Nursing Homes · Decorah, IA
Nursing Homes · Medicare certified
The Highlands
607 Highland Drive · Decorah, IA 52101 · 86 certified beds
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About The Highlands
The Highlands is a nursing home in Decorah, Iowa. Its capacity is 86 beds, above the Iowa median of 57 for nursing homes. It is run by a for-profit operator and is part of Continuum Health Care Services LLC. It is Medicare certified. Its public inspection record shows 34 citations, the most recent on September 23, 2025. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.96 hours per resident per day. It is one of 2 nursing homes listed in Decorah. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
4.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (34)
Records from July 2023 to September 2025.
February 7, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
September 18, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
September 18, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
September 18, 2023
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
September 18, 2023
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected September 29, 2023.
September 18, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
September 18, 2023
Tag F0578Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
July 11, 2023
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 26, 2023.
July 11, 2023
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 26, 2023.
July 11, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2023.
July 11, 2023
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2023.
July 11, 2023
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 26, 2023.
July 11, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2023.
July 11, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J: isolated, immediate jeopardy. Corrected July 26, 2023.
Penalties (3)
Total fines: $93,839
December 9, 2024 · Fine
CMS recorded a civil money penalty of $50,211 against this nursing home on December 9, 2024.
July 25, 2024 · Fine
CMS recorded a civil money penalty of $43,628 against this nursing home on July 25, 2024.
July 25, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting August 21, 2024, lasting 10 days (triggered by inspection on July 25, 2024).
Staffing
3.96 nurse hours per resident per day in Q2 2026, up from 3.57 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
- Parent company: Continuum Health Care Services LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
Source: IA Medicaid NF rate publication (opens in a new tab), updated 2026-01-01
Nearby alternatives
Other licensed providers in Decorah.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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