite Care
Short-Term Rehab
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Memory Support
Skilled Nursing & Rehabilitation
Ventilator Care
Email
[email protected]
Fax3193728163
Security
Community Spaces & Activities
Dining Experience
Technology
Access To Health Care Services
ActivitiesEngaging and fun schedule of activities developed by a full-time Recreation Program Director.
Specific ProgramsMemory Support, Skilled Nursing & Rehabilitation, Ventilator Care, Respite Care, Activity Calendars, Amenities, Floor Plans, Resources, About, Careers, Contact
Food DescriptionDining 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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
August 12, 2025
39 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Birkwood Village of Fort Madison
The most recent inspection on August 12, 2025, found no deficiencies during a complaint investigation of the assisted living program. Earlier inspections included a May 9, 2024, initial certification visit where inspectors cited deficiencies related to failure to administer prescribed treatments and medications for several tenants. No fines, enforcement actions, or license issues were listed in the available reports. The complaint investigation in 2025 was unsubstantiated, with no regulatory insufficiencies noted. This suggests improvement since the initial certification inspection.
Health Inspection History
Inspections
Total health inspections
5
Iowa average 4.9
Last Health inspection on Apr 2025
Total health citations
31
Iowa average 21.7
Citations per inspection
6.2
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 31 citations resulted from standard inspections; 2 of 31 resulted from complaint investigations; and 10 of 31 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
0 critical citations
2 serious citations
29 moderate citations
0 minor citations
Citations history (last 3 years)
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 24, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 24, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 24, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 24, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 24, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 24, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 24, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 24, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Fort Madison The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Birkwood Village of Fort Madison |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Madison | 116 | No | - | - | 2 | 69.0% | - | 2 | 5 | 0 |
| The Kensington in Fort Madison |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fort Madison | 91 | No | 61 | - | 7 | 44.0% | - | 6 | 2 | 1 |
| River Valley Place of Fort Madison |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Madison | 70 | No | - | - | 17 | 37.1% | - | 20 | 13 | 0 |
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
Financial Assistance for
Assisted Living in Iowa
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Places of interest near Birkwood Village of Fort Madison
144.8 miles from city center
Estimated distance in miles from Fort Madison's city center to Birkwood Village of Fort Madison's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
142
Employees
91
Contractors
51
Staff to resident ratio
2.54:1
27% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
42
Average shift
7.6 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
29,088
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
74
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
9.1%
2,650 contractor hours this quarter
Certified Nursing Assistant: 27
Registered Nurse: 11
Licensed Practical Nurse: 9
Administrator: 1
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
74 Certified Nursing Assistant
% of Days
100%
23 Licensed Practical Nurse
% of Days
100%
5 Qualified Activities Professional
% of Days
100%
18 Registered Nurse
% of Days
100%
2 Clinical Nurse Specialist
% of Days
77%
1 Other Dietary Services Staff
% of Days
67%
1 Administrator
% of Days
67%
1 Nurse Practitioner
% of Days
65%
2 Speech Language Pathologist
% of Days
52%
5 Medication Aide/Technician
% of Days
51%
2 Physical Therapy Assistant
% of Days
34%
2 Respiratory Therapy Technician
% of Days
35%
1 Occupational Therapy Aide
% of Days
52%
1 Qualified Social Worker
% of Days
18%
2 Physical Therapy Aide
% of Days
30%
1 Medical Director
% of Days
20%
1 Occupational Therapy Assistant
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56
Medicare
5
8.9% of residents
Medicaid
38
67.9% of residents
Private pay or other
13
23.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.9
36% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.0
11% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
20.6%
Percent of long-stay residents whose need for help with daily activities has increased
20.6%
9% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
31.0%
Percent of long-stay residents whose ability to move independently worsened
31.0%
57% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.3%
23% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
58% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.9%
Percent of long-stay high risk residents with pressure ulcers
10.9%
150% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.1%
Percent of long-stay residents with a urinary tract infection
2.1%
17% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.6%
Percent of long-stay residents who lose too much weight
5.6%
12% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.2%
Percent of long-stay residents who have depressive symptoms
2.2%
43% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.8%
Percent of long-stay residents who received an antipsychotic medication
6.8%
64% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.6%
9% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
21% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
66% lower than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$16K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
$3K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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
-$85.7K
↓ ~$604.7K vs 2022
Total Payroll
$4.8M
↓ ~$120.4K vs 2022
Profit Margin
-0.9%
↓ 6.6pp vs 2022
Loading trend charts...
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