Birkwood Village of Fort Madison

1702 41st Street · Fort Madison, IA · 52627 · 3193728021

80 certified beds For profit - Limited Liability company Part of a CCRC

  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 67
Serious harm & abuse 20% 94
Staffing 20% 72
Federal penalties 15% 81
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.103.48 min · 4.1 strong
RN hours / resident-day0.560.55–0.75
Weekend hours / resident-day3.45≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)1 · $3,145

Inspection citations (25 in the current record)

  • Potential for harm · D April 16, 2026

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected April 17, 2026 · Resident Rights

  • Potential for harm · E April 16, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 17, 2026 · Nutrition and Dietary

  • Potential for harm · D February 18, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 13, 2026 · Infection Control

  • Potential for harm · D April 24, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected May 16, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D April 24, 2025

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected May 16, 2025 · Nursing and Physician Services

  • Potential for harm · D April 24, 2025

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected May 16, 2025 · Pharmacy Service

  • Potential for harm · D April 24, 2025

    Ensure that residents are free from significant medication errors.

    Corrected May 16, 2025 · Pharmacy Service

  • Potential for harm · E April 24, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 16, 2025 · Nutrition and Dietary

  • Actual harm · G October 30, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected November 12, 2024 · Quality of Life and Care

  • Potential for harm · D June 20, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 20, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 20, 2024 · Quality of Life and Care

  • Potential for harm · D June 20, 2024

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected July 20, 2024 · Nursing and Physician Services

  • Potential for harm · D June 20, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected July 20, 2024 · Pharmacy Service

  • Potential for harm · D June 20, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 20, 2024 · Pharmacy Service

  • Potential for harm · D June 20, 2024

    Provide or obtain dental services for each resident.

    Corrected July 20, 2024 · Quality of Life and Care

  • Potential for harm · E June 20, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected July 20, 2024 · Nutrition and Dietary

  • Potential for harm · D June 20, 2024

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected July 20, 2024 · Nutrition and Dietary

  • Potential for harm · E June 20, 2024

    Provide and implement an infection prevention and control program.

    Corrected July 20, 2024 · Infection Control

  • Potential for harm · D June 20, 2024

    Implement a program that monitors antibiotic use.

    Corrected July 20, 2024 · Infection Control

  • Potential for harm · D June 20, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 20, 2024 · Resident Rights

  • Potential for harm · D June 20, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected July 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 22, 2024 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected January 23, 2024 · Resident Assessment and Care Planning

Federal penalties

DateTypeAmount / length
September 5, 2023Fine$3,145

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165227 · certified since August 20, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.