Nursing home
Highland Ridge Care Center
102 Highland Circle, Williamsburg, IA 52361 · Map
Non profit - Corporation · Part of Presbyterian Homes & Services (20 facilities) · 59 certified beds
Highland Ridge Care Center is a Medicare-certified nursing home in Williamsburg, Iowa. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.51 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Sep 11, 2025 cited 8 deficiencies.
- 1 fine totaling $36,752In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Highland Ridge Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.51 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.86 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.39 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 39.2% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 19, 2025 inspection was corrected by December 18, 2025
Penalties in CMS records: 1 fine totaling $36,752, 1 total penalty.
What inspectors found at Highland Ridge Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 19, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 11, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · May 21, 2024 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 21, 2024 · Full report (PDF) - Immediate jeopardy
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Sep 20, 2023 - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 20, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 102 Highland Circle
Williamsburg, IA 52361 - CMS certification #
- 165566
- Ownership
- Non profit - Corporation
- Certified beds
- 59
- Avg residents/day
- 51.4
- Provider type
- Medicare and Medicaid
- First certified
- 2006-01-24
- Chain
- Presbyterian Homes & Services (20 facilities)
- Setting
- Rural
Part of Presbyterian Homes & Services
Presbyterian Homes & Services operates 20 nursing facilities across the United States. View all Presbyterian Homes & Services facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Highland Ridge Care Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Highland Ridge Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24-hour nursing care provided with dignity and compassion.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Compass Memorial Healthcare, Marengo. 10.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Rose Haven Nursing Home, Marengo. 8.8 miles away, straight line.
- Nearest home health agency office
- Iowa County Health Department, Marengo. 9.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 20.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52361 as metropolitan (metropolitan high commuting).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 52361.
Essence Of Life Hospice, office in Amana, 11.6 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- State University Of Iowa, Coralville. 22.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Highland Ridge Care Center a good nursing home?
CMS gives Highland Ridge Care Center an overall rating of 4 out of 5 stars, including 5/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Highland Ridge Care Center staffed?
Highland Ridge Care Center reports 4.51 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Highland Ridge Care Center had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Highland Ridge Care Center have?
Highland Ridge Care Center is certified for 59 beds.