The Madison

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The Madison

1702 41St Street, Fort Madison, IA 52627

For more information about senior living options: (844) 490-3973

3.8 from 15 reviews
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    Overall Review of The Madison

    Pros

    • pro Birkwood Village staff cared deeply for the patients and their families.
    • pro The activities for the residents are amazing.
    • pro They keep the facility adequately staffed and they are qualified.
    • pro Good service.

    Cons

    • pro Major care meetings were held on April 15 and May 29 without any notice to the family, despite assurances of involvement.
    • pro The care coordinator claimed she didn't know the family existed, contradicting prior outreach to review information and provide updates.
    • pro The care coordinator failed to follow through on promises to help find a suitable facility for transfer, providing little real assistance.
    • pro The facility did not communicate with the designated medical power of attorney about treatment or changes to care.
    • pro The grandmother missed three dialysis treatments in one week, with staff giving vague or dismissive explanations.
    • pro She was transferred by ambulance to Blessing hospital two days after discharge, with critical issues (low hemoglobin requiring transfusion, sepsis, and fluid overload) that did not arise after discharge.
    • pro Systemic failures in communication, follow-through, and basic health oversight are unacceptable.
    • pro The facility hired a person convicted of elderly abuse, and it took three months to achieve compliance.
    • pro The sprinkler system covers only the hallways, not throughout the facility.
    • pro The facility received a fine of over $36,000.
    • pro The nursing home failed to assist residents with eating/drinking, grooming, and personal and oral hygiene.
    • pro The nursing home did not maintain quarterly fire drill records for each shift under varying conditions.
    • pro The head nurse was accused of lying about a resident's brain tumor diagnosis, and multiple residents exhibited bruises with little explanation, which was disturbing.

    Review

    Birkwood Village in Fort Madison has earned praise from some families for the warmth and dedication of its staff, even as others express serious concerns about communication, oversight, and safety. One family member who watched a loved one enter skilled nursing and then hospice care described a deeply comforting experience. They emphasized that the nurses and the entire staff showed extraordinary kindness during the patient's final days, noting that every person they encountered was amazing and that it was reassuring to feel that the care was genuinely focused on both the patient and the family. That sentiment of compassionate end-of-life care stands out as a bright spot in an otherwise mixed set of impressions.

    Yet, parallel voices paint a very different picture of the facility's day-to-day operations. Carly Turcios, who spoke on behalf of a grandmother who had become a resident, recounted repeated assurances from a care coordinator that she would be included in care meetings and kept updated. She said that two major meetings - the ones on April 15 and May 29 - were held without any notice to her, despite explicit promises that she would be involved. A striking inconsistency followed: during a May 14 visit, the same care coordinator reportedly claimed she "didn't know I existed," a claim that Turcios says is simply untrue, given prior direct contact reviewing her grandmother's information and providing updates. This contradiction fed a broader sense of accountability and transparency failing to meet expectations.

    Communication and continuity about her grandmother's treatment also seemed lacking in other ways. Turcios reports that the care coordinator did not follow through on commitments to help locate a suitable facility for transfer when the time came. Multiple conversations yielded little real assistance or information, leaving the family feeling abandoned during a critical transition. Even more troubling, the designated medical power of attorney (POA) did not receive information about treatment changes or other care developments, a lapse that Turcios argues should be basic protocol in any serious care setting.

    Health management concerns added another heavy layer to the critique. Turcios describes a troubling pattern around her grandmother's dialysis - three treatments were missed in a single week. When she sought explanations during a visit, responses were described as vague or dismissive. The situation worsened after discharge plans; two days after being discharged, her grandmother was transferred by ambulance to Blessing hospital with critically low hemoglobin, sepsis, and fluid overload. Turcios notes that these issues did not begin after discharge, implying that the conditions contributing to the serious health crisis may have been present earlier and inadequately addressed. The overall impression is of a system where communication gaps intersected with health management lapses at a vulnerable moment.

