Pricing ranges from
    $5,467 – 6,560/month

    Addington Place of Fairfield

    3000 W Madison Ave, Fairfield, IA, 52556
    4.3 · 31 reviews
    • Assisted living
    • Memory care
    AnonymousCurrent/former resident
    3.0

    Caring staff, serious safety failures

    I love the warm, attentive staff, lively activities, clean building and good meals - I made friends quickly and felt cared for. However, persistent staff shortages, management/nepotism concerns and dangerous safety lapses (one needed safety item wasn't installed after surgery and led to an amputation) are serious red flags. It's a wonderful, community-driven place in many ways, but I can't fully recommend it until leadership and safety issues are fixed.

    Pricing

    $5,467+/moSemi-privateAssisted Living
    $6,560+/mo1 BedroomAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Spa
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.32 · 31 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.9
    • Staff

      4.6
    • Meals

      4.3
    • Amenities

      4.7
    • Value

      4.3

    Pros

    • Dedicated, caring, and professional staff
    • Warm, welcoming, family-like atmosphere
    • Active, engaged residents and strong sense of community
    • Well-maintained, clean facility and inviting environment
    • High-quality meals and strong kitchen/dining program
    • Robust activities program with regular outings and events
    • Responsive and communicative management/leadership (reported by many)
    • Smooth move-in and supportive admission process
    • Attentive memory care and assisted living services (per multiple reviews)
    • Staff who know residents personally and provide individualized attention
    • Provides peace of mind for families
    • Comfortable, dignified care and supportive environment

    Cons

    • Alleged serious safety failure (missing post-surgical equipment) leading to severe injury/amputation reported
    • Reports of nepotism and internal leadership conflicts
    • Inconsistent apartment cleaning and housekeeping due to staffing issues
    • Staffing shortages and need for more help
    • Reports of poorly trained, loud, or underpaid staff treating residents impersonally
    • Specific director and Director of Nursing (DON) concerns in some reviews
    • Limited on-site physician presence noted by at least one reviewer
    • Need for clearer orientation and sign-up procedures for resident services
    • Some residents eventually required a higher level of care than the facility provides

    Summary review

    Overall sentiment: The reviews for Addington Place of Fairfield are strongly polarized but trend heavily positive. A clear majority of reviewers praise the facility for warm, family-like care, engaged and happy residents, and an environment that many describe as top-tier for assisted living and memory care. Across many accounts reviewers highlight dedicated, compassionate staff and management, a well-kept building, excellent meals, and a robust activities program that keeps residents socially active and connected. These positive reviews frequently emphasize responsiveness, smooth move-ins, and meaningful communication from leadership.

    Care quality and staff: The dominant theme is that staff are caring, attentive, and personally invested in residents' wellbeing. Multiple reviewers characterize the staff as professional, courteous, and like family; they report prompt attention to needs, dignified treatment, and compassionate leadership. Memory care and assisted living services are described as high quality in many reviews, with staff who know residents by name and maintain positive attitudes. Several comments underscore that the staff make residents feel safe and supported, offering peace of mind to families.

    Facilities, dining, and activities: Physical upkeep and amenities receive strong praise. Reviewers frequently note that the building is beautifully maintained and home-like, with a clean environment and inviting common areas. The dining program is repeatedly described as exceptional, with balanced meals and an excellent kitchen. Activities are a clear strength — reviewers mention a wide variety of events, regular scenic outings, and social opportunities that keep residents active and engaged. Many comments speak to the lively atmosphere and successful community-building among residents.

    Management and move-in experience: Many reviewers compliment management and leadership, citing responsive communication, smooth admissions, and supportive directors who take concerns seriously. This consistent praise suggests effective operational practices and positive family interactions in numerous cases. Several reviews explicitly recommend the facility and note that both residents and families felt well supported by administrative staff.

    Negative patterns and safety/staffing concerns: Despite the generally positive consensus, there are significant negative reports that must be weighed. A small but serious subset of reviews alleges major safety failures — notably a claim that prescribed safety equipment (a traction mat and hand rail) was not installed after surgery, with the reviewer reporting that this resulted in an amputation. Another review gives a “zero-star” rating citing extremely poor safety. There are also repeated mentions of staffing shortages, inconsistent housekeeping (some apartments “rarely cleaned”), and reports of nepotism or leadership conflicts (director and DON issues) that undermine trust for some families. A few reviewers describe underpaid or poorly trained staff, loud behavior, or treatment of residents in an impersonal manner. One reviewer noted the absence of an on-site doctor.

