The Kensington – Fort Madison

    2210 Ave H, Fort Madison, IA 52627
    • Assisted Living
    • Memory Care

    Compassionate, attentive staff and community

    I've been very happy here - after almost four years my loved one receives compassionate, family-like care from attentive, knowledgeable staff. The community is clean, welcoming and homey with great food, lots of activities and useful amenities, and communication for families far away is excellent. Staff consistently go above and beyond; I'm grateful and would recommend this place.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Internet
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.33·(40)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.5
    • Staff

      4.6
    • Meals

      4.3
    • Amenities

      4.3
    • Value

      1.0

    Pros

    • Compassionate, attentive direct-care staff
    • Individualized care with frequent check-ins and smiles
    • Named staff members praised for dedication (e.g., Crystal, Chelsea, Bobby, Adrian, Renee, Shandra)
    • Strong memory care expertise and tenured staff
    • Sense of family, belonging, and kinship among residents and staff
    • Clean, well-kept facility and pleasant common areas
    • Hotel-like, vintage decor and attractive public spaces
    • Safe environment with secure walkout deck on memory care floor
    • Physical therapy and speech therapy available onsite
    • Family dining option for spouses and visitors
    • Rooms/apartments that open to residents and feel homelike
    • Active, varied activities program (crafts, baking, exercise, rides, bingo)
    • Social outings and memory care outings offered
    • Inclusive social clubs (e.g., card clubs that include non-residents)
    • Amenities such as hair salon, library, community rooms, fireplace gathering area
    • High-quality food and home-delivered meals; specific dishes praised
    • Small touches enhancing quality of life (ice cream machine, rides to church)
    • Frequent family updates, communication, and peace of mind for families
    • COVID safety measures observed
    • Long-term resident satisfaction and many strong recommendations

    Cons

    • Desire for more outings and engagement for residents with mild dementia
    • Perceived lack of interaction during some group times or activities
    • No dedicated garden or garden room for plant care and meaningful engagement
    • Theft incident involving a missing wallet and imperfect handling of valuables
    • Concerns about responsiveness and accountability from nursing leadership
    • Defensive or accusatory behavior from some marketing/administrative staff
    • Promises of staff training or policy changes not always clearly followed through
    • Some turnover or recent staff changes affecting consistency
    • Limited diabetic-specific meal accommodations
    • Occasional concerns with business office/leadership transparency and policies

    Summary of reviews

    Overall sentiment across the reviews is strongly positive, with frequent and consistent praise for the quality of direct care, the compassion of staff, and the homelike atmosphere. Reviewers repeatedly highlight that caregivers go above and beyond, providing individualized attention, frequent check-ins, and an overall caring presence that makes residents and families feel safe and valued. Multiple named staff members are singled out for exceptional dedication, and there is a recurring theme of long-tenured employees and memory care expertise that reassures families, particularly those needing specialized dementia care.

    Care quality and staffing: The reviews emphasize skilled, compassionate nursing and support personnel who create a family-like environment. Many reviewers reported that staff treated residents like family, were respectful and patient, and provided clear communication and frequent family updates that gave relatives peace of mind—especially important for families who live far away. There is optimism noted about staffing growth and many references to tenured staff, which supports continuity of care. That said, some concerns were raised about leadership responsiveness and business-office/administrative behavior when issues arise, which can undermine trust despite strong frontline performance.

    Facilities and amenities: The Kensington is consistently described as clean, well-kept, and pleasant, with an attractive vintage, hotel-like decor and comfortable common areas. Specific amenities that receive praise include a secure walkout deck on the memory care floor, a community room with fireplace and TV, hair salon, library, and other well-maintained spaces. Suites and apartments are described as lovely and homelike; however, reviewers note that apartments are simple rather than luxurious. On the whole, reviewers appreciate the environment and say it contributes positively to residents' quality of life.

    Activities and social life: The activity program is a clear strength. Reviews list a wide variety of offerings—crafts, baking, exercise classes, rides (including to church), bingo, outings, reading programs, and social clubs. Small features like an ice cream machine and inclusive card clubs that welcome non-residents were specifically mentioned as community-building touches. Several reviewers would like to see more targeted engagement for residents with mild dementia and increased interaction during some group times, indicating room to tailor programming for varying cognitive levels and social needs. There is also a desire for more frequent outings for certain resident groups.

    Dining and therapy services: Dining receives generally favorable comments—food quality is praised and some dishes are highlighted positively. The facility offers family dining options and home-delivered meals, which reviewers valued. On the downside, a few families noted that meal plans did not fully accommodate a complete diabetic diet, suggesting dietary accommodations could be improved or more clearly communicated. Clinical supports such as physical therapy and speech therapy available onsite were appreciated as part of a comprehensive care offering.