    Despite these criticisms, other families share overwhelmingly positive notes about Birkwood Village. One review called the facility "the perfect fit" for their mom, highlighting around-the-clock care and the sense that she was being well looked after. They praised the activities offered to residents, describing them as amazing and expressing gratitude for the staff's commitment. Another brief testimonial simply stated that it's a wonderful home for their great aunt, with affectionate praise for the staff and the care she received. These pieces emphasize a responsive, caring environment that provides emotional comfort and meaningful engagement for residents.

    However, not all experiences align with those favorable recollections. A separate account concerning a family's father who had passed away at Birkwood raised severe red flags. The reviewer alleges that the head nurse, Mary, lied to the family, asserting that the patient had a brain tumor when, in fact, he did not. The account goes further to describe multiple patients with large facial bruises and the family's perception that staff were not providing accurate, timely information. This narrative conveys a disturbing concern about transparency, truth-telling, and the overall handling of injuries or health changes within the facility, leaving the family with lasting unease about the level of care and oversight.

    Another reviewer offered a more measured, but still critical, assessment. They granted that the staff appeared adequately staffed and that meals were fairly good, yet they flagged serious systemic concerns. They noted the hiring of someone previously convicted of elderly abuse and described it taking three months for that staff member to become compliant with expectations. Operational deficiencies were highlighted as well: a sprinkler system limited to hallways, a substantial fine levied against the facility, and assertions that residents did not receive sufficient help with eating, drinking, grooming, personal and oral hygiene. On safety protocols, the reviewer claimed the facility did not maintain records of quarterly fire drills for each shift under varying conditions, raising questions about preparedness. Taken together, these points suggest deeper issues with safety culture, staffing decisions, and compliance.

    In total, the set of experiences at Birkwood Village reflects a complex reality. Some families emphasize genuine compassion, attentive caregiving, and meaningful activities that bring comfort to residents and reassurance to loved ones. Others raise serious concerns about how information is communicated, how decisions are made, and how health and safety standards are actually implemented on a daily basis. Families deserve honesty, prompt responsiveness, and a consistent commitment to resident well-being, especially in transitions and times of high risk. It is clear that while some caregivers embody the care and empathy families seek, there are systemic gaps that must be addressed to ensure every resident receives reliable, transparent, and safe care at all times. If improvements are pursued, they should focus on improving communication with families and power of attorney, strengthening follow-through on care planning and transfers, and ensuring that safety, hygiene, and health oversight meet the highest standards across all shifts.

    Features

    Housing

    • 90 resident community capacity 90 resident community capacity

    Types of Care

    • Skilled Nursing Facility Skilled Nursing FacilitySkilled Nursing Facilities are crucial for seniors as they provide round-the-clock medical care, rehabilitation services, and assistance with daily activities. These facilities ensure that seniors receive the specialized care they need to maintain their health and well-being as they age.

