The Highlands is a 2-star (below average) rated 86-bed nursing home in Decorah, Iowa. It has 5 deficiencies on its most recent health inspection. The facility has below-average registered nurse staffing. Its quality ratings have been improving over recent months. It is certified by Medicare and Medicaid.

Data from CMS, last updated July 2026

the highlands

607 Highland Drive · Decorah, IA 52101
2
★★☆☆☆
Overall Rating
Health Inspections
2 / 5
Staffing
4 / 5
Quality Measures
3 / 5
Trend
improving
Staffing
RN Hours/Resident/Day
0.44
Total Nurse Hours/Day
3.90
RN Turnover
44.4%
Total Staff Turnover
53.3%
Facility Info
Beds
86
Avg. Residents/Day
75
Ownership
Non profit - Corporation
Certification
Medicare, Medicaid
Inspections
Health Deficiencies
5
Complaint Deficiencies
2
Total Fines
$93,839
Number of Penalties
3

Penalty History

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

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Frequently Asked Questions

What is the overall rating for The Highlands?
The Highlands has an overall rating of 2 out of 5 stars (Below Average) based on CMS quality data.
Has The Highlands been fined or penalized?
Yes, The Highlands has 3 penalty record(s) on file totaling $93,839.
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.