The Madison
Save1702 41St Street, Fort Madison, IA 52627
For more information about senior living options: (844) 490-3973
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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.
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.
The Madison is located at 1702 41St Street, Fort Madison, IA 52627 in Lee County, Iowa
The Madison on seniors.fyi includes 5 photos including images showing interior, decor, dining, windows, lighting, living room, outdoors, building, and more.
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