    Amenities

    • Air-conditioning Air-conditioningAir conditioning is important for seniors as they are more vulnerable to heat-related illnesses and may have underlying health conditions that make it difficult for them to regulate their body temperature. It helps to keep them comfortable, safe, and healthy in hot weather.
    • Beauty salon Beauty salonBeauty salons are important for seniors because they provide a space for them to feel pampered, socialize, and maintain their personal grooming and hygiene. Regular visits to a beauty salon can help boost seniors' self-esteem and overall well-being.
    • Cable or satellite TV Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
    • Computer center Computer centerA computer center is essential for seniors as it provides access to technology, communication tools, and resources that can enhance their daily lives. It allows them to stay connected with loved ones, engage in online activities, and learn new skills, ultimately promoting socialization and mental stimulation.
    • Dining room Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
    • Fitness room Fitness roomHaving a fitness room in a senior living community is essential for seniors to stay active, maintain their physical health, and improve their overall well-being. Regular exercise can help prevent falls, reduce the risk of chronic diseases, and promote mental sharpness. It also provides social opportunities for residents to connect with others and enjoy a sense of community.
    • Fully furnished Fully furnishedFully furnished senior living communities are important for seniors because they provide convenience, comfort, and a hassle-free moving experience. Seniors can easily settle into their new living space without the stress of having to buy and move furniture. This allows them to focus on enjoying their new home and community.
    • Gaming room Gaming roomGaming rooms are important for seniors as they provide a fun and engaging environment for socializing, cognitive stimulation, and physical activity. Games can improve memory, problem-solving skills, and overall mental well-being while fostering friendships and reducing feelings of isolation.
    • Garden GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces.
    • Housekeeping services Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
    • Kitchenette KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
    • Move-in coordination Move-in coordinationMove-in coordination is important for seniors because it helps ease the transition into their new living environment. It ensures that all logistics, such as packing, organizing movers, and setting up utilities are taken care of, allowing seniors to focus on settling in and adjusting to their new home. Having a smooth move-in process can alleviate stress and anxiety, making the transition smoother and more enjoyable for seniors.
    • Outdoor space Outdoor spaceOutdoor spaces are important for seniors as they provide opportunities for physical activity, social interaction, exposure to natural light and fresh air, and a sense of connection to nature. Having access to outdoor spaces can improve overall well-being and quality of life for older adults living in senior communities.
    • Private bathrooms Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely.
    • Restaurant-style dining Restaurant-style diningRestaurant-style dining is important for seniors because it allows them to enjoy delicious, nutritious meals in a social and upscale setting. This enhances their dining experience, promotes healthy eating habits, and fosters socialization with fellow residents, ultimately contributing to their overall well-being and quality of life.
    • Small library Small librarySmall libraries are important for seniors as they provide access to a variety of reading materials, including books, newspapers, and magazines. This can help stimulate their minds, keep them engaged, and provide a sense of community through book clubs and other social activities. Additionally, reading has been shown to improve cognitive function and overall mental well-being in older adults.
    • Telephone TelephoneTelephones are important for seniors as they provide a lifeline for communication with loved ones, emergency services, and healthcare providers. They offer a sense of security and independence, enabling seniors to stay connected and access assistance when needed.
    • Wellness center Wellness centerWellness centers are important for seniors because they offer a variety of programs and services that promote physical, mental, and emotional well-being. These centers provide opportunities for exercise, socialization, education, and relaxation, helping seniors maintain their overall health and quality of life.
    • Wi-Fi/high-speed internet available Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.

    Transportation

    • Community operated transportation Community operated transportationCommunity operated transportation is crucial for seniors as it provides them with the means to access essential services, social activities, and medical appointments. It allows seniors to maintain their independence and quality of life by ensuring they can participate in activities outside of their homes. Additionally, community-operated transportation services offer a safe and reliable way for seniors to travel without having to rely on family or friends for assistance.
    • Transportation arrangement Transportation arrangementTransportation arrangements are crucial for seniors as they may face challenges with driving, mobility, or access to public transportation. Having reliable transportation services ensures that seniors can easily attend appointments, social activities, and maintain their independence and quality of life.
    • Transportation arrangement (non-medical) Transportation arrangement (non-medical)Transportation arrangements are essential for seniors as they provide access to essential services, activities, and social interactions outside the home. This service helps maintain independence, mobility, and overall well-being for seniors who may have limited transportation options.
    • Transportation to doctors appointments Transportation to doctors appointmentsTransportation to doctors appointments is crucial for seniors as it ensures they have access to necessary medical care and support, promoting their health and well-being. It allows them to receive timely treatment, monitor existing conditions, and address any new health concerns efficiently. Additionally, transportation services can help seniors maintain their independence and quality of life by enabling them to stay connected with their healthcare providers.

