Aase Haugen AL
State licensed8 Ohio Street, Decorah, IA 52101
Assisted Living
Call for pricing
Prices not published
About The Highlands
The Highlands brings skilled nursing and rehabilitation care to Decorah, Iowa with a focus on helping residents regain independence and confidence. Our compassionate team provides personalized medical support during recovery, whether from surgery, illness, or injury.
Community at a glance
Capacity
86 residents
Location
Decorah, IA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
607 Highland Drive, Decorah, Iowa 52101
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 22, 2026, state inspectors cited 7 health deficiencies (the Iowa average is 6.5).
Nurses and nurse aides spend 3 hours 54 minutes with each resident a day, about the same as the Iowa average.
Medicare fined The Highlands 2 times in the last three years, $93,839 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 54 minutes |
| Registered nurse time per resident, per day | 27 minutesBelow the Iowa average |
| Nursing staff who left in the past year | 53%Above the Iowa average |
1 administrator has left the home in the past year.
Inspections
26 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 22, 2026 · Standard inspection · 4 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Aug 3, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 10, 2026Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 27, 2026Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 10, 2026
June 18, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 1, 2026
September 23, 2025 · Complaint investigation · 2 citations+
Have enough outside ventilation via a window or mechanical ventilation, or both.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Sep 24, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Sep 24, 2025
June 12, 2025 · Standard inspection · 3 citations+
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 26, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 26, 2025Ensure each resident receives an accurate assessment.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Jun 26, 2025
December 9, 2024 · Complaint investigation · 1 citation+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Dec 10, 2024
September 25, 2024 · Complaint investigation · 2 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 26, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 26, 2024
July 25, 2024 · Standard inspection · 7 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jul 26, 2024Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 26, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 26, 2024Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 26, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 26, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 26, 2024Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Minimal harm or risk, widespread (level C)Nutrition and DietaryCorrected Jul 26, 2024
February 7, 2024 · Complaint investigation · 6 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 8, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 8, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 8, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 8, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 8, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 8, 2024
Fines and payment denials
2 fines totaling $93,839 and 1 Medicare payment denial in the last three years.
- December 9, 2024Fine: $50,211
- July 25, 2024Fine: $43,628
- July 25, 2024Payment denial, 10 days
About the home, per Medicare
- Ownership
- Non profit - Corporation
- Legal business name
- Aase Haugen Homes, Inc.
- Medicare-certified beds
- 86
- Average residents per day
- 75
- Accepts
- Medicare and Medicaid
- First certified
- January 1, 1993
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 165178
Location
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607 Highland DriveDecorah, IA 52101
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Questions about The Highlands
How did The Highlands do on its last inspection?+
State inspectors visited on July 22, 2026 and cited 7 health deficiencies, 3 of them from complaint investigations. The Iowa average is 6.5.
How much nursing care does each resident get at The Highlands?+
Nurses and aides spend 3 hours 54 minutes with each resident per day, including 27 minutes from registered nurses. 53% of nursing staff left over the past year.
Has The Highlands been fined by Medicare?+
Yes. Medicare fined The Highlands 2 times in the last three years, totaling $93,839.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.