Federal inspection record · CMS data as of October 1, 2026
Highland Ridge Care Center, LLC
102 Highland Circle, Williamsburg, IA · (319) 668-3800
- Certified beds
- 59
- Residents per day
- 55
- Ownership
- Non-Profit
- Chain
- Presbyterian Homes & Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 24, 2006
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Highland Ridge Care Center, LLC carries 53 inspection points. That is fewer than 34% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights3E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Infection Control1F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Resident Assessment and Care Planning1D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspection history
2025-09-11
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-10-03
0 health deficiencies · 10 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-09-20
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 1 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
4 h 1 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 10% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse | 3.1 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts better | 99.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts worse | 6.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts worse | 6.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts worse | 23.1% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.1 pts better | 11.7% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.4 pts worse | 16.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts worse | 23.2% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.7% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts worse | 4.4% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts worse | 28.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.0% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4 pts worse | 80.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts better | 10.3% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.6 pts better | 100.0% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts better | 19.1% | 20.7% | 23.4% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Williamsburg Retirement Community Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Blythe, Curtis | Corporate Director · Individual | 0% | 1 facilities |
| Blythe, Mary | Corporate Director · Individual | 0% | 1 facilities |
| Fletcher, Jonathan | Corporate Officer · Individual | 0% | 18 facilities |
| Hadley, Victoria | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hadley, Victoria | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hills Bank And Trust Company | 5% Or Greater Mortgage Interest · Organization | 0% | 3 facilities |
| Hills Bank And Trust Company | 5% Or Greater Security Interest · Organization | 0% | 3 facilities |
| Hudson, Jerry | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hudson, Jerry | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kinzenbaw, Marcia | Corporate Director · Individual | 0% | 1 facilities |
| Larson, Duane | Corporate Director · Individual | 0% | 7 facilities |
| Lindh, Daniel | Corporate Director · Individual | 0% | 5 facilities |
| Mccurry, Susan | Corporate Director · Individual | 0% | 1 facilities |
| Meyer, Mark | Corporate Officer · Individual | 0% | 21 facilities |
| Meyer, Mark | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Meyer, Mark | Adp Of The SNF · Individual | 0% | 21 facilities |
| Olson, Daniel | Corporate Director · Individual | 0% | 1 facilities |
| Peterson, Heidi | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 18 facilities |
| Phelps, Brandon | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Phelps, Brandon | Adp Of The SNF · Individual | 0% | 2 facilities |
| Phs Management, LLC | Operational/Managerial Control · Organization | 0% | 21 facilities |
| Phs Management, LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness3F
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Rose Haven Nursing Home
Marengo, IA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 15 min
- Fines
- $10,062
-
English Valley Nursing Care Center
North English, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0
-
Colonial Manor of Amana
Amana, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0