C

Highland Ridge Care Center, LLC

102 Highland Circle, Williamsburg, IA 52361
Score: 69 / 100

With a score of 69 out of 100, Highland Ridge Care Center, Llc earns a C grade — placing it near the middle of Iowa nursing facilities. Families should review the detailed metrics below when considering this Williamsburg location.

Staffing levels at Highland Ridge Care Center, Llc exceed national averages, with 4.51 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.86 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 16 deficiencies at Highland Ridge Care Center, Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.51 3.8 Above Average
Registered Nurses (RN) 0.86 0.7 Above Average
Licensed Practical Nurses (LPN) 0.27 0.7 Below Average
Certified Nursing Assistants (CNA) 3.39 2.4 Above Average
Weekend Total Nursing 4.06 3.8 Average
Weekend RN Hours 0.36 0.7 Below Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Nov 18, 2025
Most Recent Inspection
🟠 14 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Nov 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity D
    Provide safe, appropriate pain management for a resident who requires such services.
    Nov 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0741 Severity D
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    Nov 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 10, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.4% 4.5% Better
Falls with major injury 7.0% 3.0% Worse
On antipsychotic medication 6.3% 14.5% Better
Urinary tract infections 2.9% 2.5% Worse
ADL decline (daily activities) 18.6% 14.0% Worse
Excessive weight loss 4.8% 7.5% Better
New/worsened incontinence 33.7% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $36,752

How This Grade Was Calculated

This facility's grade of C is based on a score of 69 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
59
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 10, 2025
Deficiencies (Cycle 1)
8

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