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    Nursing home · Decorah, IA

    The Highlands

    607 Highland Drive, Decorah, IA 52101

    CMS certification number: 165178 · Updated October 1, 2026

    Request care assistance5633823603Directions

    At a glance

    Official CMS profile

    CMS overall rating

    2 / 5

    Certified beds

    86

    Residents / day

    74.2

    Ownership

    Non profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Non profit - Corporation
    County
    Winneshiek
    Certified beds
    86
    Average residents per day
    74.2
    First certified
    January 1, 1993

    CMS quality ratings

    Overall
    2 / 5
    Health inspections
    2 / 5
    Staffing
    4 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Winneshiek, Iowa. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    2.00
    County peers
    4.00
    n=2
    State peers
    3.14

    Nurse hours / resident / day

    This home
    3.96
    County peers
    3.91
    n=2
    State peers
    3.86
    n=377

    Weekend nurse hours / resident / day

    This home
    3.62
    County peers
    3.34
    n=2
    State peers
    3.38
    n=377

    Nursing staff turnover (%)

    This home
    56.90
    County peers
    44.60
    n=2
    State peers
    44.04
    n=362

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 8.6% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 56.9% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    28
    Health citations
    26
    Resident measures
    17
    Ownership records
    4
    Penalties
    3
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.95784
    Reported RN Staffing Hours per Resident per Day
    0.49302
    Reported LPN Staffing Hours per Resident per Day
    0.69568
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.76914
    Total number of nurse staff hours per resident per day on the weekend
    3.61759
    Registered Nurse hours per resident per day on the weekend
    0.32327
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.07120
    Total nursing staff turnover
    56.9
    Registered Nurse turnover
    40.0
    Number of administrators who have left the nursing home
    1
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    IA
    Urban
    N
    Chain ID
    Not reported
    Latitude
    43.3239
    Location
    607 Highland Drive,Decorah,IA,52101
    ZIP Code
    52101
    City/Town
    Decorah
    Longitude
    -91.789
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Winneshiek
    Provider Name
    The Highlands
    Provider Type
    Medicare and Medicaid
    Overall Rating
    2
    Ownership Type
    Non profit - Corporation
    Number of Fines
    2
    Processing Date
    2026-10-01
    Staffing Rating
    4
    Provider Address
    607 Highland Drive
    Telephone Number
    5633823603
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    AASE HAUGEN HOMES, INC.
    Long-Stay QM Rating
    2
    High Performing Icon
    N
    Short-Stay QM Rating
    4
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.11698
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    86
    Provider SSA County Code
    950
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    40.0
    Total Number of Penalties
    3
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.79204
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    56.9
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    165178
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    93839.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    24
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    54.750
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    74.2
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    147
    Continuing Care Retirement Community
    Y
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    24
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    147
    Rating Cycle 1 Standard Survey Health Date
    2026-07-22
    Rating Cycle 2 Standard Health Survey Date
    2025-06-12
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.61759
    Case-Mix RN Staffing Hours per Resident per Day
    0.54780
    Reported RN Staffing Hours per Resident per Day
    0.49302
    Adjusted LPN Staffing Hours per Resident per Day
    0.87144
    Case-Mix LPN Staffing Hours per Resident per Day
    0.68263
    Reported LPN Staffing Hours per Resident per Day
    0.69568
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    5
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    14
    Rating Cycle 1 Number of Standard Health Deficiencies
    4
    Rating Cycle 2 Number of Standard Health Deficiencies
    3
    Reported Licensed Staffing Hours per Resident per Day
    1.18870
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    1
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    3.46877
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.85920
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.76914
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.95780
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.08963
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    11
    Reported Total Nurse Staffing Hours per Resident per Day
    3.95784
    Registered Nurse hours per resident per day on the weekend
    0.32327
    Date First Approved to Provide Medicare and Medicaid Services
    1993-01-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.07120
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    4.53159
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.71910
    Total number of nurse staff hours per resident per day on the weekend
    3.61759

    COMMUNITY EXPERIENCE

    Reviews of The Highlands

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026