    Care Services

    • 12-16 hour nursing 12-16 hour nursing12-16 hour nursing care is crucial for seniors in order to ensure around-the-clock monitoring, timely medication administration, and prompt response to any health concerns or emergencies. This level of care helps to promote the overall well-being and safety of seniors living in senior living communities.
    • 24-hour call system 24-hour call system24-hour call systems are important for seniors because they provide peace of mind and immediate assistance in case of emergencies. This technology ensures that help is always available, promoting safety and security for elderly individuals living alone or in assisted living facilities.
    • 24-hour supervision 24-hour supervision24-hour supervision is important for seniors to ensure their safety, well-being, and access to immediate assistance in case of emergencies or health issues. This constant support provides peace of mind for both seniors and their loved ones, allowing them to age in place with dignity and security.
    • Activities of daily living assistance Activities of daily living assistanceActivities of daily living assistance are important for seniors because they provide essential support with tasks such as eating, bathing, dressing, and mobility. This assistance helps seniors maintain their independence, dignity, and overall quality of life as they age.
    • Assistance with bathing Assistance with bathingAssistance with bathing is crucial for seniors as it helps maintain personal hygiene, prevents infections, and ensures their overall well-being and comfort. It also provides a sense of dignity and independence for seniors who may struggle with this task on their own.
    • Assistance with dressing Assistance with dressingAssistance with dressing is important for seniors because it helps maintain their independence, promotes personal hygiene, prevents accidents and injuries, and improves overall quality of life. This service ensures that seniors can continue to dress comfortably and confidently, despite any physical limitations they may have.
    • Assistance with transfers Assistance with transfersAssistance with transfers is crucial for seniors as it helps prevent falls and injuries, maintains their independence, and ensures they can safely navigate their living environment. It also provides peace of mind for both seniors and their loved ones.
    • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
    • Meal preparation and service Meal preparation and serviceMeal preparation and service are crucial for seniors as they may have limited mobility or energy to cook nutritious meals. Having access to healthy and convenient food options can ensure they are getting the proper nutrition needed to maintain their overall health and well-being.
    • Medication management Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions.
    • Mental wellness program Mental wellness programMental wellness programs are essential for seniors as they promote cognitive stimulation, emotional support, and social engagement. These programs help prevent isolation, depression, and cognitive decline, ultimately enhancing the overall quality of life for older adults.
    • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

    Dining

    • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
    • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

    Activities

    • Community-sponsored activities Community-sponsored activitiesCommunity-sponsored activities are important for seniors as they provide opportunities for social interaction, mental stimulation, and physical activity. These activities can help improve overall well-being, combat loneliness and isolation, and promote a sense of belonging and purpose among older adults.
    • Concierge services Concierge servicesConcierge services are essential for seniors as they provide assistance with daily tasks and errands, enhance their quality of life by offering convenience and personalized care, and promote a sense of safety and security.
    • Fitness programs Fitness programsFitness programs are crucial for seniors as they help improve strength, flexibility, balance, and overall well-being. Staying active can reduce the risk of chronic diseases, improve mental health, and enhance quality of life in older adults.
    • Planned day trips Planned day tripsPlanned day trips are important for seniors because they offer opportunities for socialization, mental stimulation, and physical activity. They provide a change of scenery and help seniors stay engaged and connected to their community, promoting overall well-being and quality of life.
    • Resident-run activities Resident-run activitiesResident-run activities are important for seniors as they encourage social interaction, creativity, and a sense of autonomy. These activities empower seniors to stay engaged and active in their community while fostering meaningful connections with their peers.
    • Scheduled daily activities Scheduled daily activitiesScheduled daily activities are important for seniors because they provide structure, socialization, mental stimulation, and physical activity. Engaging in regular activities can improve overall well-being and quality of life for seniors living in a community setting.

    Description

    The Madison in Fort Madison, IA is a premier assisted living community that offers a wide range of amenities and care services to provide a comfortable and fulfilling lifestyle for its residents. The community features a beauty salon, where residents can enjoy pampering services, and a fully furnished living space equipped with cable or satellite TV for entertainment.

