Nursing Care Index

Highland Ridge Care Center, LLC

Williamsburg, Iowa County, Iowa · CCN 165566 · Non-profit (Corporation) · part of Presbyterian Homes & Services (21 facilities, chain average 4.3 stars)

CMS rates Highland Ridge Care Center, LLC 3 of 5 overall as of August 2026. 59 certified beds, 51 residents a day on average. 16 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $36,752.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / 4 of 5

Staffing

Total nurse staffing4.09864 hours per resident per day
Registered nurses0.88757 hours per resident per day
Weekend total3.72218 hours per resident per day
Nursing staff turnover34.9% (registered nurses 0%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-11-19
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-12-18
2025-11-19
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-12-18
2025-11-19
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-18
2025-11-19
complaint survey
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 · tag F0741
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-18
2025-09-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-10-01
2025-09-11 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · tag F0628
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-10-01
2025-09-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-10-01
2025-09-11 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 · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-10-01
2024-05-21
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-18
2024-05-21
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-18
2023-09-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2023-10-17
2023-09-20 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2023-10-17
2023-09-20 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-10-17
2023-09-20 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-17
2023-09-20 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-17
2023-09-20 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-17

Fines and payment denials

DatePenaltyAmount
2023-08-22Fine$36,752

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Williamsburg Retirement Community Inc.
Organization
5% or greater direct ownership interest100%2005-09-29
Hills Bank And Trust Company
Organization
5% or greater mortgage interest2014-02-26
Hills Bank And Trust Company
Organization
5% or greater security interest2014-02-26
Phs Management, LLC
Organization
adp of the snf2025-05-07
Phs Management, LLC
Organization
operational/managerial control2011-03-11
Hadley, Victoria
Individual
adp of the snf2023-10-22
Hudson, Jerry
Individual
adp of the snf2023-10-01
Meyer, Mark
Individual
adp of the snf2011-03-11
Phelps, Brandon
Individual
adp of the snf2025-04-02
Blythe, Curtis
Individual
corporate director2005-09-29
Blythe, Mary
Individual
corporate director2005-09-29
Kinzenbaw, Marcia
Individual
corporate director2005-09-29
Larson, Duane
Individual
corporate director2020-01-01
Lindh, Daniel
Individual
corporate director2005-09-29
Mccurry, Susan
Individual
corporate director2005-09-29
Olson, Daniel
Individual
corporate director2024-01-01
Fletcher, Jonathan
Individual
corporate officer2025-02-01
Meyer, Mark
Individual
corporate officer2005-02-28
Peterson, Heidi
Individual
individual is an owner, partner or trustee of any adp of the snf2025-04-01
Hadley, Victoria
Individual
operational/managerial control2023-10-22
Hudson, Jerry
Individual
operational/managerial control2023-10-01
Meyer, Mark
Individual
operational/managerial control2011-03-11
Phelps, Brandon
Individual
operational/managerial control2025-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Iowa County.