The Highlands is a 1-star (much below average) rated 86-bed nursing home in Decorah, Iowa. It has 5 deficiencies on its most recent health inspection. The facility has moderate registered nurse staffing. It is certified by Medicare and Medicaid.

Data from CMS, last updated March 2026

the highlands

607 Highland Drive · Decorah, IA 52101
1
★☆☆☆☆
Overall Rating
Health Inspections
1 / 5
Staffing
3 / 5
Quality Measures
4 / 5
Trend
stable
Staffing
RN Hours/Resident/Day
0.53
Total Nurse Hours/Day
3.31
RN Turnover
37.5%
Total Staff Turnover
58.9%
Facility Info
Beds
86
Avg. Residents/Day
67
Ownership
Non profit - Corporation
Certification
Medicare, Medicaid
Inspections
Health Deficiencies
5
Complaint Deficiencies
2
Total Fines
$153,679
Number of Penalties
4

Penalty History

DateTypeFine
December 2024 Fine $50,211
July 2024 Fine $43,628
July 2024 Payment Denial
July 2023 Fine $59,840

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Frequently Asked Questions

What is the overall rating for The Highlands?
The Highlands has an overall rating of 1 out of 5 stars (Much Below Average) based on CMS quality data.
Has The Highlands been fined or penalized?
Yes, The Highlands has 4 penalty record(s) on file totaling $153,679.
How many deficiencies does The Highlands have?
The Highlands has 5 health deficiency citation(s) from its most recent inspection cycle.
Does The Highlands accept Medicare or Medicaid?
Yes, The Highlands accepts Medicare and Medicaid.
How does The Highlands compare to other nursing homes in Decorah?
Visit our Decorah, Iowa nursing homes page to see how The Highlands ranks against other facilities in the area.