October Path to Excellence Honoree: Jill Birks

Stewart Memorial Hospital and Clinics is proud to recognize Jill Birks, PT, MSPT, ATC, CMYK, as its October Path to Excellence honoree. For 34 years, Birks has been a dedicated member of the Stewart Memorial rehabilitation team, building relationships with patients and colleagues while continuing to grow with the profession she loves.

Birks’ journey with Stewart Memorial began shortly after she graduated as a physical therapist. She was newly married, living in Lytton and had no idea that a wedding announcement in the local newspaper would lead to a career that would span more than three decades.

“Bob Dickkut’s wife Carol had seen in our wedding announcement in the newspaper where it said I was a new PT grad,” Birks said. “He called me up and set up an interview. It was perfect timing as they just had a PT resign.”

Since then, Birks has watched both Stewart Memorial and physical therapy evolve. When she began, the rehabilitation department was made up of just two physical therapists and nearly everything was done on paper. Today, she is part of a much larger rehabilitation team and has adapted to countless changes in technology, documentation and the way care is delivered.

For Birks, though, one thing has remained constant: the importance of working together.

Of Stewart Memorial’s core values, Communication and Team Oriented resonate most with her.

“I like to be informed and therefore I like to be sure everyone is on the same page,” Birks said. “I’m known to overcommunicate!”

That approach can be seen in the way she works with both patients and colleagues. Birks makes a point of communicating with a patient’s primary care or referring provider when she sees something that may be important to their care. In Rockwell City, she also shares a close working relationship with fellow physical therapist Jaclyn Warehime.

“We like to say that you are getting two PTs instead of one,” Birks said.

That collaborative mindset has helped Birks make an impact beyond her individual patients. She played a key role in implementing Stewart Memorial’s concussion protocols, including ImPACT concussion testing at area schools. Even years later, she continues to stay current on changes in concussion management and share that information with her team.

Her commitment to learning has been a consistent part of her career. With support from Stewart Memorial leadership, Birks became certified in Myokinesthetic and helped bring the founder of the program to Stewart Memorial to provide training for staff.

She also finds inspiration in the people around her. Birks regularly collaborates with colleagues and enjoys exchanging ideas about patient care and new approaches to physical therapy.

“I like to think we inspire each other to continue to learn,” Birks said.

That mindset extends to her family as well. Her daughter and two sons-in-law are physical therapists, giving Birks a unique opportunity to compare what is being taught today with what she learned more than 30 years ago.

“I loved to hear what was being taught currently versus 30 years ago and I continue to ‘pick their brains,’” Birks said.

After 34 years, Birks’ impact is reflected not only in the patients she has helped, but also in the colleagues she has learned from, supported and collaborated with along the way. Her willingness to keep learning, share knowledge and adapt to change has helped her grow alongside Stewart Memorial while remaining committed to the work she has always loved.

Stewart Memorial Hospital and Clinics congratulates Jill Birks on being recognized as the October Path to Excellence honoree and thanks her for 34 years of dedication to her patients, colleagues and the continued growth of rehabilitation at Stewart Memorial.

Fall Interactive Career Day 2026

On October 2, Stewart Memorial hosted an Interactive Career Day for 34 students from area schools, providing students in grades 9–12 with an exciting opportunity to explore a variety of healthcare careers through hands-on activities and educational experiences.
Throughout the day, students rotated through several departments, including the operating room, obstetrics, outpatient infusions, laboratory, radiology, emergency services, rehabilitation,and more. These interactive sessions gave students a firsthand look at the many career opportunities available in healthcare and the important role each department plays in providing quality patient care.
We were proud to welcome students from East Sac, South Central Calhoun, Manson Northwest Webster, and Southeast Valley.
It was a privilege to spend the day with so many motivated, curious, and enthusiastic students. We hope their experience at Stewart Memorial helped them envision their future in healthcare and inspired them to consider the many rewarding career paths available in the medical field!

The Wound Care Clinic at Stewart Memorial Hospital and Clinics Receives Dual Recognition with Clinical Distinction and Excellence in Patient Satisfaction Awards

tewart Memorial Hospital and Clinics is pleased to announce the Wound Care Clinic is a dual recipient of RestorixHealth’s Clinical Distinction and Excellence in Patient Satisfaction Awards. Recipients of these awards meet or exceed national quality benchmarks over a set period.

RestorixHealth’s Clinical Distinction Award recognizes wound centers that have demonstrated exceptional success by meeting or exceeding clinical benchmarks; while the Excellence in Patient Satisfaction Award recognizes wound centers that have demonstrated superior performance in overall patient satisfaction.

The Wound Care Clinic is dedicated to optimizing outcomes and preventing lower limb loss in patients with non-healing wounds. Their approach to wound care is comprehensive, coordinating traditional and advanced therapies that aid and accelerate the healing process.

The center is staffed with clinicians with advanced training in wound care. Integrating a team of wound care professionals optimizes patient care while offering the most advanced healing options for hard to heal wounds.

The Wound Care Clinic at Stewart Memorial Hospital and Clinics is located at 1301 W Main St, Lake City, IA 51440 and is open Tuesday 8 a.m. to 1 p.m. For more information, please call 712-464-7299.

A Routine Mammogram That Made a Difference

For Joan Wagner, her annual mammogram was part of her normal routine. She had no reason to expect that her screening in 2025 would lead to a breast cancer diagnosis.

Following a hysterectomy, Joan had a postoperative appointment with her primary care provider, Barbara Weber, ARNP, FNP-C. During that visit, they talked about her routine mammogram and decided it was time to schedule.

“I go in every year,” Joan said.

Getting an appointment with Stewart Memorial was easy, and within about two weeks, Joan was at Stewart Memorial for her screening.

On June 30, 2025, Joan had her mammogram with Kendra Davis, RT(R)(M)(CT)(ARRT), of the Stewart Memorial radiology team. When the initial images showed an area that needed a closer look, Joan was asked to return the next day for additional imaging, including a diagnostic mammogram with Taylor Bruening, RT(R)(M)(CT)(ARRT), and a breast ultrasound with Jessica Freese, RT(R)(RDMS)(RVT)(ARRT).

Joan expected the follow-up to be routine.

“The radiology team was very, very calming,” Joan recalled. “She just said she needed a little bit more information.”

The additional imaging gave the radiology team a closer look at the area of concern. Before Joan left Stewart Memorial that day, she learned that she would need a biopsy at UnityPoint Health – Trinity Regional Medical Center in Fort Dodge.

“Many patients ask why an ultrasound is necessary in some instances. Although mammography is the gold standard for finding breast lesions to begin with, ultrasound can be better at distinguishing what the lesion is once mammography has found where the lesion is located. As with Joan’s story, once a mammogram and ultrasound were completed, the characteristics of the lesion were concerning enough to warrant a biopsy. Even though all these steps can seem substantial, it is the best way to potentially avoid an invasive procedure. Unfortunately, the only way to say for sure if a lesion is cancerous is for the radiologist to recommend a biopsy,” said Jessica Freese, RT(R)(RDMS)(RVT)(ARRT), of the Stewart Memorial radiology team.

“That’s when I had a feeling things were not good,” Joan said.

The biopsy confirmed that Joan had breast cancer. 

Her cancer was found at just under stage 2 and was triple-negative breast cancer. From there, Joan’s care moved quickly. Between her June 30 mammogram and beginning treatment August 4, she underwent additional imaging, an MRI, a biopsy in Fort Dodge and other procedures as she prepared for treatment.

Joan was given several treatment options, including chemotherapy followed by a lumpectomy and radiation. After completing chemo, she ultimately chose to have a double mastectomy without reconstruction.

While the months that followed brought difficult moments, Joan remembers the people involved in her care, including the Stewart Memorial radiology team, for the way they supported her through the uncertainty.

“Everyone was so kind,” Joan said. “Especially when they had to tell me bad news.”

Looking back on her experience, Joan hopes her story encourages other women to make their breast health a priority.

“Don’t wait.”

For Joan, what began as a routine mammogram at Stewart Memorial became the first step toward finding breast cancer and beginning treatment. Her experience is a reminder that even when you feel healthy and have no reason to expect something is wrong, routine screening matters.

“We truly see firsthand how screening mammograms can catch breast cancer early, which is often when it is most treatable. Early detection can truly make such a difference, which is why we encourage women to stay up to date with their screening mammogram and follow up exams,” said Kendra Davis, RT, of the Stewart Memorial radiology team.

At Stewart Memorial, Kendra, Taylor and Jessica each played a role in Joan’s imaging journey, from her initial screening mammogram to the diagnostic imaging and ultrasound that helped identify the area requiring further evaluation.

Today, Joan’s message is simple: don’t put it off.

A mammogram may only take a short amount of time, but for Joan, making that appointment in 2025 became an important step in her breast cancer journey.

Breast Health at Stewart Memorial

Mammograms and breast ultrasound are available through the radiology team at Stewart Memorial. If additional imaging is recommended after a mammogram, the team can help guide you through the next steps and coordinate follow-up care when needed.

Patients can self-schedule screening mammograms through MyChart. When you are due for your annual screening, your provider or the radiology team will place an order, and you will receive a notification through MyChart.

From there, you can select an available date and time that works best for you. Online scheduling becomes available once you are due for your annual screening. A reminder text will also be sent the day before your appointment, and online check-in through MyChart is available for added convenience.

