With a score of 12/100, The Highlands ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at The Highlands, with 3.31 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 38 deficiencies at The Highlands, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.31 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.53 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.58 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.19 | 2.4 | Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.34 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Sep 22, 2025 · Resident Rights Deficiencies
- Tag 0923 Severity EHave enough outside ventilation via a window or mechanical ventilation, or both.Sep 22, 2025 · Environmental Deficiencies
- Tag 0582 Severity DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Jun 11, 2025 · Resident Rights Deficiencies
- Tag 0943 Severity DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Jun 11, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 8, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.3% | 4.5% | Average |
| Falls with major injury | 0.9% | 3.0% | Better |
| On antipsychotic medication | 22.1% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 25.9% | 14.0% | Worse |
| Excessive weight loss | 6.2% | 7.5% | Better |
| New/worsened incontinence | 24.9% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $153,679
How This Grade Was Calculated
This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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