The Highlands in Decorah, IA was fined $153,679 by CMS across 3 separate penalties following 38 deficiency citations identified during federal surveys.

The Highlands (Decorah, IA) — $153,679 in CMS Fines

Outcome: The Highlands in Decorah, IA was fined $153,679 by CMS across 3 separate penalties following 38 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.


• Have enough outside ventilation via a window or mechanical ventilation, or both.


• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.


• Ensure each resident receives an accurate assessment.


• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.


• Provide appropriate treatment and care according to orders, resident’s preferences and goals.


• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.


• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.