The Highlands — Nursing Home in Decorah, IA
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 86 |
|---|---|
| Average Residents/Day | 61.1 |
| CMS Certification Number | 165178 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 3.40 HPRD |
|---|---|
| RN Staffing | 0.51 HPRD |
Health Inspection Findings & Deficiencies
The Highlands had 2 health inspection deficiencies on its most recent inspection (September 23, 2025).
Inspection Findings — September 23, 2025
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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Level E)Corrected — September 24, 2025
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Have enough outside ventilation via a window or mechanical ventilation, or both. (Level E)Corrected — September 24, 2025
The Highlands is a 86-bed nursing home in Decorah, Iowa. It holds a 1-star CMS overall rating. Total nurse staffing is 3.4 hours per resident day, below the Iowa average of 3.8. Its most recent inspection, in September 2025, cited 2 deficiencies, none of them severe.
A recent inspection turned up only two non-severe deficiencies, which suggests problems were limited rather than systemic. You should ask how the facility is addressing its below-average staffing to ensure residents reliably get help with daily needs and timely communication with families and doctors.
Frequently Asked Questions
Is The Highlands Medicare and Medicaid certified?
The Highlands is Medicare certified and Medicaid certified according to CMS data.
What is The Highlands's CMS star rating?
The Highlands has an overall CMS rating of 1 out of 5 stars.
How is staffing at The Highlands?
The Highlands reports 3.3961 total nurse hours per resident day.
Has The Highlands had health inspection deficiencies?
On its most recent inspection, The Highlands had 2 total deficiencies, including 0 classified as severe.
How many beds does The Highlands have?
The Highlands has 86 certified beds.
Nearby Nursing Homes
- Wellington Place — 3/5 — 3.0 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.