Pennsylvania › Luzerne County › Exeter
Highland Manor Rehabilitation and Nursing Center
750 Schooley Avenue, Exeter, PA 18643
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Highland Manor Rehabilitation and Nursing Center, in Exeter, Pennsylvania, is certified for 120 beds under non-profit, corporation ownership and belongs to the Continuum Healthcare chain.
CMS gives it 2 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (9, 16, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 27.5 per 100 beds, about the same as the state median of 22.2.
CMS lists 1 penalty in the period covered: fines totalling $20K.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 43.4%.
Compared with county, state and nation
| Measure | This facility | Luzerne Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 33 | 37 | 26 | 28.7 |
| Citations per 100 beds | 27.5 | 33.3 | 22.2 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 43.4% | 46.5% | 44.3% | 45.8% |
| Fines listed | $19,760 | $8,021 | $0 | — |
County and state figures are medians across facilities (22 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Dec 2024, 10 Jan 2024.
Severity mix: G ×1 D ×17 E ×13 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 May 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 23 Jun 2026 |
| 27 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 Jun 2026 |
| 11 Sep 2025 | F0584 | 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. | E | Complaint investigation | 7 Oct 2025 |
| 18 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 22 Jul 2025 |
| 19 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 28 Jan 2025 |
| 19 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Jan 2025 |
| 19 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Jan 2025 |
| 19 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 28 Jan 2025 |
| 19 Dec 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 28 Jan 2025 |
| 19 Dec 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 28 Jan 2025 |
| 8 Oct 2024 | F0584 | 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. | E | Complaint investigation | 5 Nov 2024 |
| 6 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 2 Apr 2024 |
| 6 Mar 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Complaint investigation | 2 Apr 2024 |
| 10 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0584 | 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. | E | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0761 | 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. | E | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0693 | 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. | D | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0808 | 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. | D | Standard survey | 8 Feb 2024 |
| 14 Nov 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 8 Feb 2024 |
| 24 Feb 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 11 Apr 2023 |
| 24 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 11 Apr 2023 |
| 24 Feb 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Apr 2023 |
| 24 Feb 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 11 Apr 2023 |
| 24 Feb 2023 | F0584 | 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. | B | Standard survey | 11 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Nov 2023 | Fine | $19,760 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 43.4%, RNs 7.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.1% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.2% | 17.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Highland Manor Nursing & Rehabilitation Llc. Chain: Continuum Healthcare (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Highland Manor Real Property, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 10/03/2019 |
| Stonebridge Healthcare Holdings LLC | 5% or greater mortgage interest | NOT APPLICABLE | 10/03/2019 |
| Continuum Healthcare I Inc | Operational/managerial control | NOT APPLICABLE | 10/03/2019 |
| Execucare Associates | Operational/managerial control | NOT APPLICABLE | 01/15/2025 |
| Leshkowitz & Company LLP | Operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| Twomagnets LLC | Operational/managerial control | NOT APPLICABLE | 11/02/2022 |
| Continuum Healthcare I Inc | Adp of the snf | NOT APPLICABLE | 05/08/2025 |
| Execucare Associates | Adp of the snf | NOT APPLICABLE | 05/08/2025 |
| Highland Manor Real Property, LLC | Adp of the snf | NOT APPLICABLE | 10/03/2019 |
| Leshkowitz & Company LLP | Adp of the snf | NOT APPLICABLE | 05/08/2025 |
| Stonebridge Healthcare Holdings LLC | Adp of the snf | NOT APPLICABLE | 10/03/2019 |
| Stonebridge Healthcare Member I LLC | Adp of the snf | NOT APPLICABLE | 10/03/2019 |
| Twomagnets LLC | Adp of the snf | NOT APPLICABLE | 05/08/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Luzerne County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Heinz Transitional Rehabilitation Unit | Wilkes-Barre | 44 | 5 | 4 | 5 | 10 | 22.7 | — | 25 Sep 2025 |
| Allied Services Meade Street Skilled Nursing | Wilkes Barre | 133 | 4 | 4 | 3 | 20 | 15.0 | — | 16 Jan 2026 |
| Third Avenue Health & Rehab Center | Kingston | 65 | 4 | 3 | 3 | 37 | 56.9 | — | 27 Mar 2026 |
| Allied Services Center City Skilled Nursing | Wilkes Barre | 92 | 3 | 3 | 4 | 20 | 21.7 | — | 14 Nov 2025 |
| Edenbrook At Hampton | Wilkes Barre | 104 | 3 | 3 | 3 | 36 | 34.6 | — | 10 Apr 2026 |
| Maple Ridge Rehabilitation & Healthcare Center | Kingston | 92 | 3 | 3 | 2 | 23 | 25.0 | $8K | 24 Apr 2026 |
| Wesley Village | Pittston | 160 | 3 | 3 | 4 | 29 | 18.1 | $8K | 13 Feb 2026 |
| Embassy of Wyoming Valleyabuse icon | Wilkes Barre | 120 | 2 | 1 | 3 | 51 | 42.5 | $20K | 23 Jun 2026 |
All 22 facilities in Luzerne County
Questions and answers
How many deficiencies has Highland Manor Rehabilitation and Nursing Center been cited for?
33 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Highland Manor Rehabilitation and Nursing Center been fined?
Yes. CMS lists fines totalling $20K in the period covered.
How does staffing at Highland Manor Rehabilitation and Nursing Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Highland Manor Rehabilitation and Nursing Center?
It is part of the Continuum Healthcare chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Continuum Healthcare I Inc, Execucare Associates and Leshkowitz & Company LLP. Individual owners and managers are not listed on this site.
When was Highland Manor Rehabilitation and Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 19 Dec 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.