Iowa › Iowa County › Williamsburg
Highland Ridge Care Center, LLC
102 Highland Circle, Williamsburg, IA 52361
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 59 beds, Highland Ridge Care Center, LLC serves Williamsburg in Iowa County, Iowa and has taken Medicare and Medicaid residents since 2006.
CMS gives it 3 of 5 stars overall, equal to the Iowa median; the health inspection rating is 2, staffing 5 and quality measures 3.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (8, 0, 8 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 27.1 per 100 beds, about the same as the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $37K.
Reported nurse staffing is 4.1 hours per resident per day (0.9 RN), close to the Iowa median of 3.7; nursing staff turnover is 34.9%.
Compared with county, state and nation
| Measure | This facility | Iowa Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 16 | 16 | 28.7 |
| Citations per 100 beds | 27.1 | 27.1 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.1 | 3.4 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 34.9% | 34.9% | 41.9% | 45.8% |
| Fines listed | $36,752 | $10,062 | $0 | — |
County and state figures are medians across facilities (4 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Sep 2025, 3 Oct 2024.
Severity mix: J ×2 G ×2 D ×10 E ×1 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 18 Dec 2025 |
| 19 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 18 Dec 2025 |
| 19 Nov 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 18 Dec 2025 |
| 19 Nov 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Complaint investigation | 18 Dec 2025 |
| 11 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 1 Oct 2025 |
| 11 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 1 Oct 2025 |
| 11 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Oct 2025 |
| 11 Sep 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 1 Oct 2025 |
| 21 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Jun 2024 |
| 21 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Jun 2024 |
| 20 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 17 Oct 2023 |
| 20 Sep 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | Standard survey | 17 Oct 2023 |
| 20 Sep 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 17 Oct 2023 |
| 20 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 17 Oct 2023 |
| 20 Sep 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 17 Oct 2023 |
| 20 Sep 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 17 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Aug 2023 | Fine | $36,752 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 34.9%, RNs 0.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.1% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.2% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.1% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Highland Ridge Care Center, Llc. Chain: Presbyterian Homes & Services (21 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Williamsburg Retirement Community Inc | 5% or greater direct ownership interest | 100% | 09/29/2005 |
| Hills Bank and Trust Company | 5% or greater mortgage interest | NOT APPLICABLE | 02/26/2014 |
| Hills Bank and Trust Company | 5% or greater security interest | NOT APPLICABLE | 02/26/2014 |
| Phs Management, LLC | Operational/managerial control | NOT APPLICABLE | 03/11/2011 |
| Phs Management, LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Iowa County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Colonial Manor of Amana | Amana | 50 | 5 | 5 | 4 | 3 | 6.0 | — | 18 Apr 2024 |
| English Valley Nursing Care Center | North English | 44 | 5 | 5 | 3 | 1 | 2.3 | — | 19 Oct 2023 |
| Rose Haven Nursing Home | Marengo | 58 | 3 | 3 | 3 | 26 | 44.8 | $10K | 7 May 2026 |
All 4 facilities in Iowa County
Questions and answers
How many deficiencies has Highland Ridge Care Center, LLC been cited for?
16 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Highland Ridge Care Center, LLC been fined?
Yes. CMS lists fines totalling $37K in the period covered.
How does staffing at Highland Ridge Care Center, LLC compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Highland Ridge Care Center, LLC?
It is part of the Presbyterian Homes & Services chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Williamsburg Retirement Community Inc and Phs Management, LLC. Individual owners and managers are not listed on this site.
When was Highland Ridge Care Center, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 19 Nov 2025; the most recent standard health survey was 11 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.