Prestige Care Center of Fairfield
400 Highland Street · Fairfield, IA · 52556 · 6414692140
73 certified beds For profit - Limited Liability company Chain: Prestige Care Center
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $90,902 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$90,902 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 3 · $106,751 |
Inspection citations (65 in the current record)
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Actual harm · G June 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · E June 11, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected July 10, 2025 · Administration
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Potential for harm · D June 11, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 10, 2025 · Environmental
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Potential for harm · D June 11, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 11, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 11, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 11, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 11, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 11, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 11, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 11, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · E June 11, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 10, 2025 · Nursing and Physician Services
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Potential for harm · E June 11, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 10, 2025 · Nutrition and Dietary
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Potential for harm · D June 11, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected July 10, 2025 · Quality of Life and Care
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No harm found · C June 11, 2025 · found via complaint
Post nurse staffing information every day.
Corrected July 10, 2025 · Nursing and Physician Services
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Immediate jeopardy · J February 18, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 16, 2025 · Pharmacy Service
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No harm found · C October 29, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 22, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 11, 2025 | Fine | $59,099 |
| February 18, 2025 | Fine | $31,803 |
| November 1, 2023 | Fine | $15,849 |
| November 1, 2023 | Payment Denial | 37 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165602 · certified since February 1, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.