The Highlands
607 Highland Drive, Decorah, IA 52101
Provider #165178 · (563) 382-3603 · Non profit - Corporation · 86 beds
Overall
2 of 5
Health inspection
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Deficiencies
0
Total fines
$0
Updated
2026-08-01
Staffing
Reported nurse hours per resident per day (HPPD) from CMS Care Compare.
RN hours
0.44
Total nurse hours
3.90
Weekend RN hours
0.30
Possible neglect indicators
Neutral CMS-derived signals — not a legal conclusion or case determination. See our Terms of Use.
- Overall rating is 2 stars or lower
- Health inspection rating is 2 stars or lower
Severity mix
Scope/severity codes across loaded citations.
- D16
- E6
- B2
- G2
- J1
- C1
Complaint vs standard surveys
How citations were opened in the CMS deficiency file.
- Complaint
- 0
- Standard
- 28
- Other
- 0
Inspection timeline
2026-06-18 · 1 citation
- 0689 · D · HealthQuality of Life and Care Deficiencies
2025-09-23 · 2 citations
- 0923 · E · HealthEnvironmental Deficiencies
- 0550 · E · HealthResident Rights Deficiencies
2025-06-12 · 3 citations
- 0943 · D · HealthFreedom from Abuse, Neglect, and Exploitation Deficiencies
- 0582 · D · HealthResident Rights Deficiencies
- 0641 · B · HealthResident Assessment and Care Planning Deficiencies
2024-12-09 · 1 citation
- 0684 · J · HealthQuality of Life and Care Deficiencies
2024-09-25 · 2 citations
- 0580 · D · HealthResident Rights Deficiencies
- 0684 · D · HealthQuality of Life and Care Deficiencies
2024-07-25 · 7 citations
- 0644 · D · HealthResident Assessment and Care Planning Deficiencies
- 0689 · G · HealthQuality of Life and Care Deficiencies
- 0800 · E · HealthNutrition and Dietary Deficiencies
- 0802 · E · HealthNutrition and Dietary Deficiencies
- 0812 · E · HealthNutrition and Dietary Deficiencies
- 0684 · D · HealthQuality of Life and Care Deficiencies
- 0801 · C · HealthNutrition and Dietary Deficiencies
2024-02-07 · 6 citations
- 0689 · G · HealthQuality of Life and Care Deficiencies
- 0550 · D · HealthResident Rights Deficiencies
- 0584 · D · HealthResident Rights Deficiencies
- 0658 · D · HealthResident Assessment and Care Planning Deficiencies
- 0641 · D · HealthResident Assessment and Care Planning Deficiencies
- 0677 · D · HealthQuality of Life and Care Deficiencies
2023-09-18 · 6 citations
- 0684 · D · HealthQuality of Life and Care Deficiencies
- 0880 · E · HealthInfection Control Deficiencies
- 0550 · D · HealthResident Rights Deficiencies
- 0578 · D · HealthResident Rights Deficiencies
- 0656 · D · HealthResident Assessment and Care Planning Deficiencies
- 0582 · B · HealthResident Rights Deficiencies
Penalties
- Fine · 2024-12-09$50,211
- Fine · 2024-07-25$43,628
- Payment Denial · 2024-07-25$0
Related topics
Free · confidential · no obligation
Review possible neglect signs
Step 1 of 6
What best describes the concern?