    Management, safety, and transparency concerns: While frontline staff are widely endorsed, a few critical incidents and patterns deserve attention. The most notable concern was a theft incident—specifically a missing wallet with a modest sum—that exposed weaknesses in how valuables were secured and how leadership handled accountability. Reviewers said staff were aware of the risk to valuables but the facility was initially unable to secure them; communication around the incident and leadership responsiveness was criticized, and marketing or administrative staff were described as defensive or accusatory in at least one case. Although reimbursement was ultimately made in that instance, families expressed a need for clearer policies, better transparency, and stronger administrative accountability. There were also mentions of staff changes or turnover in some areas, and promises of training or policy adjustments that reviewers wanted to see implemented more consistently.

    Opportunities and recommendations: The most actionable opportunities from the reviews include expanding meaningful engagement for residents with mild dementia (more tailored group interactions and additional outings), creating a garden or garden room to enable plant care and therapeutic activities, improving diabetic meal accommodations, and strengthening policies and transparency around valuables, incident reporting, and leadership follow-through. Reinforcing training and communication for administrative and marketing teams could also help preserve the strong reputation built by caregiving staff.

    Conclusion: In summary, The Kensington is highly regarded by many families and residents for its compassionate, individualized care; welcoming, homelike environment; robust activities program; and well-kept facilities. The dominant themes are positive: devoted staff, strong memory care competencies, and a community atmosphere that makes residents feel at home. Areas to address center on administrative responsiveness, policy transparency, security of personal items, and tailoring activities and dining to specific clinical needs. If leadership addresses these concerns while preserving the evident strengths of frontline caregiving and community life, The Kensington’s overall high level of family satisfaction and strong reputation are likely to continue.

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    Location

    Map showing location of The Kensington – Fort Madison

    The Kensington – Fort Madison is located at 2210 Ave H, Fort Madison, IA, 52627.

    About The Kensington – Fort Madison

    The Kensington At Fort Madison is a longstanding and cherished assisted living community, carrying forward more than a century of tradition in care. Originally established as Sacred Heart Hospital and later transitioning to Fort Madison Community Hospital, it became The Kensington in 1988, introducing the area's first assisted living community. Centrally located in Fort Madison, the community is set in a convenient area just minutes away from shopping, libraries, medical services, banks, and restaurants, making it easy for residents to enjoy the surrounding city.

    Residents at The Kensington At Fort Madison benefit from a wide range of services, including both assisted living and specialized memory care. The atmosphere is designed to be warm, inviting, and supportive, helping individuals lead more fulfilling lives. Communal spaces such as beautifully appointed living rooms and a popular ice cream corner provide opportunities for socialization and enjoyment. Special features like a large aquarium and active bird feeders in the scenic courtyard offer daily moments of engagement, relaxation, and connection to nature.

    Dining at The Kensington is a highlight, with delicious, home-cooked meals served daily, ensuring both nutrition and comfort. Residents also enjoy free transportation, supporting independence and ease when attending appointments or running errands. Activities and engagement are central to life here, as residents are offered ample opportunities to join in fun, meaningful programming.

    Signature initiatives such as the List for Living bucket list program and the Seasons Curriculum, a year-long cycle of themed events and activities, are designed to inspire joy and emotional fulfillment. The LifeCycles whole-person wellness program further enriches residents' experiences by promoting physical, social, intellectual, and spiritual health. All these offerings are part of a holistic approach to senior living that emphasizes well-being and personal growth. The Kensington At Fort Madison stands as a landmark community where supportive care and vibrant living go hand in hand.

    About Agemark

    The Kensington – Fort Madison is managed by Agemark.

    Founded in 1987, Agemark Senior Living is a family-owned company headquartered in Orinda, CA and Elkhorn, NE, operating 28 communities across six states. They provide assisted living, memory care, independent living, and carefree living services with their LifeCycles wellness philosophy.

    People often ask...

    The Kensington – Fort Madison offers competitive pricing, with rates starting at a cost of $5,193 per month.

    The Kensington – Fort Madison offers assisted living and memory care.

    There are 44 photos of The Kensington – Fort Madison on Mirador.

    The full address for this community is 2210 Ave H, Fort Madison, IA 52627.

    No, The Kensington – Fort Madison does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Iowa, the Department of Inspections, Appeals & Licensing licenses assisted living and long-term care programs, conducting recertification visits and complaint investigations.

    License number1859
    StatusActive
    Facility typeAssisted Living Programs for People with Dementia
    Capacity25 residents
    EffectiveAugust 15th, 2024
    ExpiresAugust 15th, 2026
    View the official license record

