Skilled nursing facility · CMS certified · CCN 165178

The Highlands

607 Highland Drive, Decorah, IA 52101 · Winneshiek County · one of 388 skilled nursing facilities in Iowa

certified beds

2 / 5

overall rating

Nonprofit

ownership type

over 85%

occupancy band

1.14

case mix, 0.81x the Iowa average

Quality and staffing

CMS Care Compare · Jul 2026

Overall rating2 / 5 · state 3.1

Health inspection2 / 5 · state 2.9

Staffing4 / 5 · state 3.5

RN hours per resident per day0.44 · state 0.73

Overall rating, last 8 quarters

back to 2 / 5 over the 8 quarters shown, having been as low as 1 / 5

Surveys and enforcement

public record

Jun 2025

last standard survey

deficiencies cited · Iowa avg 9.1

$93,839

fines, last 3 years

part of a chain

Medicaid in Iowa

state rate files

$306

median daily rate across the Iowa buildings in our rate book, Jan 2026 file

Iowa rate schedule and what changed ›

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behind the call

The expanded view of The Highlands: who holds it, what has changed hands, how the money has moved, and where it is going.

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Winneshiek County

buildingbedsoverallWellington Place563 / 5Ossian Care Center462 / 5The Highlands862 / 5

All Iowa buildings in Winneshiek County ›

Iowa at a glance

388

buildings

25,198

licensed beds

80%

occupancy

54%

for-profit

Iowa market intelligence report ›

The neighborhood

Nearby skilled nursing

buildingbedsoveralloccupancyWellington PlaceDecorah · 2.9 mi563 / 5over 85%Ossian Care CenterOssian · 12.3 mi462 / 570-85%Green Lea Senior LivingMabel · 13.3 mi411 / 570-85%Northgate Care CenterWaukon · 15.8 mi501 / 570-85%Good Samaritan - WaukonWaukon · 16.3 mi602 / 5over 85%Evans Senior Living CommunityCresco · 16.8 mi435 / 570-85%

Public record only, the map and the list carry the same facts, and neither names an owner.