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Data / Nursing homes / Iowa / The Highlands

The Highlands, Decorah, IA: 2 star rating, fined $93,839 across 2 fines and had 1 payment denial

The Highlands in Decorah, IA is run by Aase Haugen Homes, Inc., with no owner listed in the CMS ownership file, is rated 2 of 5 stars by Medicare, and was fined $93,839 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 26 health citations from inspections in that time, the latest survey on July 22, 2026, and 3 of them found actual harm or immediate jeopardy.

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Address
607 Highland Drive, Decorah, IA 52101
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measure rating
3 of 5
Certified beds
86
Residents per day
74 on average
Ownership type
Nonprofit, corporation
Legal business name
Aase Haugen Homes, Inc.
Fines
$93,839 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
26, of which 3 with actual harm or immediate jeopardy
Latest survey
July 22, 2026
CMS Certification Number
165178
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 9, 2024Fine$50,211Not listeddata.cms.gov
July 25, 2024Fine$43,628Not listeddata.cms.gov
July 25, 2024Payment denialNot listedAugust 21, 202410data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 22, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2026data.cms.gov
July 22, 2026F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2026data.cms.gov
July 22, 2026F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 27, 2026data.cms.gov
July 22, 2026F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2026data.cms.gov
June 18, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 1, 2026data.cms.gov
September 23, 2025F923Have enough outside ventilation via a window or mechanical ventilation, or both.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 24, 2025data.cms.gov
September 23, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 24, 2025data.cms.gov
June 12, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
June 12, 2025F641Ensure each resident receives an accurate assessment.B: pattern, minimal harm potentialCorrectedJune 26, 2025data.cms.gov
June 12, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2025data.cms.gov
December 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedDecember 10, 2024data.cms.gov
September 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
July 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJuly 26, 2024data.cms.gov
July 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 25, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 25, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.C: widespread, minimal harm potentialCorrectedJuly 26, 2024data.cms.gov
July 25, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 25, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
February 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 8, 2024data.cms.gov
February 7, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov
February 7, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov
February 7, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov
February 7, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov
February 7, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (2 managers, 1 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Continuum Health Care Services LLCOperational or managerial controlNot listedJanuary 17, 2013data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.