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.
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.
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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.
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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.
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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.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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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.