If you prefer, you can also self-refer for a mammogram by calling 712-464-4207.

If you’re due for your mammogram, don’t wait. Make your appointment and take an important step for your health.

Stewart Memorial Chief Nursing Officer Ann Lengeling Earns Rural Hospital CNO Certification

Stewart Memorial Hospital and Clinics is celebrating the recent achievement of Chief Nursing Officer Ann Lengeling, who has completed the National Rural Health Association’s Rural Hospital CNO Certification Program.

The nationally recognized program is designed specifically for nursing executives serving rural hospitals and focuses on the unique leadership and operational challenges of rural healthcare. The program covers areas including leadership, quality, finance, operations, physician engagement and strategic planning.

For Lengeling, completing the certification represents more than professional development. It reflects her ongoing commitment to strengthening nursing leadership and supporting the delivery of quality care to patients and families throughout the communities Stewart Memorial serves.

“Ann is deeply committed to our patients, our nursing team and the communities we serve,” said Linn Block, CEO of Stewart Memorial Hospital and Clinics. “She continually looks for opportunities to grow as a leader and bring new knowledge and perspective back to Stewart Memorial. This certification is a reflection of that commitment, and we are proud of the work she continues to do to strengthen our organization and the care we provide.”

Throughout her career, Lengeling has focused on supporting the nursing team and helping Stewart Memorial continue to meet the changing needs of rural communities. Her role as Chief Nursing Officer includes providing leadership for nursing services and working alongside providers, staff and organizational leaders to support quality patient care.

The Rural Hospital CNO Certification Program provides nursing leaders with education and resources specific to the rural healthcare environment. Lengeling’s completion of the program adds to her leadership experience and strengthens her ability to help guide Stewart Memorial’s nursing services into the future.

Stewart Memorial Hospital and Clinics congratulates Lengeling on this significant accomplishment and recognizes her continued dedication to patients, staff and the communities the organization serves.

Stewart Memorial Begins Restore & Renew Project in Rockwell City

For generations, Stewart Memorial has been here to help families get the care they need close to home. As the needs of the communities it serves continue to change, Stewart Memorial is investing in Rockwell City through the Restore & Renew project. The project will create more space for care, improve how patients move through their visits and provide room for services to grow.

On August 2, Stewart Memorial leaders, providers, community members and supporters gathered in Rockwell City to celebrate the groundbreaking of the Restore & Renew project.

“This renewal allows us to better align our spaces with the services we provide today while positioning the clinic to meet the growing needs of tomorrow,” said Stewart Memorial CEO Linn Block. “Our focus remains on improving access, enhancing the patient experience and supporting the providers who care for our community every day.”

A New Chapter for Rockwell City

Restore & Renew will take place in two phases. The first phase will include construction of a new Rockwell City Clinic, creating space for primary care, behavioral health and Community Pharmacy services.

The new clinic will feature:

  • Expanded primary care services
  • Private behavioral health areas
  • Improved access and patient flow
  • Integrated Community Pharmacy services
  • Modernized outpatient spaces

The second phase will focus on renovating the existing clinic to create expanded rehabilitation services. Physical, occupational and speech therapy spaces will move from the basement into fully accessible, functional spaces designed to support patients of all ages.

The renovated rehabilitation spaces will support:

  • Seniors maintaining mobility and preventing falls
  • Adults recovering from injury or illness
  • Children receiving pediatric therapy services

The project will create spaces where patients can receive care closer to home while providing providers and staff with environments that better support their work.

Project Timeline

Construction and renovation will take place over approximately two years.

Fall 2026: Public fundraising begins and construction moves forward on the new clinic.

Fall 2026–Fall 2027: Phase One construction of the new Rockwell City Clinic.

Fall 2027: The new clinic is expected to be completed, followed by move-in and an open house for the community.

Fall 2027: Phase Two begins with renovation of the existing clinic following the move of clinic services into the new building.

Summer 2028: Rehabilitation services are expected to be completed, marking the final phase of the project.

Community Support

The Restore & Renew project represents a $5.8 million investment in healthcare in Rockwell City. Stewart Memorial has established a $1 million public campaign goal to support the project.

Community members, businesses, organizations and families are invited to support the campaign at a level that is meaningful to them. Contributions will help create spaces where patients can receive care, work toward recovery and maintain greater independence.

Naming opportunities are also available throughout the new clinic and rehabilitation spaces.

For information about the Restore & Renew campaign or ways to support the project, contact:

Rachel D. Judisch
Stewart Memorial Foundation Director
712-464-4247
rjudisch@stewartmemorial.org

The Stewart Memorial Foundation
1301 W Main St.
Lake City, IA 51449

Stewart Memorial is a nonprofit 501(c)(3) organization. Gifts are tax-deductible to the extent allowed by law.