State assisted-living licensing record · Iowa DIAL · record as pulled September 22, 2026· Not the federal nursing home survey
The Highlands Assisted Living
607 Highland Dr., Decorah, IA 52101 · Winneshiek County · 40 licensed beds
DIAL record ID 1714 · licence S0133 · certified through November 30, 2027 · first licensed November 2001
The licence
Licensed by DIAL · Assisted living program
Certification details, as listed by DIAL
- Certified as
- Assisted living program
- Certificate
- S0133
- Certified since
- November 30, 2001
- Current certificate
- From November 30, 2025, expires November 30, 2027
- Occupancy
- 40 units
- Accredited
- No
Position within Iowa
7 citations — more than 71% of the 437 licensed assisted living facilities in Iowa. Compared only within Iowa: a citation from DIAL means what it means in Iowa, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety inspection, severity, the survey report, and enforcement. The fire safety inspection of an Iowa assisted living program is the State Fire Marshal's and is not published; what DIAL itself cites about the building — its structural requirements, the dwelling-unit rules for dementia-specific programs and the fire and safety standards of the Code — is here. DIAL assigns no severity to a citation, and the survey report itself is published only as a scanned image, which is not read. Fines, conditional certifications and other enforcement actions are recorded separately and not republished. Elder group homes and adult day services are other certification types and are not included.
Get an email about The Highlands Assisted Living
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How that compares
Compared with the median licensed assisted living facility in Iowa. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 7 |
| Median facility in Iowa | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| April 10, 2023 | recertification survey | 7 |
| July 24, 2025 | recertification survey | 0 |
What the citations cover
- Resident care 6
- Records and administration 1
| Category | Citations |
|---|---|
| Resident care | 6 |
| Records and administration | 1 |
Every visit on file since September 2021
As published by DIAL, newest first, including visits that cited nothing. The wording is DIAL’s own.
July 24, 2025 — recertification survey, nothing cited
April 10, 2023 — recertification survey, 7 citations
| Tag | What DIAL checks |
|---|---|
| 231C.5 | Written occupancy agreement required |
| 481-69.22-1 | Evaluation of tenant prior to occupancy |
| 481-69.22-2 | Evaluation within 30 days of occupancy |
| 481-69.26-2 | Prior to the tenant's signing the occupancy agreement and taking occupancy of a dwelling unit, a… |
| 481-69.26-3 | When a tenant needs personal care or health-related care, the service plan shall be updated within 30 days… |
| 481-69.26-4 | The service plan shall be individualized and shall indicate, at a minimum |
| 481-69.27-1 | If a tenant receives personal or health-related care, the program shall provide for a registered nurse |
DIAL also holds 23 older citations for this facility from before September 2021, outside the 5-year window these pages use. They are on the state’s own record.
Reflects the DIAL record as pulled September 22, 2026. A recent visit may not appear yet. This is the Iowa state licensing record; it is not the federal nursing home survey and the two are never combined.