Nursing homeActive
Highland Ridge Care Center, LLC
102 Highland Circle, Williamsburg, IA 52361319668380059 certified beds · 51 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
16
● 0● 12● 4
Penalties · 3 yrs
—
none on file
Last survey
2025-11-19
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-11-19 | Complaint | 022 | CMS-2567 (Care Compare) | — |
| 2025-09-11 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-10-03 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-05-21 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-09-20 | Standard | 042 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-12-18Record 165566-20251119-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-12-18Record 165566-20251119-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-18Record 165566-20251119-F697
F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Scope/severity DStandard
Care planningStaffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-18Record 165566-20251119-F741
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 165566-20250911-F550
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 165566-20250911-F628
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 165566-20250911-F684
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 165566-20250911-F806
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 165566-20240521-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-18Record 165566-20240521-F684
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-17Record 165566-20230920-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-17Record 165566-20230920-F697
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 165566-20230920-F580
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 165566-20230920-F607
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 165566-20230920-F644
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 165566-20230920-F882
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-08-22 | Civil money penalty | $36,752 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.89
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.10
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.72
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover35%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover0%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.3% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.1% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.1% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.7% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.6% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.0% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.1% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Williamsburg Retirement Community Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Hadley, Victoria Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hudson, Jerry Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Meyer, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Phelps, Brandon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Phs Management, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blythe, Curtis Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Blythe, Mary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fletcher, Jonathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hadley, Victoria Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hills Bank And Trust Company Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Hills Bank And Trust Company Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Hudson, Jerry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kinzenbaw, Marcia Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Larson, Duane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lindh, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccurry, Susan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Meyer, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Meyer, Mark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Olson, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Peterson, Heidi Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Phelps, Brandon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Phs Management, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Presbyterian Homes & Services — 21 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Iowa.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Rose Haven Nursing Home Marengo | 8.8 mi | 2026-05-07 | 1151 |
| English Valley Nursing Care Center North English | 10.8 mi | 2026-01-22 | 001 |
| Colonial Manor of Amana Amana | 10.9 mi | 2025-06-19 | 030 |
| Parkview Manor Wellman | 15.9 mi | 2026-04-16 | 0356 |
| Harvest Acres Nursing and Rehab Keota | 21.0 mi | 2026-05-19 | 0446 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |