The Highlands

607 Highland Drive, Decorah, IA 52101

(563) 382-3603

1Overall Rating
Non profit - CorporationMedicare and MedicaidContinuing Care

Quality Ratings

Overall
1
Health Inspections
1
Staffing
3
Quality Measures
4
Long-stay QM
4
Short-stay QM
4

Facility Details

Licensed Beds86
Avg Residents67
CountyWinneshiek
Sprinkler SystemYes
Ownership ChangedNo
Resident CouncilResident

Staffing (hrs/resident/day)

RN Hours0.53
LPN Hours0.58
Aide Hours2.19
Total Nurse Hours3.31
Weekend Nurse Hours2.78
Nursing Turnover58.9%
RN Turnover37.5%

State Staffing Compliance

Iowa Minimum3 hrs/resident/day
This Facility3.31 hrs/resident/day

Penalties & Enforcement

4
Total Penalties
$153,679
Total Fines
1
Payment Denials
4
Infection Citations

Ownership

Recent Ownership Change
Primary OwnerCONTINUUM HEALTH CARE SERVICES LLC
Owner TypeIndividual
Chain / OrganizationCONTINUUM HEALTH CARE SERVICES LLC
Facilities in Chain3

Cost Context: Average in Iowa

$295
Private Room/day
$8,965
Private Room/mo
$269
Semi-Private/day
$188
Medicaid Rate/day

Average cost in Iowa: $295/day private room. Source: CareScout/Genworth Cost of Care Survey 2025.

Data from CMS (Centers for Medicare & Medicaid Services), processed 2026-03-01. CMS Provider ID: 165178