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Nursing Homes · Medicare certified

Highland Ridge Care Center, LLC

102 Highland Circle · Williamsburg, IA 52361 · 59 certified beds

(319) 668-3800

NPI 1255444006 (opens in a new tab)

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About Highland Ridge Care Center, LLC

Highland Ridge Care Center, LLC is a nursing home in Williamsburg, Iowa. Its capacity is 59 beds, above the Iowa median of 58 for nursing homes. It is run by a nonprofit operator and is part of Presbyterian Homes & Services. It is Medicare certified. Its public inspection record shows 16 citations, the most recent on November 19, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 4.02 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

3.0

Staffing

5.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (16)

Records from September 2023 to November 2025.

  • November 19, 2025

    Tag F0697

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 18, 2025.

  • November 19, 2025

    Tag F0741

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 18, 2025.

  • November 19, 2025

    Tag F0684

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

    Severity G: isolated, actual harm. Corrected December 18, 2025.

  • November 19, 2025

    Tag F0689

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

    Severity G: isolated, actual harm. Corrected December 18, 2025.

  • September 11, 2025

    Tag F0806

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2025.

  • September 11, 2025

    Tag F0550

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2025.

  • September 11, 2025

    Tag F0628

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2025.

  • September 11, 2025

    Tag F0684

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2025.

  • May 21, 2024

    Tag F0610

    Respond appropriately to all alleged violations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2024.

  • May 21, 2024

    Tag F0684

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2024.

  • September 20, 2023

    Tag F0697

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

    Severity J: isolated, immediate jeopardy. Corrected October 17, 2023.

  • September 20, 2023

    Tag F0644

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 17, 2023.

  • September 20, 2023

    Tag F0684

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

    Severity J: isolated, immediate jeopardy. Corrected October 17, 2023.

  • September 20, 2023

    Tag F0580

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 17, 2023.

  • September 20, 2023

    Tag F0607

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 17, 2023.

  • September 20, 2023

    Tag F0882

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 17, 2023.

See the source data on data.cms.gov (opens in a new tab)

Penalties (1)

Total fines: $36,752

  • August 22, 2023 · Fine

    CMS recorded a civil money penalty of $36,752 against this nursing home on August 22, 2023.

See the source data on data.cms.gov (opens in a new tab)

Staffing

4.02 nurse hours per resident per day in Q2 2026, down from 4.63 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

Part of Presbyterian Homes & Services, a chain of 21 nursing homes.

Average CMS star ratings across the chain: 4.2 overall, 3.5 for health inspections, 4.9 for staffing, 2.9 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Iowa.

Nursing Homes

Iowa median$9,277/mo

What Medicaid pays nursing homes

This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.

Median facility daily rate

$307.06per day

About $9,335 a month.

Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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