• CMS rates this facility 1/5 stars (below average)
• Has 86 certified beds with an average of 67.4 residents per day (78% occupancy)
• Last health inspection found 5 deficiencies (inspected Jun 12, 2025)
• Has been fined a total of $153,679 across 3 fine(s)
• Total nursing staff: 3.31 hours per resident per day
• Staff turnover rate: 58.9% (high)
The Highlands is a 1-star Medicare and Medicaid certified nursing home in Decorah, Iowa with 86 certified beds. It has been operating since 1993. The facility scored below average compared to Iowa facilities.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Have enough outside ventilation via a window or mechanical ventilation, or both.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Ensure each resident receives an accurate assessment.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Ensure each resident receives an accurate assessment.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
+ 8 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CONTINUUM HEALTH CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 17, 2013 |
| SCHMIDT, JEFFREY | CORPORATE DIRECTOR | Individual | N/A | May 20, 2013 |
| BJELLAND, SUSAN | W-2 MANAGING EMPLOYEE | Individual | N/A | Feb 22, 2010 |
| ELSBERND, NANCY | W-2 MANAGING EMPLOYEE | Individual | N/A | Feb 22, 2010 |