The Highlands
Decorah, IA · 86 beds · Non profit - Corporation
Red Flags
- ⚠ 1-star health inspection rating (lowest possible)
- ⚠ 2 citation(s) at the highest severity level — immediate risk to residents
- ⚠ 2 citation(s) where residents suffered actual harm
- ⚠ $153,679 in fines over 3 years
Green Flags
No positive signals identified yet.
Quick Facts
Violation Timeline
September 22, 2025
6 deficiencyiesResident Rights Deficiencies
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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Environmental Deficiencies
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Have enough outside ventilation via a window or mechanical ventilation, or both.
Resident Rights Deficiencies
Show details
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Environmental Deficiencies
Show details
Have enough outside ventilation via a window or mechanical ventilation, or both.
Resident Rights Deficiencies
Show details
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Environmental Deficiencies
Show details
Have enough outside ventilation via a window or mechanical ventilation, or both.
June 11, 2025
9 deficiencyiesResident Rights Deficiencies
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
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Ensure each resident receives an accurate assessment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Resident Rights Deficiencies
Show details
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Show details
Ensure each resident receives an accurate assessment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show details
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Resident Rights Deficiencies
Show details
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Show details
Ensure each resident receives an accurate assessment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show details
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
December 8, 2024
3 deficiencyiesQuality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Show details
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
September 24, 2024
2 deficiencyiesResident Rights Deficiencies
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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Show details
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing
A nurse checks on each resident roughly every 6.2 hours on average.
Fines & Penalties
- Fine Dec 8, 2024$50,211
- Fine Jul 24, 2024$43,628
- Payment Denial Jul 24, 2024Payment Denial
- Fine Jul 10, 2023$59,840
Ownership
-
CONTINUUM HEALTH CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/17/2013
Organization -
SCHMIDT, JEFFREY
CORPORATE DIRECTOR
Since since 05/20/2013
Individual -
BJELLAND, SUSAN
W-2 MANAGING EMPLOYEE
Since since 02/22/2010
Individual -
ELSBERND, NANCY
W-2 MANAGING EMPLOYEE
Since since 02/22/2010
Individual