ElderGrade
C

60/100

Average

Highland Ridge Care Center, Llc

102 Highland Circle, Williamsburg, IA 52361

CMS 3/5 stars #4 of 4 in Iowa County (319) 668-3800
Certified beds
59
Occupancy
87%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $36,752 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.35 total nurse hours per resident per day (national median 3.77)
  • 0.89 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 35% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $36,752 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.10 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.89 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.72 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 34.90%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 16 citations

Last standard health inspection: September 11, 2025 (11 months ago).

G Nov 19, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm to a resident

G Nov 19, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

D Nov 19, 2025 F0697 From a complaint

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

No actual harm, potential for more than minimal harm

D Nov 19, 2025 F0741 From a complaint

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

No actual harm, potential for more than minimal harm

E Sep 11, 2025 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Sep 11, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Sep 11, 2025 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Sep 11, 2025 F0806

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PRESBYTERIAN HOMES & SERVICES, which operates 21 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HILLS BANK AND TRUST COMPANY Organization 5% OR GREATER MORTGAGE INTEREST
HILLS BANK AND TRUST COMPANY Organization 5% OR GREATER SECURITY INTEREST
BLYTHE, CURTIS Individual CORPORATE DIRECTOR
BLYTHE, MARY Individual CORPORATE DIRECTOR
KINZENBAW, MARCIA Individual CORPORATE DIRECTOR
LARSON, DUANE Individual CORPORATE DIRECTOR
LINDH, DANIEL Individual CORPORATE DIRECTOR
MCCURRY, SUSAN Individual CORPORATE DIRECTOR
OLSON, DANIEL Individual CORPORATE DIRECTOR
FLETCHER, JONATHAN Individual CORPORATE OFFICER
MEYER, MARK Individual CORPORATE OFFICER
PHS MANAGEMENT, LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Highland Ridge Care Center, Llc

What is the ElderGrade for Highland Ridge Care Center, Llc? +

Highland Ridge Care Center, Llc holds an ElderGrade of C (60 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Highland Ridge Care Center, Llc? +

Residents receive an average of 4.10 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Highland Ridge Care Center, Llc been cited for harming residents? +

Yes. 4 of the 16 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Highland Ridge Care Center, Llc accept Medicaid? +

Yes, Highland Ridge Care Center, Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.