Nursing Homes · Decorah, IA
Wellington Place
Cost data not yet available
SOURCE DATA AUG 2026
Nursing Homes · Medicare certified
The Highlands
607 Highland Drive · Decorah, IA 52101 · 86 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1285638148. Look this up in the CMS NPPES registry (opens in a new tab)
Are you the operator? Claim this profile. Corrections are free, always.
About The Highlands
The Highlands is a nursing home in Decorah, Iowa. Its reported capacity is 86 beds. It is recorded as a for-profit operator, part of Continuum Health Care Services LLC. Federal records list it as Medicare certified. Our copy of the inspection record holds 34 citations, the newest dated 23 September 2025. Federal enforcement records add 3 fine or payment denial actions. Staffing reports put it at 3.90 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
28
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
28
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
22
Inspection history (34)
Records from July 2023 to September 2025.
February 7, 2024 · D
Citation F0677Federal surveyors cited this nursing home on 2024-02-07 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-02-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-07.GOVSeptember 18, 2023 · D
Citation F0684Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOVSeptember 18, 2023 · E
Citation F0880Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOVSeptember 18, 2023 · D
Citation F0550Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOVSeptember 18, 2023 · B
Citation F0582Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0582 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2023-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOVSeptember 18, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOVSeptember 18, 2023 · D
Citation F0578Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOVJuly 11, 2023 · E
Citation F0725Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2023-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOVJuly 11, 2023 · E
Citation F0677Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOVJuly 11, 2023 · D
Citation F0880Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOVJuly 11, 2023 · D
Citation F0580Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2023-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOVJuly 11, 2023 · E
Citation F0584Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor 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. The deficiency was recorded as corrected on 2023-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOVJuly 11, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOVJuly 11, 2023 · J
Citation F0684Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0684 (CMS scope/severity J: isolated, immediate jeopardy) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOV
Penalties (3)
Total fines on file: $93,839
December 9, 2024 · Fine
Citation FINE-79504CMS recorded a civil money penalty of $50,211 against this nursing home on 2024-12-09 (Fine ID: 79504). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-09.GOVJuly 25, 2024 · Fine
Citation FINE-79477CMS recorded a civil money penalty of $43,628 against this nursing home on 2024-07-25 (Fine ID: 79477). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOVJuly 25, 2024 · Payment Denial
Citation PAYDEN-2024-08-21CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-08-21, lasting 10 days (triggered by inspection on 2024-07-25). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV
Staffing
Latest: 3.90 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.57 hrs/resident/day
- 2026-06-013.57 hrs/resident/day
- 2026-07-013.90 hrs/resident/day
- 2026-08-013.90 hrs/resident/day
- 2026Q13.90 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.33 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
Parent organization: Continuum Health Care Services LLC
parent · PAC 9436068160
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$9,277/moSee full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
What Medicaid pays nursing homes
Iowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$307.06per day
That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.
Source: IA Medicaid NF rate publication (opens in a new tab) · Updated 2026-01-01.GOV
Nearby alternatives
Other licensed providers in Decorah, with their own public records.
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at The Highlands
Request info and we'll pass it directly to The Highlands, or call them at 5633823603 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.