Highland Ridge Care Center, LLC
102 Highland Circle, Williamsburg, IA 52361 · Iowa County · 59 certified beds · avg 51 residents/day · certified since Jan 24, 2006
Part of chain: PRESBYTERIAN HOMES & SERVICES (21 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 20, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 17, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 20, 2023 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 17, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 19, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 18, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 19, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 18, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 19, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 19, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| May 21, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| May 21, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 20, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 20, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Sep 20, 2023 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 2 | J ▲ |
| 2024 | 2 | 0 | D |
| 2025 | 8 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $36,752.
| Date | Type | Amount / length |
|---|---|---|
| Aug 22, 2023 | Fine | $36,752 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.35 | 4.37 | 3.95 | top 10% in Iowa; top 9% in the U.S. |
| Registered Nurse hours | 1.16 | 0.85 | 0.69 | top 14% in Iowa; top 10% in the U.S. |
| Weekend total nurse staffing | 4.86 | 3.86 | 3.50 | top 7% in Iowa; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.51 | 0.48 | bottom 38% in Iowa; top 47% in the U.S. |
| Total nursing staff turnover (%) | 34.9 | 44.0 | 45.8 | top 29% in Iowa; top 24% in the U.S. |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | top 1% in Iowa; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.10, RN 0.89, weekend 3.72. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Williamsburg Retirement Community INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/29/2005 |
| Blythe, Curtis | Individual | Corporate Director | NOT APPLICABLE | 09/29/2005 |
| Blythe, Mary | Individual | Corporate Director | NOT APPLICABLE | 09/29/2005 |
| Fletcher, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2025 |
| Hadley, Victoria | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/22/2023 |
| Hadley, Victoria | Individual | ADP of the SNF | NOT APPLICABLE | 10/22/2023 |
| Hills Bank and Trust Company | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 02/26/2014 |
| Hills Bank and Trust Company | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 02/26/2014 |
| Hudson, Jerry | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Hudson, Jerry | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2023 |
| Kinzenbaw, Marcia | Individual | Corporate Director | NOT APPLICABLE | 09/29/2005 |
| Larson, Duane | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Lindh, Daniel | Individual | Corporate Director | NOT APPLICABLE | 09/29/2005 |
| McCurry, Susan | Individual | Corporate Director | NOT APPLICABLE | 09/29/2005 |
| Meyer, Mark | Individual | Corporate Officer | NOT APPLICABLE | 02/28/2005 |
| Meyer, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/11/2011 |
| Meyer, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2011 |
| Olson, Daniel | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Peterson, Heidi | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Phelps, Brandon | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What training does your staff have in dementia and behavioral health, and how many residents with these needs do you serve?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Rose Haven Nursing Home | 8.8 mi | Marengo, IA | ★★★☆☆ | 3/5 | |
| English Valley Nursing Care Center | 10.8 mi | North English, IA | ★★★★★ | 5/5 | |
| Colonial Manor of Amana | 10.9 mi | Amana, IA | ★★★★★ | 5/5 | |
| Parkview Manor | 15.9 mi | Wellman, IA | ★☆☆☆☆ | 1/5 | abuse |
| Pleasantview Home | 19.6 mi | Kalona, IA | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165566.