Decorah, IA 52101
CMS Certification Number (CCN): 165178 · 86 beds
The Highlands is a Medicare-certified nursing home in Decorah, IA (CMS Certification Number 165178). CMS rates it 2 out of 5 stars overall (health inspection 2/5, staffing 4/5, quality measures 3/5). Federal inspection records list 28 health deficiencies, including 1 immediate jeopardy citation. The most recent survey date on record is June 18, 2026. Federal civil monetary penalties on record total $94K across 2 fines. This page summarizes public CMS inspection, staffing, penalty, and ownership data so families can research a nursing home before choosing care. It is not medical advice or a recommendation.
| Overall CMS rating | ★★☆☆☆ 2/5 |
| Health inspection | ★★☆☆☆ 2/5 |
| Staffing | ★★★★☆ 4/5 |
| Quality measures | ★★★☆☆ 3/5 |
| Total health deficiencies | 28 |
| Most recent inspection / survey date | June 18, 2026 |
| Serious deficiency flags | 3 |
| Harm citations | 2 |
| Immediate jeopardy citations | 1 |
| Total federal fines | $94K |
| Fine count | 2 |
| Payment denials | 1 |
| Staffing star rating | ★★★★☆ 4/5 |
| RN hours per resident day | 0.44 |
| Total nurse staffing hours per resident day | 3.90 |
| Days with zero RN hours | 4.3% |
Ownership type: Non profit - Corporation
This owner operates 3 facilities in the current extract.