Nursing HomeInspections

Prestige Care Center of Fairfield

Nursing home in Fairfield, IA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
400 Highland Street, Fairfield, IA 52556
Phone
(641) 469-2140
Listed under
For-profit
Medicare CCN
165602
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
73
Average residents per day
58
Ownership
For-profit, limited Liability company
Legal business name
Sunnybrook Operations LLC
Chain
Prestige Care Center (3 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 2011
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 165602. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 1, 2026. CMS lists 66 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 1, 2023 to Jul 1, 2026): 37 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 1, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 1, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 1, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Jul 1, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Jul 1, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 1, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 1, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 1, 2026Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated
Jul 1, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 66. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $106,751 and 1 denial of Medicare payment for new admissions in the last three years.

Jun 11, 2025Fine: $59,099
Feb 18, 2025Fine: $31,803
Nov 1, 2023Fine: $15,849
Nov 1, 2023Payment denial for 37 days from Nov 29, 2023

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.39 hours
Registered nurse (RN) time per resident per day
0.62 hours
Nurse aide time per resident per day
2.53 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
64%
RN turnover (yearly)
46%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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