Highland Ridge Care Center, LLC
102 Highland Circle · Williamsburg, IA · 52361 · 3196683800
59 certified beds Non profit - Corporation Chain: Presbyterian Homes & Services Part of a CCRC
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.92 | 0.55–0.75 |
| Weekend hours / resident-day | 4.10 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 1 · $36,752 |
Inspection citations (16 in the current record)
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Actual harm · G November 19, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 18, 2025 · Quality of Life and Care
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Actual harm · G November 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · E September 11, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 1, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected October 1, 2025 · Nutrition and Dietary
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Potential for harm · D May 21, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 18, 2024 · Quality of Life and Care
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Immediate jeopardy · J September 20, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 17, 2023 · Quality of Life and Care
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Immediate jeopardy · J September 20, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 17, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 17, 2023 · Resident Rights
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Potential for harm · D September 20, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 20, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · F September 20, 2023
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected October 17, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 22, 2023 | Fine | $36,752 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165566 · certified since January 24, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.