    Pattern interpretation and context: The reviews indicate a facility that, for most residents, delivers high-quality, compassionate care, strong social programming, and a welcoming environment. However, the existence of severe negative allegations and recurring comments about understaffing and management problems introduces potential risk areas. The consistency of praise around meals, activities, and the majority of staff behavior suggests operational strengths, while the negative reports point to possible lapses in consistency, training, staffing levels, or leadership oversight that affect a minority of residents. The contrast between many five-star endorsements and a few very negative accounts suggests variability in individual experiences, possibly linked to staffing levels, specific staff or leadership changes, or isolated incidents.

    Actionable considerations for prospective families: Given the mix of overwhelmingly positive reviews and some serious negative allegations, prospective residents and families should investigate specific operational and safety questions in person. Important topics to ask about include current staffing ratios and turnover, protocols for installing and documenting prescribed safety equipment, incident reporting and follow-up procedures, housekeeping schedules, staff training and supervision, availability of on-site medical providers, and how management addresses complaints or leadership concerns. Also inquire about how the facility supports residents who later require a higher level of care and whether transfers or transitions are managed smoothly.

    Bottom line: Addington Place of Fairfield is widely praised for its compassionate staff, strong sense of community, excellent dining and activities, and generally well-run environment. Those positive themes appear in many independent reviews and represent the predominant experience. However, a minority of reviews raise serious safety and management concerns that should be investigated directly. A careful, in-person evaluation focusing on staffing, safety practices, and leadership responsiveness is recommended to confirm the consistency and reliability of the positive attributes highlighted by most reviewers.

    Location

    Map showing location of Addington Place of Fairfield

    About Addington Place of Fairfield

    Addington Place of Fairfield sits at 3000 W. Madison Avenue in Fairfield, Iowa, in a peaceful spot among the rolling farmland. The community provides Assisted Living, Memory Care, and Respite Care, giving seniors a range of support depending on their needs. Seniors live in studios, one-bedroom, and two-bedroom apartments with options like kitchenettes, walk-in showers or a walk-in tub, and air conditioning, while deluxe and suite layouts are also available. The setting feels homelike and cozy, while apartments are easy to personalize and pets are welcome. The community follows a pet-friendly policy and keeps walking paths, a courtyard with a gazebo, and patios landscaped with flowers for relaxing outside or taking in the sun.

    Inside, residents can use common rooms like a library, a movie lounge, fitness center, games area, arts and crafts room, and an old-fashioned diner in memory care with red vinyl seating and a soda fountain. There're bright dining rooms with linen-table settings and special dining programs, plus chef-prepared meals served daily. Both the assisted living and memory care programs focus on supporting each person's abilities, with staff providing help for bathing, dressing, medication, or mobility as needed. The Gardens, a secured memory care neighborhood, includes a safe, easy-to-navigate layout with decor and activity spaces aimed to help maintain routines for those with dementia or Alzheimer's.

    Trained staff are always present and provide care plans made by an R.N., families, and the resident, focusing on wellness and independence while helping with daily life activities. They manage medication, offer special programs for veterans, and can provide hospice support if needed. Housekeeping, laundry, transportation, and a beauty salon offer practical help so seniors can keep up their routines. The community encourages everyone to join daily games, arts, group outings, movies, exercise, and educational sessions, all planned by a full-time activity director. There are field trips, devotional services, and activities to bring people together, along with a steady calendar and a community blog with updates and resources.

    Safety and comfort get a lot of attention, with smoking prohibited indoors, indoor walkways for exercise, handicap accessibility, Wi-Fi, and both indoor and outdoor spaces for visits and group gatherings. For short stays, Addington Place offers respite care for those recovering from illness or surgery, or while caregivers take a break. The approach here is straightforward and focused on individual needs, with a staff that aims to be friendly and reliable, and a setting that feels comfortable and supportive for seniors looking to stay active and connected with others in their own way.

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