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Public Record

Birkwood Village of Fort Madison

Nursing HomeFort Madison, IACMS 165227
54 citations on record

From CMS

Facility profile

CMS overall rating
2 / 5

*CMS Five-Star

Certified beds
80

*CMS

Avg. residents per day
63.9

*CMS

Inspection record

On record from CMS

Citations on record
54

*CMS

Inspections on file
9

*CMS

Last inspection
2026-02-18

*CMS

Citations

54 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0644Generalpotential for harm

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

  • 0657Generalpotential for harm

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

  • 0921Generalpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0354Generalpotential for harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  • 0347Generalpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

  • 0346Generalpotential for harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0232Generalpotential for harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0684Generalpotential for harm

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

  • 0726Generalpotential for harm

    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.

  • 0758Generalpotential for harm

    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.

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0812Generalpotential for harm

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

  • 0582Generalpotential for harm

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

  • 0690Seriousactual harm

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

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0658Generalpotential for harm

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

  • 0692Generalpotential for harm

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

  • 0725Generalpotential for harm

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

  • 0758Generalpotential for harm

    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.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0791Generalpotential for harm

    Provide or obtain dental services for each resident.

  • 0804Generalpotential for harm

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

  • 0810Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0881Generalpotential for harm

    Implement a program that monitors antibiotic use.

  • 0550Generalpotential for harm

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

  • 0607Generalpotential for harm

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

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0342Generalpotential for harm

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0347Generalpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0354Generalpotential for harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0921Generalpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0926Generalpotential for harm

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

  • 0660Generalpotential for harm

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

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0740Generalpotential for harm

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

  • 0684Seriousactual harm

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

  • 0677Generalpotential for harm

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

  • 0657Generalpotential for harm

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

  • 0580Generalpotential for harm

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

  • 0550Generalpotential for harm

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

  • 0812Generalpotential for harm

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

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

FAQ

Questions and answers

What is Birkwood Village of Fort Madison?
Birkwood Village of Fort Madison is a Medicare- and Medicaid-certified nursing home in Fort Madison, IA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 165227.
What is the CMS rating for Birkwood Village of Fort Madison?
Birkwood Village of Fort Madison has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Birkwood Village of Fort Madison have?
Birkwood Village of Fort Madison is certified for 80 beds. It serves an average of 63.9 residents per day.
How many citations does Birkwood Village of Fort Madison have?
Birkwood Village of Fort Madison has 54 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Birkwood Village of Fort Madison last inspected?
Birkwood Village of Fort Madison was last inspected on February 18, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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