Nursing HomeInspections

Highland Ridge Care Center, LLC

Nursing home in Williamsburg, IA

Medicare & Medicaid certified3★ overall (CMS)

Call (319) 668-3800Send a messageMap ↗

Public-record details

Address
102 Highland Circle, Williamsburg, IA 52361
Phone
(319) 668-3800
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
165566
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
59
Average residents per day
51
Ownership
Nonprofit, corporation
Legal business name
Highland Ridge Care Center, LLC
Chain
Presbyterian Homes & Services (21 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 24, 2006
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 165566. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 20, 2023 to Nov 19, 2025): 6 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Nov 19, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 19, 2025Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 19, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Nov 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Sep 11, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Sep 11, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
May 21, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 21, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 20, 2023Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 20, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $36,752 in the last three years.

Aug 22, 2023Fine: $36,752

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.10 hours
Registered nurse (RN) time per resident per day
0.89 hours
Nurse aide time per resident per day
3.08 hours
Total nurse staffing on weekends
3.72 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
0%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.