Nursing home
Prestige Care Center of Fairfield
400 Highland Street, Fairfield, IA 52556 · Map
For profit - Limited Liability company · Part of Prestige Care Center (4 facilities) · 73 certified beds
Prestige Care Center of Fairfield is a Medicare-certified nursing home in Fairfield, Iowa. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.65 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jun 11, 2025 cited 23 deficiencies.
- 6 fines totaling $138,029In CMS records: 8 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Prestige Care Center of Fairfield compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.65 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.71 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.57 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 58.6% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 23.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 6 fines totaling $138,029, 8 total penalties, 2 Medicare payment denials.
What inspectors found at Prestige Care Center of Fairfield
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Jun 11, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jun 11, 2025 · Full report (PDF) - Potential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Jun 11, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 400 Highland Street
Fairfield, IA 52556 - CMS certification #
- 165602
- Ownership
- For profit - Limited Liability company
- Certified beds
- 73
- Avg residents/day
- 53.4
- Provider type
- Medicare and Medicaid
- First certified
- 2011-02-01
- Chain
- Prestige Care Center (4 facilities)
- Setting
- Rural
Part of Prestige Care Center
Prestige Care Center operates 4 nursing facilities across the United States. View all Prestige Care Center facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Prestige Care Center of Fairfield using Google Maps.
Other public records
- Programs Medicare-certified home health agency at this address
- Website says Respite stays, works with hospice
- Staff pay 1 federal wage case with violations found, since 2022
Full public records, with dates and sources
Care and services
From the community’s website
What Prestige Care Center of Fairfield says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Offering everything from short-stay and long-term care to specialized palliative and hospice care, ensuring all phases of health and recovery are supported.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Private & Semi-Private Rooms
(page, checked Oct 12, 2026)
Medicare agencies at this address
- Medicare-certified home health agency at this address. Medicare-certified home health agency SUNNY BROOK HOME CARE (Medicare CCN 167290) lists this same street address. Ownership type: PROPRIETARY. Medicare certified since 11/30/2001. (CMS Home Health Care Agencies, as of May 27, 2026)
A shared street address is a fact about location. CMS does not say whether the agency is run by the community.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 1, 2022 to Jul 1, 2023. Violations found: Overtime. Back wages: $1,637 owed to 1 employee. Employer as DOL recorded it: Sunnybrook Home Health (Sunnybrook Homecare LLC). Case 1982552.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Jefferson County Health Center, Fairfield. 1.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Parkview Care Center, Fairfield. 0.6 miles away, straight line.
- Nearest home health agency office
- Sunny Brook Home Care, Fairfield. 0.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52556 as small town (small town core).
- Dialysis within 15 miles
- Southeastern Renal Dialysis, L.C. - Fairfield, Fairfield, 1.3 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 52556.
Everystep, office in Mount Pleasant, 21.0 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- State University Of Iowa, Iowa City. 49.9 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave very high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | See above |
| The community’s own website | See above |
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Frequently asked questions
Is Prestige Care Center of Fairfield a good nursing home?
CMS gives Prestige Care Center of Fairfield an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Prestige Care Center of Fairfield staffed?
Prestige Care Center of Fairfield reports 3.65 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Prestige Care Center of Fairfield had inspection problems?
Its most recent CMS inspection cited 23 deficiencies.
How many beds does Prestige Care Center of Fairfield have?
Prestige Care Center of Fairfield is certified for 73 beds.