facebook tracking Highland Ridge Care Center, Williamsburg IA: CMS Ratings
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Highland Ridge Care Center

All states › Iowa › Williamsburg › Highland Ridge Care Center

102 Highland Circle Williamsburg, IA 52361 · Iowa County

(319) 668-3800

Accepts Medicare Accepts Medicaid 59 certified beds Non profit Continuing care retirement community

CMS certification number 165566 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Highland Ridge Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Highland Ridge Care Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Iowa average of 3.1. Inspectors issued 16 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.02 hours per resident per day at Highland Ridge Care Center, above the Iowa median of 3.76 (US median: 3.72). About 0.90 of those hours are from registered nurses. On weekends it falls to 3.57 hours, 11% below its all-week average. 37.9% of nursing staff left within a year (Iowa median 41.7%).

Nursing care per resident per day 4.02 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.90 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.57 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 37.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 10% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds59
Residents per day 55 About 94% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 2006
Part of a chainPresbyterian Homes & Services
Legal business nameHIGHLAND RIDGE CARE CENTER, LLC

Paying for care at Highland Ridge Care Center: Medicare and Medicaid

Highland Ridge Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 11, 2025 and found 4 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 16 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 16 citations at Highland Ridge Care Center across 4 inspection dates, 6 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 20, 2023. The most common areas cited were quality of life and care (8) and resident rights (3). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, September 20, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.

November 19, 2025 · 4 citations · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2025)

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0741 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2025)

September 11, 2025 · 4 citations

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Oct 1, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Oct 1, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Oct 1, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Oct 1, 2025)

May 21, 2024 · 2 citations · includes complaint inspection

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Jun 18, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 18, 2024)

September 20, 2023 · 6 citations, includes immediate jeopardy

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Oct 17, 2023)

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Oct 17, 2023)

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

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0882 · Deficient, Provider has date of correction (Oct 17, 2023)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Oct 17, 2023)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Oct 17, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Oct 17, 2023)

Questions to ask on a tour of Highland Ridge Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on September 20, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 21, 2024. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 5/5 3/5
August 2026 3/5 2/5 5/5 3/5
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Location

Hospitals near Highland Ridge Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Rose Haven Nursing Home Marengo · 8.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 58 beds · Medicaid
English Valley Nursing Care Center North English · 10.8 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 44 beds · Medicaid
Colonial Manor of Amana Amana · 10.9 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 50 beds · Medicaid
Parkview Manor Wellman · 15.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 62 beds · Medicaid
Pleasantview Home Kalona · 19.6 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 66 beds · Medicaid

More nursing homes near Highland Ridge Care Center ›   All nursing homes in Williamsburg ›

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Other Presbyterian Homes & Services nursing homes in Iowa

Affiliation comes from CMS's affiliated-entity data, October 2026. All 21 Presbyterian Homes & Services nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/williamsburg/highland-ridge-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.