    Transportation is readily available through community operated transportation and transportation arrangement services, ensuring that residents can easily access local amenities and appointments. For those who prefer to stay active, there is a fitness room and outdoor space for exercise, as well as planned day trips and resident-run activities for social engagement.

    Residents can enjoy delicious meals in the restaurant-style dining room, with special dietary restrictions catered for. Housekeeping services are provided to maintain cleanliness and ensure a comfortable living environment.

    Care services at The Madison include 24-hour call system and supervision for peace of mind, assistance with daily activities such as bathing, dressing, and transfers, medication management, and help with managing diabetes diet. There is also a mental wellness program to support residents' emotional well-being.

    For convenience, there is a computer center with Wi-Fi/high-speed internet access available. A small library provides opportunities for reading and learning. Move-in coordination services are provided to ease the transition for new residents.

    Nearby the community are various amenities including cafes, parks, pharmacies, physicians' offices, restaurants, places of worship, transportation options, and hospitals. This ensures that residents have easy access to all their needs within close proximity.

    With its comprehensive amenities and care services, The Madison in Fort Madison provides a supportive environment where seniors can thrive and enjoy an active lifestyle while receiving the assistance they need.

    Nearby Places of Interest

    Hospitals

    • Fort Madison Health Center (0 miles)
    • Southeast Renal Dialysis (0.5 miles)
    • Rivers Cities Ophthalmology Center (0.7 miles)
    • Fort Madison Community Hospital (1 miles)
    • FMCH Laboratory (1.1 miles)

    Places of Worship

    • Southern Baptist Convention (0.3 miles)
    • Fort Madison Christian Church (0.6 miles)
    • Second Baptist Church (0.7 miles)
    • Santa Fe United Methodist Church (1 miles)
    • NewHope-Ministries (1 miles)
    • Victory Faith Community Church (1 miles)
    • Sacred Heart Catholic Church (1.5 miles)

    Restaurants

    • Vel's Amigo's (0.4 miles)
    • Burger King (0.5 miles)
    • Eagles Club Fort Madison (0.6 miles)
    • McDonald's (0.6 miles)
    • Fort Colony Family Diner (0.8 miles)
    • Vinnies Santa Fe Tap (1.2 miles)
    • Wing Street (1.4 miles)

    Transportation

    • Enterprise Rent-A-Car (0.8 miles)
    • Fort Madison Station (1.4 miles)
    • Bnsf Railway Co. (1.7 miles)
    • Keokuk Municipal Airport (EOK) (11.4 miles)
    • U-Haul Neighborhood Dealer (14.4 miles)

    Physicians

    • Ordona, Truce Dr - Fort Madison Physicians and Surgeons (0.9 miles)
    • Concha Audiology PLC (2 miles)
    • Memorial Medical Nauvoo Clinic (5.1 miles)
    • Tri State Medical Group (14.8 miles)

    Pharmacies

    • Walgreens (1.2 miles)
    • Rashid Pharmacy PLC (1.4 miles)
    • Rashid Health Mart (1.4 miles)
    • MidWest Respiratory & Rehab (1.4 miles)
    • Nauvoo Pharmacy (5.1 miles)
    • Walmart Pharmacy (14.3 miles)

    Cafes

    • Cottage Cafe (1.4 miles)
    • Grandpa John's Cafe (5.1 miles)
    • The Apron Bake Shoppe and Cafe (5.1 miles)
    • Java River Cafe & Bakery (14.6 miles)

    Parks

    • Settlers Park (2.8 miles)
    • Rodeo Park (3.3 miles)
    • Nauvoo State Park (5.2 miles)
    • Pollmiller Park (8 miles)
    • West Point Square (8 miles)
    • Railroad Park (10.5 miles)
    • Geode State Park (14 miles)

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