The Highlands
607 Highland Drive, Decorah, IA 52101 · CCN 165178
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 86
- Avg residents/day
- 67.4
- Phone
- 5633823603
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-12 | 5 | 6.2 | 9.5 | -1.2 better |
| 2 | 2024-07-25 | 10 | 7.0 | 9.8 | +3.0 worse |
| 3 | 2023-09-18 | 23 | 7.9 | 9.3 | +15.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.31 | 58.9% |
| RN staffing (reported) | 0.53 | 37.5% |
| Total nurse staffing (adjusted) | 3.89 | — |
Fines & penalties
- Total fines
- $153,679
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Inspection citations (38)2 immediate jeopardy2 actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-23 · Health · corrected 2025-09-24
Potential for more than minimal harm
- EF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2025-09-23 · Health · corrected 2025-09-24
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-06-12 · Health · corrected 2025-06-26
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2025-06-12 · Health · corrected 2025-06-26
Potential for minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-06-12 · Health · corrected 2025-06-26
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-09 · Health · corrected 2024-12-10
Immediate jeopardy
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-25 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-25 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-07-25 · Health · corrected 2024-07-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-25 · Health · corrected 2024-07-26
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-25 · Health · corrected 2024-07-26
Actual harm
- EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-07-25 · Health · corrected 2024-07-26
Potential for more than minimal harm
- CF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-07-25 · Health · corrected 2024-07-26
Potential for minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-07-25 · Health · corrected 2024-07-26
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-25 · Health · corrected 2024-07-26
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-07 · Health · corrected 2024-02-08
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-02-07 · Health · corrected 2024-02-08
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-02-07 · Health · corrected 2024-02-08
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-07 · Health · corrected 2024-02-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-07 · Health · corrected 2024-02-08
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-07 · Health · corrected 2024-02-08
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-18 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0578Honor 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.2023-09-18 · Health · corrected 2023-09-29
Potential for more than minimal harm
- BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-09-18 · Health · corrected 2023-09-29
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-18 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-18 · Health · corrected 2023-09-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-09-18 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-07-11 · Health · corrected 2023-07-26
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-07-11 · Health · corrected 2023-07-26
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-11 · Health · corrected 2023-07-26
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-11 · Health · corrected 2023-07-26
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-11 · Health · corrected 2023-07-26
Immediate jeopardy
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-11 · Health · corrected 2023-07-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-07-11 · Health · corrected 2023-07-26
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-03 · Health · corrected 2023-04-17
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-04-03 · Health · corrected 2023-04-17
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-03 · Health · corrected 2023-04-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-04-03 · Health · corrected 2023-04-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CONTINUUM HEALTH CARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-01-17 |
| SCHMIDT, JEFFREY | Individual | CORPORATE DIRECTOR | — | 2013-05-20 |
| BJELLAND, SUSAN | Individual | W-2 MANAGING EMPLOYEE | — | 2010-02-22 |
| ELSBERND, NANCY | Individual | W-2 MANAGING EMPLOYEE | — | 2010-02-22 |
Other facilities in Decorah
| Name | Overall | Beds |
|---|---|---|
| Wellington Place | ★★★★☆ | 56 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.