Skilled Nursing

The Highlands

607 Highland Drive, Decorah, IA 52101

86beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.1h

Hrs/resident · weekday

Expected: 4.1h

3.6h

Hrs/resident · weekend

vs 3.1h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
38%
LPNs
CNAs
55%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0684Severity JDec 9, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected: Dec 10, 2024

SeriousImmediate Jeopardy0684Severity JJul 11, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected: Jul 26, 2023

32 standard deficiencies in the last 3 years

View all
0923Severity ESep 23, 2025

Have enough outside ventilation via a window or mechanical ventilation, or both.

0550Severity ESep 23, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0943Severity DJun 12, 2025

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0641Severity BJun 12, 2025

Ensure each resident receives an accurate assessment.

0582Severity DJun 12, 2025

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0684Severity DSep 25, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0580Severity DSep 25, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0812Severity EJul 25, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0802Severity EJul 25, 2024

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0801Severity CJul 25, 2024

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.

0800Severity EJul 25, 2024

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0689Severity GJul 25, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity DJul 25, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0644Severity DJul 25, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0689Severity GFeb 7, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0677Severity DFeb 7, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DFeb 7, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0641Severity DFeb 7, 2024

Ensure each resident receives an accurate assessment.

0584Severity DFeb 7, 2024

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.

0550Severity DFeb 7, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity ESep 18, 2023

Provide and implement an infection prevention and control program.

0684Severity DSep 18, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0656Severity DSep 18, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0582Severity BSep 18, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0578Severity DSep 18, 2023

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.

0550Severity DSep 18, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity DJul 11, 2023

Provide and implement an infection prevention and control program.

0725Severity EJul 11, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0677Severity EJul 11, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

0656Severity DJul 11, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0584Severity EJul 11, 2023

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.

0580Severity DJul 11, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

AASE HAUGEN HOMES, INC.· Non profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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