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The Highlands

607 Highland Drive, Decorah, IA 52101
5633823603
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Overall CMS Rating

1.0/5

vs State Average: 3.1 stars

1.0/5

Health Inspections

vs State Average: 2.9/5

3.0/5

Staffing Level

vs State Average: 3.5/5

4.0/5

Quality Measures

vs State Average: 3.4/5

4 penalties in last 3 years
Penalties
vs State Average: 0.9 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.9
National Average
2.8
5 Deficiencies found in last inspections
4 Penalties in last 3 years
3 Fines issued
Citation Date Description Severity
Sep 23, 2025 Have enough outside ventilation via a window or mechanical ventilation, or both. E
Sep 23, 2025 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E
Jun 12, 2025 Ensure each resident receives an accurate assessment. B
Jun 12, 2025 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. D
Jun 12, 2025 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D
Score
3.0
State Average
3.5
National Average
2.9
0.5 RN Hours / Resident / Day
3.3 Total Nurse Hours / Resident / Day
37.5% RN Turnover Rate
Score
4.0
State Average
3.4
National Average
3.6
4.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
67.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL CONTINUUM HEALTH CARE SERVICES LLC
CORPORATE DIRECTOR SCHMIDT, JEFFREY
W-2 MANAGING EMPLOYEE BJELLAND, SUSAN
W-2 MANAGING EMPLOYEE ELSBERND, NANCY
Recent Penalties
Date Type Fine
Dec 9, 2024 Fine $50,211
Jul 25, 2024 Fine $43,628
Jul 25, 2024 Payment Denial $0
Jul 11, 2023 Fine $59,840

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