Nursing homes › Iowa › The Highlands
607 Highland Drive, Decorah, IA 52101 · 5633823603 · 86 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 3.90 (Iowa median: 3.69). RN hours: 0.44. Weekend total: 3.59. Nursing staff turnover: 53%.
All-time on record: 34 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-09-23 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-09-24 |
| 2025-09-23 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | complaint | corrected 2025-09-24 |
| 2025-06-12 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2025-06-26 |
| 2025-06-12 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Health | corrected 2025-06-26 |
| 2025-06-12 | Ensure each resident receives an accurate assessment. | B | Health | corrected 2025-06-26 |
| 2024-12-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2024-12-10 |
| 2024-09-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-09-26 |
| 2024-09-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-09-26 |
| 2024-07-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2024-07-26 |
| 2024-07-25 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Health | corrected 2024-07-26 |
| 2024-07-25 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2024-07-26 |
| 2024-07-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-07-26 |
| 2024-07-25 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-07-26 |
| 2024-07-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-07-26 |
| 2024-07-25 | 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. | C | Health | corrected 2024-07-26 |
| 2024-02-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-02-08 |
| 2024-02-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-02-08 |
| 2024-02-07 | 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. | D | complaint | corrected 2024-02-08 |
| 2024-02-07 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-02-08 |
| 2024-02-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-02-08 |
| 2024-02-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-02-08 |
| 2023-09-18 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-09-29 |
| 2023-09-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-09-29 |
| 2023-09-18 | 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. | D | Health | corrected 2023-09-29 |
| 2023-09-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-09-29 |
| 2023-09-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-09-29 |
| 2023-09-18 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Health | corrected 2023-09-29 |
| 2023-07-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2023-07-26 |
| 2023-07-11 | 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. | E | complaint | corrected 2023-07-26 |
| 2023-07-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2023-07-26 |
| 2023-07-11 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2023-07-26 |
| 2023-07-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-07-26 |
| 2023-07-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-07-26 |
| 2023-07-11 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2023-07-26 |
| Date | Type | Amount |
|---|---|---|
| 2024-12-09 | Fine | $50,211 |
| 2024-07-25 | Fine | $43,628 |
| 2024-07-25 | Payment Denial | 10 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SCHMIDT, JEFFREY | Corporate Director | Individual | NOT APPLICABLE | since 05/20/2013 |
| CONTINUUM HEALTH CARE SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/17/2013 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165178. Corrections: data@carerecords.org.