Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (83% of admissions), and a typical Medicare stay runs around 25 days.
Birkwood Village of Fort Madison offers a continuous care setup covering independent living, assisted living, and skilled nursing at 1701 41st Street in Fort Madison, Iowa. Mark Holtkamp privately owns the 42-bed campus, which operates under the direction of administrator Brenda Graham. The facility currently sits at a 69 percent occupancy rate and accepts payment via private accounts, Medicare, and state Medicaid. Stays here average about 179 days, which splits the daily routine between short-term physical therapy and permanent clinical housing.
Residents receive a daily average of 4 hours and 14 minutes of direct nursing attention, including 33 minutes from registered nurses. A full-time recreation director designs activities, and the kitchen provides made-to-order menus for all three meals. The building features studio, one-bedroom, and two-bedroom options, alongside dedicated memory care spaces for people with cognitive decline. The rural neighborhood has a walk score of 29, meaning you will need a car for most errands and family visits.
State inspections over the two years since opening have highlighted a few areas for improvement, specifically noting procedural issues with care plans, staffing levels, infection control, and medication management. The facility’s management reviews these reports to retrain employees and update floor practices.
Interested individuals can call the main office to find out about room openings, ask about the made-to-order dining options, or set up a time to see the apartments. The front desk can also cross-reference insurance details to outline how public programs or personal funding cover the monthly rates.
Birkwood Village of Fort Madison is administered by Brenda Graham.
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.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
| 39 | 27 | This facility has 44% more total deficiencies than a typical Iowa assisted living residence (39 vs. IA avg 27).↑ 44% worse |
|
Deficiencies per year
| 13 | 9 | This facility has 44% more deficiencies per year than a typical Iowa assisted living residence (13 vs. IA avg 9).↑ 44% worse |
|
Deficiencies per inspection
| 19.5 | 1.8 | This facility has 983% more deficiencies per inspection than a typical Iowa assisted living residence (19.5 vs. IA avg 1.8).↑ 983% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
| 2 | 15 | This facility has 87% fewer total inspections than a typical Iowa assisted living residence (2 vs. IA avg 15).↓ 87% better |
Iowa average 4.9
Last Health inspection on Apr 2025
Iowa average 21.7
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).
Iowa average: 0.6
Iowa average: 0.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
3,681 contractor hours this quarter
| Certified Nursing Assistant | 47 | 27 | 74 | 14,554 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 13 | 6 | 19 | 5,670 | 92 | 100% | 9.5 |
| Registered Nurse | 5 | 12 | 17 | 2,088 | 90 | 98% | 8.3 |
| Qualified Activities Professional | 4 | 0 | 4 | 1,831 | 92 | 100% | 9.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 980 | 78 | 85% | 7.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 724 | 63 | 68% | 6.6 |
| Medication Aide/Technician | 6 | 0 | 6 | 611 | 69 | 75% | 5.9 |
| Speech Language Pathologist | 3 | 0 | 3 | 559 | 68 | 74% | 6.1 |
| Administrator | 1 | 1 | 2 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 510 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 400 | 60 | 65% | 6.7 |
| Qualified Social Worker | 2 | 0 | 2 | 355 | 57 | 62% | 6.2 |
| Nurse Practitioner | 2 | 0 | 2 | 200 | 25 | 27% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 113 | 29 | 32% | 3.9 |
| Physical Therapy Aide | 2 | 0 | 2 | 76 | 22 | 24% | 3.2 |
| Medical Director | 0 | 1 | 1 | 30 | 18 | 20% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 4 | 4% | 6 |
Includes penalties issued in 2023
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 5, 2023 · $3K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
83% of new residents, usually for short-term rehab.
6% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Birkwood Village of Fort Madison from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (83% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.1 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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Birkwood Village of Fort Madison is located in Fort Madison, Iowa.
Here are the financial assistance programs available to residents in Iowa.
According to IA state health department records, Birkwood Village of Fort Madison's license number is S0480.
According to IA state health department records, Birkwood Village of Fort Madison's license expires on November 28, 2027.
Birkwood Village of Fort Madison's occupancy is 69%.
Yes — see the floorplan options available at Birkwood Village of Fort Madison on this page.
The team at Birkwood Village of Fort Madison can be reached at bgraham@birkwoodvillage-fortmadison.com.
Birkwood Village of Fort Madison is registered as a for-profit in IA.
Brenda Graham is the administrator of Birkwood Village of Fort Madison.
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