Enhancing the health and wellness of mothers and newborns requires prenatal care in KSA, most expectant mothers make at least one visit. The utilization and coverage of regular prenatal care interventions have been the primary focus of quality-of-care assessments since the focused antenatal care services were put into place. This study aims to assess the quality of antenatal care provision from a holistic perspective in a rural district in Saudi Arabia Structure, process, and outcome components of quality are explored. Results show that routine ANC services perform inconsistently, which is partially explained by a lack of funding. Appropriate history-taking, consideration for the client's welfare, a basic physical examination, and sufficient counseling and education were also found to be areas of poor performance. To improve the quality of ANC, more focus must be placed on the process of providing care beyond coverage, including response-based services, which must be evaluated by locally established standards.