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Nursing HomeMedicaid Investigative

Prestige Care Center of Fairfield

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

400 Highland Street, Fairfield, IA 5255673 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 6 Google reviews

5
4
3
2
1
Prestige Care Center of Fairfield Nursing Home in Fairfield, IA — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (23 vs median 5)
  • High staff turnover (59%)
  • High RN turnover (67%)

Bottom 25% in IA · Below recommended RN staffing · Worst in PRESTIGE CARE CENTER chain · $138,029 in fines

Source: Medicare data

What this means for your family

While recent reports suggest the facility has made positive strides in management and cleanliness, inconsistency remains a primary concern. When touring, we recommend asking specifically about how the facility ensures consistent care quality across all nursing shifts to avoid the lack of patience reported by some families.

Google Reviews

Google Reviews

6 reviews on Google
Prestige Care Center of Fairfield presents a polarized experience, with some families praising significant management improvements and compassionate staff, while others report deep frustration regarding inconsistent care quality and facility maintenance. While recent positive feedback highlights a cleaner environment and better accountability, critical concerns persist regarding the patience and follow-through of certain nursing personnel.

Quality Themes

Tap a score for details
Food10.0Staff5.0Clean7.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Supportive upper management
  • Compassionate nursing staff
  • Clean, updated facility environment

Concerns

  • Inconsistent quality of nursing care and lack of patience (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02022(1)5.02023(2)3.72024(3)5.02025(1)

Distribution · 7 analyzed

5
5
4
0
3
0
2
0
1
2

How They Respond to Reviews

17%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed the facility has undergone some recent updates; how have these physical improvements impacted the daily environment and comfort for residents?
  • 2Given that communication is a top priority for our family, what is the standard process for keeping us updated on changes in care or health status?
  • 3We understand that providing consistent, patient-centered care can be challenging; how do you support your nursing team in maintaining a calm and patient approach during busy shifts?
  • 4With 73 residents in the facility, how do you ensure that each person receives individualized attention and meaningful social engagement throughout the day?
  • 5In the event of a medical emergency, what is the specific protocol for stabilizing a resident and communicating with the family during those critical first moments?
  • 6I see that management has been active in responding to feedback online; how do you use that family input to make tangible changes to the quality of care provided here?

Personalized based on this facility's data


Key Review Excerpts

Some nurses are wonderful but others have no patience or compassion for those who need care. The building is old and run down. Follow through on anything is questionable.

Family member · 2024☆☆☆☆

Absolutely awesome facility. Facility has made crazy gains since a year ago. Shilo the administrator, Kiera DON, and Meghan the onboarding specialist have been so awesome! So much support from upper management, never used to be that way.

Family member · 2023★★★★★

Staff are nice. I find the g ood good and care is good

Family member · 2024★★★★★
Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
3.52hrs
86%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.3%
Worse than Avg
Here
78.3%
US
93.4%
IA
93.9%
Jefferson
84.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility81.2%
Worse than Avg
Here
81.2%
US
95.5%
IA
95.3%
Jefferson
92.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.5%
Worse than Avg
Here
30.5%
US
19.5%
IA
20.7%
Jefferson
18.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.1%
Worse than Avg
Here
26.1%
US
19.4%
IA
25.9%
Jefferson
16.5%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility13.0%
Worse than Avg
Here
13.0%
US
5.3%
IA
4.9%
Jefferson
5.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
15.3%
IA
17.5%
Jefferson
13.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility31.1%
Worse than Avg
Here
31.1%
US
81.8%
IA
84.1%
Jefferson
73.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility36.4%
Worse than Avg
Here
36.4%
US
79.8%
IA
73.3%
Jefferson
73.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Jefferson
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

23deficiencies
4penalties
Well above state avg (6.2)
31 complaint-triggered
$138,029 in fines

This facility has a concerning pattern of complaint-triggered deficiencies (49 out of 93), indicating families have repeatedly filed reports about problems. The most recurring issues involve safety hazards and accident prevention, medication management, and care planning. While all deficiencies show correction dates, the persistent nature of safety and medication problems across multiple surveys suggests ongoing operational challenges that warrant careful consideration during your visit.

Jun 11, 2025Routine
12
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0678Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0838Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jun 11, 2025Complaint
17
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Feb 18, 2025Complaint
1
0757Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Oct 29, 2024Complaint
1
0921Minimal · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Aug 20, 2024Complaint
2
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Jun 27, 2024Routine
17
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0865Minimal · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Federal Penalties

Fine

Jun 11, 2025

$59,099

Fine

Feb 18, 2025

$31,803

Fine

Nov 1, 2023

$15,849

Payment Denial

Nov 1, 2023

37-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
43deficiencies
Jul 31, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jun 11, 2025Inspection
Clean

Fed violations: 22, State violations: 3

Apr 1, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Feb 18, 2025Complaint
Clean

Fed violations: 1, State violations: 1

Nov 26, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Oct 29, 2024Complaint
Clean

Fed violations: 1, State violations: 0

Sep 17, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Aug 20, 2024Complaint
Clean

Fed violations: 2, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Prestige Care Center of Fairfield

Organization Type

for profit

Chain Affiliation

Chain Name

Prestige Care Center

Chain Size

3 facilities nationwide

Chain avg rating: 2.3/5 · Rank 3 of 4 (Worst)

Ownership & Management

Owners

Kaplan, Yisroel

Owner

Lahasky, Ephram

Owner

Key personnel

Aschendorf, JonathanManaging Control - Governing BodyAschendorf, JonathanManagerJacobs, TalisaManagerKaplan, YisroelManagerLahasky, EphramManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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