D

HIGHLAND MANOR REHABILITATION AND NURSING CENTER

750 SCHOOLEY AVENUE, EXETER, PA 18643
Score: 44 / 100

CMS data shows Highland Manor Rehabilitation And Nursing Center earning a D grade with a score of 44/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.

With 3.23 total nurse hours per resident per day, Highland Manor Rehabilitation And Nursing Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 35 deficiencies at Highland Manor Rehabilitation And Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.23 3.8 Below Average
Registered Nurses (RN) 0.52 0.7 Below Average
Licensed Practical Nurses (LPN) 0.77 0.7 Average
Certified Nursing Assistants (CNA) 1.94 2.4 Below Average
Weekend Total Nursing 2.90 3.8 Below Average
Weekend RN Hours 0.29 0.7 Below Average

🔍 Inspection & Deficiency History

35
Total Deficiencies
Sep 10, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 34 Moderate
View recent deficiencies (5 shown)
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Sep 10, 2025 · Resident Rights Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jun 17, 2025 · Resident Rights Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Dec 18, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Dec 18, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 18, 2024 · Quality of Life and Care 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 6.6% 4.5% Worse
Falls with major injury 1.8% 3.0% Better
On antipsychotic medication 7.8% 14.5% Better
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 28.6% 14.0% Worse
Excessive weight loss 5.9% 7.5% Better
New/worsened incontinence 24.6% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $19,760

How This Grade Was Calculated

This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 18, 2024
Deficiencies (Cycle 1)
8