Highland Ridge Care Center, LLC: Staffing, Turnover, and Inspection Record
Highland Ridge Care Center, LLC is a 59-bed nonprofit nursing home in Williamsburg, Iowa, part of Presbyterian Homes & Services. In the CMS August 2026 release it reported 3.08 nurse aide hours per resident per day, 23% above the Iowa average of 2.51, and 34.9% nursing staff turnover (Iowa average 44.0%).
Highland Ridge Care Center, LLC
102 Highland CircleWilliamsburg, IA 52361
Iowa County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Highland Ridge Care Center, LLC, nurse aides logged 3.08 hours per resident per day, 23% above the Iowa average. With about 51 residents a day, that works out to roughly 158 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.08 | 2.51 | 2.32 |
| Licensed practical nurses | 0.13 | 0.56 | 0.86 |
| Registered nurses | 0.89 | 0.74 | 0.69 |
| All nursing staff | 4.10 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.72 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
34.9% of nursing staff at Highland Ridge Care Center, LLC left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 0.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $36,752 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 22, 2023 | Fine | $36,752 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Highland Ridge Care Center, LLC holds 3 of 5 overall; the Iowa average is 3.1.
About Highland Ridge Care Center, LLC
- Ownership: Non profit - Corporation
- Chain: Presbyterian Homes & Services, 21 homes
- Medicare and Medicaid certified since: Jan 24, 2006
- Part of a continuing care retirement community
- Councils: resident and family councils
- Area: rural
Nursing homes near Highland Ridge Care Center, LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Rose Haven Nursing Home Marengo | 8.8 | 58 | 2.48 | 3.29 | 52.1% | 3 | $10,062 |
| English Valley Nursing Care Center North English | 10.8 | 44 | 2.01 | 3.12 | — | 5 | None |
| Colonial Manor of Amana Amana | 10.9 | 50 | 2.31 | 3.43 | 34.8% | 5 | None |
| Parkview Manor Wellman · abuse citation | 15.9 | 62 | 2.06 | 2.80 | — | 1 | $93,473 |
| Pleasantview Home Kalona | 19.6 | 66 | 3.05 | 4.26 | 46.0% | 3 | None |
| Windmill Manor Coralville | 20.0 | 120 | 3.08 | 4.03 | 31.1% | 1 | $11,213 |
| Harvest Acres Nursing and Rehab Keota | 21.0 | 35 | 2.26 | 3.47 | 70.4% | 1 | $136,500 |
| Belle Plaine Specialty Care Belle Plaine | 21.0 | 46 | 2.07 | 3.02 | 54.8% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.