What are the staffing levels at The Highlands?

The Highlands reports 3.90 total nursing hours per resident per day (HPRD), including 0.44 RN hours, N/A LPN hours, and 2.79 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).

What is the CMS rating for The Highlands?

The Highlands holds a CMS overall rating of 2 out of 5 stars. The staffing-specific rating is 4 stars, health inspection rating is 2 stars, and quality measure rating is 3 stars. CMS ratings are updated quarterly.

How does The Highlands compare to other Iowa nursing homes?

The Iowa average is 3.85 total HPRD and 0.68 RN HPRD. The Highlands's total HPRD of 3.90 is near the state average.

What is the staff turnover rate at The Highlands?

The Highlands reports 53% total nursing staff turnover annually (44% RN turnover). The national average is approximately 52%. This is near the national average.

CMS CCN 165178 · Non profit - Corporation

The Highlands

607 Highland Drive, Decorah, IA 52101

Overall CMS Rating

2/5

Staffing Rating

4/5

View on Medicare.gov

Near-average staffing

3.90 total HPRD vs. 3.89 national avg · 0.44 RN HPRD vs. 0.69 national avg

Staffing Hours Per Resident Per Day

3.90

Total HPRD

Nat avg 3.89

0.44

RN HPRD

Nat avg 0.69

N/A

LPN HPRD

Nat avg 0.94

2.79

CNA HPRD

Nat avg 2.27

Staffing Comparison

Bar = this facility. Markers = state avg (blue) and national avg (purple).

RN Hours/Day0.44 hr/day

State 0.68National 0.69

LPN Hours/DayN/A

State 0.82National 0.94

CNA Hours/Day2.79 hr/day

State 2.35National 2.27

Total Nursing Hours/Day3.90 hr/day

State 3.85National 3.89

Weekend Staffing

Weekend RN hours often drop 10–20% — a key quality indicator.

Weekend RN HPRD

N/A

National avg 0.48

Weekend Drop vs. Weekday

N/A

Staff Turnover

Annual staff turnover — below 30% is excellent; above 70% indicates instability.

Total Nursing Turnover

53%

National avg 52%

RN Turnover

44%

Total Turnover53%

Purple marker = national average (52%). Lower is better.

CMS Star Ratings

Overall Rating

Below average

2/5

Health Inspection

Below average

2/5

Staffing

Above average

4/5

Quality Measures

Average

3/5

Facility Information

Ownership: Non profit - Corporation
Certified Beds: 86
State: Iowa
ZIP: 52101
Last Inspection: —
CMS CCN: 165178

Penalty & Inspection History

2 CMS fines totaling $93,839

Review full inspection reports on Medicare.gov Care Compare.

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Frequently Asked Questions

What are the staffing levels at The Highlands?: The Highlands reports 3.90 total nursing hours per resident per day (HPRD), including 0.44 RN hours, N/A LPN hours, and 2.79 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).
What is the CMS rating for The Highlands?: The Highlands holds a CMS overall rating of 2 out of 5 stars. The staffing-specific rating is 4 stars, health inspection rating is 2 stars, and quality measure rating is 3 stars. CMS ratings are updated quarterly.
How does The Highlands compare to other Iowa nursing homes?: The Iowa average is 3.85 total HPRD and 0.68 RN HPRD. The Highlands's total HPRD of 3.90 is near the state average.
What is the staff turnover rate at The Highlands?: The Highlands reports 53% total nursing staff turnover annually (44% RN turnover). The national average is approximately 52%. This is near the national average.

Data: CMS Payroll-Based Journal (PBJ) via CMS Care Compare. Revalidated every 24 h. Not a substitute for professional medical advice.