Assisted Living
The Highlands Assisted Living
8 Ohio Street, Decorah, IA 52101 · Map
Licensed for 35 residents
The Highlands Assisted Living is a state-licensed assisted living community in Decorah, Iowa. It is licensed for 35 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Care and services
From the community’s website
What The Highlands Assisted Living says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Within our dedicated CCDI Memory Care neighborhood, we focus on what matters most – meaningful connection, comfort, and peace of mind.
(page, checked Oct 15, 2026)
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last recertification or initial survey: Jul 24, 2025. See the record
License
Active, 35 residents
Assisted Living Program S0133.
Nearest emergency room
1.7 miles
Winnmed, rated 4 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| The Highlands Assisted Living this community | 35 | Not published | Active | 0 state violations in 3 years | |
| Arlin Falck AL | 1.4 mi | 64 | Not published | Active | 0 state violations in 3 years |
| Wellington Place Memory Support | 3.0 mi | 16 | Not published | Active | No record |
| Wellington Place (Assisted Living) | 3.0 mi | 68 | Not published | Active | 0 state violations in 3 years |
| The Meadows of Mabel | 15.3 mi | 22 | Not published | Active | No record |
State inspection record0 state violations in 3 years
- Last recertification or initial survey
- July 24, 2025
- Visits in three years
- 1
- Complaint visits in three years
- 0
- State violations (all visits)
- 0
- State fines in three years
- None
- Certification expires
- November 30, 2027
- No violations cited at the last visit (July 2025)
- Certified since 2001
Visits (newest first)
- July 24, 2025: Recertification, no state violations listed · report
DIAL Health Facility Database record → (The Highlands Assisted Living)
What these terms mean
DIAL's Health Facility Database lists each visit to the program, the number of state violations found, and any certification or licensure action and fine that followed. The scanned report for each visit is linked; it holds the inspectors' findings in full.
Recertification: DIAL's routine survey of the program for its certification. Complaint: a visit to look into a complaint. Incident: a visit to look into an incident the program reported. Initial: the survey of a new program. A revisit is a follow-up visit after an earlier one. A visit can be more than one type.
Iowa Code 231C.14 lets DIAL fine an assisted living program for “noncompliance with any regulatory requirements which presents an imminent danger or a substantial probability of resultant death or physical harm to a tenant,” for continued failure to comply after notice, or for interfering with an inspector. A fine is reduced by 35 percent when the program does not contest it and pays within 30 days; the Assessed Fines Report shows this as “State Adjusted”. “State Susp” is the part suspended.
A complaint visit with no violations listed does not say whether the complaint was substantiated; the linked report does. This program is certified for 35 residents or units; larger programs are visited and cited more often, so read counts with size in mind. Source: Iowa Department of Inspections, Appeals, and Licensing (DIAL), Health Facilities Division, data as of October 16, 2026. Always visit in person and ask the program about anything listed here.
License and ownershipActive license
- License type
- Assisted Living Program
- License number
- S0133
- License status
- Active
- Licensed capacity
- 35
- County
- Winneshiek County
- Executive Director
- Sam Boeke
Source: Iowa state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Executive Director name from public records we reviewed, as of Oct 12, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Iowa, and other programs
How Medicaid pays for care in Iowa
- Elderly (E) Waiver, Assisted Living Service. Iowa Medicaid's Elderly Waiver, for people 65 and older, lists "Assisted Living Service" among its services. Waiver slots can have waiting lists. (state page)
- Waitlist. Iowa HHS says there is currently no waitlist for the Elderly Waiver, and that this could change. (source)
Ask the community whether it accepts Medicaid.
Staff pay and workplace safety1 OSHA inspection, 2 violations cited
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 6, 2020: complaint inspection, complete (health). Case closed Nov 18, 2020. 2 violations cited (2 serious). Penalties: $7,387 proposed, $5,500 now. OSHA record. OSHA recorded the employer as Aase Haugen Senior Services.
Details
- Serious: Air contaminants (1910.1000(a)(2)). Penalty $7,387 proposed, $5,500 now.
- Serious: Air contaminants (1910.1000(e)). Penalty $0 proposed, $0 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby careNearest hospital 1.7 mi, nursing home 1.6 mi, pharmacy 30.8 mi
- Nearest hospital with an emergency room
- Winnmed, Decorah. 1.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- The Highlands, Decorah. 1.6 miles away, straight line.
- Nearest home health agency office
- Winnmed Home Health, Decorah. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Towncrest Pharmacy New Hampton. 30.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52101 as small town (small town core).
- Dialysis within 15 miles
- Mayo Clinic Hosp-Dyls, Decorah, 1.7 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 52101.
Winnmed Hospice, office in Decorah, 1.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Howard County Community Hospice, office in Cresco, 16.2 miles away, straight line
Gundersen Palmer Lutheran Hosp And Clinics-Hospice, office in West Union, 21.4 miles away, straight line - Nearest geriatric medicine practice
- Gundersen Lutheran Medical Center Inc, La Crosse. 44.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: Area protected by a levee from the 1% annual chance flood (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour9 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Iowa Department of Inspections, Appeals, and Licensing (DIAL), Health Facilities Division inspection records | Oct 16, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does The Highlands Assisted Living provide?
The Highlands Assisted Living is licensed by the state of Iowa for assisted living in Decorah, Iowa. Its licensed capacity is 35 residents.
Does Lilisity rate The Highlands Assisted Living?
No. We publish state licensing details for The Highlands Assisted Living but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does The Highlands Assisted Living cost?
Assisted Living in Iowa typically starts at $1,450 to $4,650 a month. Based on 33 communities that publish prices. These are area figures, not this community's price. The Highlands Assisted Living does not publish its prices.
How do I contact The Highlands Assisted Living?
Use The Highlands Assisted Living's website, aasehaugen.com, or visit at 8 Ohio Street, Decorah, IA 52101.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid