{
 "id": "165178",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "The Highlands",
 "slug": "the-highlands",
 "path": "/ia/winneshiek/decorah/the-highlands",
 "address": {
  "street": "607 Highland Drive",
  "city": "Decorah",
  "county": "Winneshiek",
  "state": "IA",
  "state_name": "Iowa",
  "zip": "52101"
 },
 "phone": "5633823603",
 "coords": null,
 "capacity": 86,
 "residents_per_day": 75.4,
 "status": "Medicare and Medicaid",
 "licensee": "Aase Haugen Homes, INC.",
 "administrator": null,
 "licensed_since": "1993-01-01",
 "last_visit": "2025-06-12",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "Non profit - Corporation",
  "chain": null,
  "in_hospital": false,
  "ccrc": true,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 2,
   "health_inspection": 2,
   "staffing": 4,
   "quality": 3
  },
  "cycle1": {
   "date": "2025-06-12",
   "total": 5,
   "standard": 3,
   "complaint": 2
  },
  "fines": {
   "count": 2,
   "dollars": 93839,
   "penalties": 3
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.89896,
   "turnover_pct": 53.3
  },
  "on_record": {
   "immediate_jeopardy": 2,
   "actual_harm": 2,
   "potential_harm": 27,
   "minimal": 3
  },
  "penalties_on_file": {
   "count": 3,
   "dollars": 93839
  },
  "owners": [
   {
    "name": "BJELLAND, SUSAN",
    "role": "Individual",
    "since": "since 02/22/2010",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ELSBERND, NANCY",
    "role": "Individual",
    "since": "since 02/22/2010",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SCHMIDT, JEFFREY",
    "role": "Individual",
    "since": "since 05/20/2013",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CONTINUUM HEALTH CARE SERVICES LLC",
    "role": "Organization",
    "since": "since 01/17/2013",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2025-09-23",
   "tag": "0550",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2025-09-23",
   "tag": "0923",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2025-06-12",
   "tag": "0582",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-06-12",
   "tag": "0943",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-06-12",
   "tag": "0641",
   "sev": "B",
   "complaint": false
  },
  {
   "date": "2024-12-09",
   "tag": "0684",
   "sev": "J",
   "complaint": true
  },
  {
   "date": "2024-09-25",
   "tag": "0580",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-09-25",
   "tag": "0684",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-07-25",
   "tag": "0689",
   "sev": "G",
   "complaint": false
  },
  {
   "date": "2024-07-25",
   "tag": "0800",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-25",
   "tag": "0802",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-25",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-25",
   "tag": "0644",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-25",
   "tag": "0684",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-25",
   "tag": "0801",
   "sev": "C",
   "complaint": false
  },
  {
   "date": "2024-02-07",
   "tag": "0689",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2024-02-07",
   "tag": "0550",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-02-07",
   "tag": "0584",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-02-07",
   "tag": "0641",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-02-07",
   "tag": "0658",
   "sev": "D",
   "complaint": true
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "165178"
 }
}