    Inspection Reports

    27

    Reports

    2

    Type A Citations

    0

    Type B Citations

    16

    Complaints

    22

    Years

    28 Jan 2026Complaint
    Found that initial and updated service plans were not consistently signed and dated by all parties, leaving documentation gaps for two tenants.
    • 481-69.26(2)Service Plans
    • 481-69.26(3)aService Plans
    28 Jan 2026Complaint
    Identified deficiencies in care planning. Wound care needs for the indicated tenant were not addressed in the service plan or updated promptly.
    • Type A69.26(3)Service plans update after changes in condition
    • Type A69.26(4)(a)Service plans must be individualized
    18 Dec 2025Complaint
    Found that a resident who exceeded retention criteria due to aggression was not transferred to a higher level of care as required.
    • 481-69.23(1)c(1)Criteria for Admission/Retention of Tenants
    18 Dec 2025Complaint
    Found no regulatory insufficiencies.
    14 Oct 2025Complaint
    Found no deficiencies. Census counted 18 residents with cognitive impairment.
    15 Apr 2025Complaint
    Investigation found failures in abuse policies, resident treatment, and occupancy/service planning, with improper handling and documentation of dependent adult abuse and consent processes.
    • 481-67.2Program Policies and Procedures
    • 481-67.2(3)Program Policies and Procedures
    • 481-67.3(1)Tenant Rights
    • 481-69.26(2)Service Plans
    08 Apr 2025Renewal
    Found no deficiencies during the recertification visit.
    15 Aug 2024Complaint
    Identified deficiencies in evaluating tenants before and after admission, developing and updating service plans, and communications about changes in tenant status to nursing staff.
    • 481-67.9(4)gNurse delegation; communication of status changes
    • 481-69.22(1)Evaluation prior to occupancy
    • 481-69.22(2)Evaluation within 30 days of occupancy
    • 481-69.22(3)Evaluation annually and with significant change
    • 481-69.26(2)Service Plans; prior to occupancy
    • 481-69.26(3)Service Plans; update on significant change and within 30 days
    • 481-69.26(4)aService Plan contents; individualized; needs and preferences
    28 Sept 2023Complaint
    Found deficiencies in incident reporting and emergency notification policies; failed to document a medical emergency and notify the family.
    • 481-67.2(1)eIncident reporting
    • 481-67.2(3)Routine care in emergency situations; family notification
    26 Jan 2023Renewal
    Found no deficiencies during the recertification visit.
    26 Jan 2023Renewal
    Found no deficiencies cited during the recertification visit for the dementia program. The census indicated 16 residents with cognitive disorder.
    20 Jul 2020Complaint
    Found deficiencies in failing to notify the Department about a pattern of tenant behaviors and related injuries.
    • 481-67.3(2)Tenant Rights
    • 481-67.4(3)Program Notification to Department
    02 Jul 2020FIC
    Found no deficiencies cited during the infection control review.
    23 Sept 2019Complaint
    Found no deficiencies cited after investigation of the allegation; census data were provided.
    29 Aug 2018Initial
    Identified failure to obtain DHS approval for a child abuse record check evaluation for one employee with a founded child abuse record.
    • 481-67.19(3)dRecord Checks
    29 Aug 2018Renewal
    Found that the provider failed to obtain required background checks and to initiate the child abuse evaluation for staff before employment.
    • 481-67.19(3d); 481-67.19(135C,231B,231C,231D)Record Checks
    29 Aug 2018Initial
    Found no deficiencies.
    28 Feb 2018Incident
    Found a regulatory insufficiency related to medication management that needed correction. The insufficiency was corrected January 24, 2018.
    01 Mar 2017Complaint
    Found no deficiencies after investigating a complaint.
    06 Sept 2016Renewal
    Found no deficiencies during the recertification visit.
    01 Jul 2015Complaint
    Concluded the Tenant Rights allegation was unsubstantiated and no regulatory deficiencies were identified.
    22 Oct 2014Incident
    Identified regulatory insufficiencies in service planning and program policies, including lack of individualized tenant plans and missing incident reporting procedures.
    • IAC r. 481-69.26(1)Service plan development and updates
    • IAC r. 481-69.26(4)(a)Individualized service plan contents
    • IAC r. 481-67.2Policies and procedures
    13 Jun 2012Renewal
    Investigated staff background checks and identified a regulatory insufficiency related to completing and documenting criminal history and related checks before employment.
    • Iowa Code 135C.33; IAC 481-67.9(3)Criminal history checks and other background checks for prospective employees
    26 Oct 2010Complaint
    Investigated and found no regulatory insufficiencies during the on-site monitoring visit.
    09 Sept 2008Complaint
    Identified regulatory insufficiency due to inconsistent written documentation of activities (time, date, signature) during monitoring.
    • 25.30(1) through 25.30(3)Regulatory Insufficiency
    05 Jul 2006Complaint
    Identified multiple deficiencies in tenant evaluation, documentation, service planning, medication management, and food service training.
    • 321 IAC 25.23(1) and/or (2)Evaluation of tenants' cognitive/health status and change in condition
    • 321 IAC 25.27Tenant documents; legal representative and occupancy agreements
    • 321 IAC 25.28Service plans within 30 days of occupancy and based on evaluations
    • 231C.16AMedication management; documentation and oversight
    • 321 IAC 25.32Food service and sanitation training
    07 Jun 2004Complaint
    Identified regulatory insufficiencies related to missing tenant POA documentation and missing pre-employment criminal background checks for staff.
    • 321 IAC 25.27Tenant records documentation
    • Iowa Code section 135C.33(5)Background checks for employees

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    Mirador Living is not affiliated with the owner or operator(s) of The Kensington – Fort Madison. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Kensington – Fort Madison directly. There is no cost for this service. We are compensated by the community you select.

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