Highland Manor Rehabilitation and Nursing Center
750 Schooley Avenue · Exeter, PA · 18643 · 5706553791
120 certified beds Non profit - Corporation Chain: Continuum Healthcare Part of a CCRC
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $19,760 |
Inspection citations (31 in the current record)
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Potential for harm · E September 11, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 7, 2025 · Resident Rights
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Potential for harm · E June 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 22, 2025 · Resident Rights
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Potential for harm · D December 19, 2024
Respond appropriately to all alleged violations.
Corrected January 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 28, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 28, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 28, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 28, 2025 · Pharmacy Service
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Potential for harm · E October 8, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected November 5, 2024 · Resident Rights
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Potential for harm · E March 6, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 2, 2024 · Resident Rights
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Potential for harm · E March 6, 2024 · found via complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected April 2, 2024 · Nutrition and Dietary
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Actual harm · G January 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 8, 2024 · Quality of Life and Care
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Potential for harm · E January 10, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected February 8, 2024 · Resident Rights
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Potential for harm · E January 10, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 8, 2024 · Resident Rights
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Potential for harm · D January 10, 2024
Assess the resident when there is a significant change in condition
Corrected February 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2024
Ensure each resident receives an accurate assessment.
Corrected February 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 10, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 8, 2024 · Quality of Life and Care
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Potential for harm · E January 10, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 8, 2024 · Quality of Life and Care
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Potential for harm · D January 10, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 8, 2024 · Quality of Life and Care
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Potential for harm · D January 10, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 8, 2024 · Quality of Life and Care
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Potential for harm · E January 10, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected February 8, 2024 · Quality of Life and Care
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Potential for harm · E January 10, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 8, 2024 · Pharmacy Service
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Potential for harm · D January 10, 2024
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected February 8, 2024 · Nutrition and Dietary
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Potential for harm · F January 10, 2024
Provide and implement an infection prevention and control program.
Corrected February 8, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2023 | Fine | $19,760 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395566 · certified since February 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.