GoodStanding

Nursing home report

Highland Ridge Care Center, LLC

Williamsburg, IA · Medicare-certified · 59 beds

In good standing
Non-profitChain member
3 of 5 overall

Highland Ridge Care Center, LLC in Williamsburg, IA has an overall rating of 3 out of 5 stars. Its staffing is strong at 5 stars with 4.63 nurse hours per resident day, above the federal benchmark of 4.1, but its health inspection rating is lower at 2 stars; no fines were reported in the last 24 months.

Facility ratings

Health inspections

Staffing

4.6287 hrs/resident/day

Quality measures

Last inspection: November 19, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6287.

Staffing detail

Registered nurses
0.92
Licensed practical nurses
0.27
Nurse aides
3.44
Weekend nursing
4.10

Hours per resident per day.

Total staff turnover: 34%
Registered nurse turnover: 0%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

7.5%Worsening

Residents with a fall causing major injury

6.9%Worsening

Residents with pressure ulcers (bedsores)

2.5%Worsening

Residents with a urinary tract infection

3.5%Worsening

Residents who lost too much weight

4.4%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

17%Worsening

Residents whose ability to walk got worse

13.2%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

18.2%Worsening

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0.3%Worsening

Residents with new or worsening incontinence

31%Improving

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

79.7%Steady

Long-stay residents given the pneumonia vaccine

99%Steady

Short-stay residents given the pneumonia vaccine

84.1%Steady

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited September 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited September 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 882 — 42 CFR §483.80 — S/S: F

The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $36,752 in total fines.

  • Federal fine

    Aug 22, 2023

    $36,752

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of PRESBYTERIAN HOMES & SERVICES · 21 homes · 4.3 stars avg
Occupancy
48.3 residents on an average day (82% of 59 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 20 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.