Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

September 23, 2025 Complaint Investigation

Fines and Penalties by Year

2022 6 penalties totaling $6,559

$1,973
Mar 14, 2022

Fine

$0
Mar 3, 2022

Payment Denial

$1,645
Feb 14, 2022

Fine

$1,316
Jan 17, 2022

Fine

$975
Jan 10, 2022

Fine

$650
Jan 3, 2022

Fine

2020 1 penalties totaling $9,750

$9,750
Aug 27, 2020

Fine

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Health Violations by Year

2024 13 violations

Tag 0644 D Jul 25, 2024

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

✓ Corrected: Jul 26, 2024
Tag 0684 D Jul 25, 2024

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

✓ Corrected: Jul 26, 2024
Tag 0689 G Jul 25, 2024

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

✓ Corrected: Jul 26, 2024
Tag 0800 E Jul 25, 2024

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

✓ Corrected: Jul 26, 2024
Tag 0801 C Jul 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.

✓ Corrected: Jul 26, 2024
Tag 0802 E Jul 25, 2024

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

✓ Corrected: Jul 26, 2024
Tag 0812 E Jul 25, 2024

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

✓ Corrected: Jul 26, 2024
Tag 0550 D Feb 7, 2024

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

✓ Corrected: Feb 8, 2024
Tag 0584 D Feb 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.

✓ Corrected: Feb 8, 2024
Tag 0641 D Feb 7, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 8, 2024
Tag 0658 D Feb 7, 2024

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

✓ Corrected: Feb 8, 2024
Tag 0677 D Feb 7, 2024

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

✓ Corrected: Feb 8, 2024
Tag 0689 G Feb 7, 2024

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

✓ Corrected: Feb 8, 2024

2023 17 violations

Tag 0550 D Sep 18, 2023

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

✓ Corrected: Sep 29, 2023
Tag 0578 D Sep 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.

✓ Corrected: Sep 29, 2023
Tag 0582 B Sep 18, 2023

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

✓ Corrected: Sep 29, 2023
Tag 0656 D Sep 18, 2023

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

✓ Corrected: Sep 29, 2023
Tag 0684 D Sep 18, 2023

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

✓ Corrected: Sep 29, 2023
Tag 0880 E Sep 18, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 29, 2023
Tag 0580 D Jul 11, 2023

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

✓ Corrected: Jul 26, 2023
Tag 0584 E Jul 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.

✓ Corrected: Jul 26, 2023
Tag 0656 D Jul 11, 2023

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

✓ Corrected: Jul 26, 2023
Tag 0677 E Jul 11, 2023

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

✓ Corrected: Jul 26, 2023
Tag 0684 J Jul 11, 2023

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

✓ Corrected: Jul 26, 2023
Tag 0725 E Jul 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.

✓ Corrected: Jul 26, 2023
Tag 0880 D Jul 11, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 26, 2023
Tag 0580 D Apr 3, 2023

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

✓ Corrected: Apr 17, 2023
Tag 0584 E Apr 3, 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.

✓ Corrected: Apr 17, 2023
Tag 0677 E Apr 3, 2023

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

✓ Corrected: Apr 17, 2023
Tag 0880 D Apr 3, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 17, 2023

2022 6 violations

Tag 0609 D Mar 3, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 25, 2022
Tag 0638 B Mar 3, 2022

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Mar 25, 2022
Tag 0645 B Mar 3, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Mar 25, 2022
Tag 0684 D Mar 3, 2022

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

✓ Corrected: Mar 25, 2022
Tag 0689 G Mar 3, 2022

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

✓ Corrected: Mar 17, 2022
Tag 0842 D Mar 3, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 25, 2022

2020 6 violations

Tag 0885 D Sep 17, 2020

Report COVID19 data to residents and families.

✓ Corrected: Sep 22, 2020
Tag 0880 D Aug 27, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 9, 2020
Tag 0582 B Mar 12, 2020

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

✓ Corrected: Mar 24, 2020
Tag 0625 B Mar 12, 2020

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Mar 24, 2020
Tag 0638 B Mar 12, 2020

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Mar 24, 2020
Tag 0698 D Mar 12, 2020

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Mar 24, 2020

2019 3 violations

Tag 0558 D Mar 7, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 25, 2019
Tag 0812 D Mar 7, 2019

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

✓ Corrected: Mar 25, 2019
Tag 0880 D Mar 7, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 25, 2019

2018 1 violations

Tag 0921 F May 18, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jun 18, 2018

2017 3 violations

Tag 0550 D Dec 18, 2017

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

✓ Corrected: Dec 28, 2017
Tag 0812 F Dec 18, 2017

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

✓ Corrected: Dec 28, 2017
Tag 0880 D Dec 18, 2017

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 28, 2017

2016 4 violations

Tag 0246 D Nov 10, 2016

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Dec 9, 2016
Tag 0281 D Nov 10, 2016

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

✓ Corrected: Dec 9, 2016
Tag 0311 E Nov 10, 2016

Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

✓ Corrected: Dec 9, 2016
Tag 0312 D Nov 10, 2016

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Dec 9, 2016
🏥 Facility Summary

The Highlands is a 1-star nursing home in Decorah, IA with 86 beds.

Most recent inspection: Data not available. No current violations on record.

📞 5633823603
📍 607 Highland Drive, Decorah, IA
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About The Highlands

What violations has The Highlands received?
The Highlands has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of The Highlands?
The Highlands has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was The Highlands last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is The Highlands safe?
Safety at The Highlands should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact The Highlands?
Phone: 5633823603. Address: 607 Highland Drive, Decorah, IA. For visiting hours and admission information, call the facility directly.
What services does The Highlands offer?
The Highlands is a skilled nursing facility with 86 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Decorah, IA?
Compare The Highlands with other nursing homes in Decorah, IA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.