The Highlands

607 Highland Drive, Decorah, IA 52101 5633823603

Overall Rating

★☆☆☆☆ Poor 1 out of 5 stars

Key Metrics

Health Inspection 1/5
Staffing 3/5
Quality Measures 4/5
Certified Beds 86
Avg Residents/Day 67.4
Total Penalties 4
Total Fines $153,679

Penalty History

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

Recent Health Citations

Citation Sep 23, 2025

Have enough outside ventilation via a window or mechanical ventilation, or both.

Scope/Severity: E
Citation Sep 23, 2025

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

Scope/Severity: E
Citation Jun 12, 2025

Ensure each resident receives an accurate assessment.

Scope/Severity: B
Citation 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.

Scope/Severity: D
Citation Jun 12, 2025

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Scope/Severity: D

Staffing Detail

RN Hours/Resident/Day
0.53
Total Nurse Hours/Resident/Day
3.31
CNA Hours/Resident/Day
2.19
Weekend Nurse Hours
2.78

Turnover Rates

RN Turnover 37.5%
Total Nurse Turnover 58.9%
Admin Turnover 1.0%

Quality Measures

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

Nearby Facilities