PlainNursing
CMS Nursing Home Compare · March 2026

Birkwood Village of Fort Madison

Birkwood Village of Fort Madison is a for profit - limited liability company facility in Fort Madison, IA with 80 certified beds and a 2-star overall CMS rating. The inspection file holds 31 deficiency records. Total penalties: $3K.

1702 41st Street, Fort Madison, IA 52627

Phone: 3193728021

Overall CMS Rating

2/5

vs 3.0 national avg

The verdict

Birkwood Village of Fort Madison holds a 2-star CMS overall rating — below the 3.0-star national average, with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall rating (nat'l avg 3.0)
4.48
Nursing hrs/resident-day (nat'l 3.89)
31
Inspection findings on file · 2 serious
$3K
Federal penalties (1)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

2/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
165227
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
80
Residents
61
In Hospital
No
County
Lee
Last Inspection
Apr 24, 2025

Staffing Data

RN Hours
0.60 (nat'l avg: 0.68)
LPN Hours
1.09
CNA Hours
2.79
Total Nursing Hours
4.48 (nat'l avg: 3.89)
PT Hours
0.09
Nursing Turnover
43.1%
RN Turnover
36.4%

What the CMS Record Reveals About Birkwood Village of Fort Madison

Birkwood Village of Fort Madison operates 80 certified beds in Fort Madison, IA with approximately 61 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 31 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $3K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.48 total nursing hours per resident day (national average 3.89), with RN coverage at 0.60 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Birkwood Village of Fort Madison falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 43.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (31 most recent)

E — Pattern - Minimal harm Apr 24, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 24, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 24, 2025 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 24, 2025 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 24, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 24, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 24, 2025 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 24, 2025 Tag: 0582

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

Category: Resident Rights Deficiencies

Corrected: May 16, 2025

G — Isolated - Actual harm Oct 30, 2024 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 12, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Jul 20, 2024

E — Pattern - Minimal harm Jun 20, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0810

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 20, 2024

E — Pattern - Minimal harm Jun 20, 2024 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jan 22, 2024 Tag: 0660

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 23, 2024

E — Pattern - Minimal harm Mar 14, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Mar 14, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 27, 2023

E — Pattern - Minimal harm Mar 14, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Mar 14, 2023 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2023

G — Isolated - Actual harm Mar 14, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Mar 14, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Mar 14, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Mar 14, 2023 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Mar 14, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 27, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 88.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 27.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 88.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 9.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.2% Yes

Penalty History 1 penalties totaling $3K

Date Type Amount
Sep 5, 2023 Fine $3K
Mar 14, 2023 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for Birkwood Village of Fort Madison?
Birkwood Village of Fort Madison has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Birkwood Village of Fort Madison?
Birkwood Village of Fort Madison reports 4.48 total nursing hours per resident day (national average: 3.89). RN hours are 0.60 per resident day (national average: 0.68). Nursing staff turnover is 43.1%.
How many beds does Birkwood Village of Fort Madison have?
Birkwood Village of Fort Madison has 80 certified beds with approximately 61 residents. The facility is located at 1702 41st Street, Fort Madison, IA 52627.
Does Birkwood Village of Fort Madison have any deficiencies on record?
Yes, Birkwood Village of Fort Madison has 31 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Birkwood Village of Fort Madison received any fines or penalties?
Yes, Birkwood Village of Fort Madison has received 1 penalties totaling $3K.
Who owns Birkwood Village of Fort Madison?
Birkwood Village of Fort Madison is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Birkwood Village of Fort Madison last inspected?
The most recent health inspection for Birkwood Village of Fort Madison was on Apr 24, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Birkwood Village of Fort Madison?
Birkwood Village of Fort Madison is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.