The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
HIGHLAND MANOR REHABILITATION AND NURSING CENTER
EXETER, PA · Medicare-certified · 120 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
2 of 5 overall
2 out of 5 stars overall. Highland Manor Rehabilitation and Nursing Center has low health inspection results and below-benchmark nurse staffing (3.59 hours per resident per day vs. the 4.1-hour federal benchmark), with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5875 hrs/resident/day
Quality measures
Last inspection: May 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5875.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.79
- Nurse aides
- 2.23
- Weekend nursing
- 3.33
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 8%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.7%11.1%Worsening
Residents with a fall causing major injury
2.2%1.1%Improving
Residents with pressure ulcers (bedsores)
5.1%2.7%Improving
Residents with a urinary tract infection
3.4%1.1%Improving
Residents who lost too much weight
12%7.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.9%18.2%Improving
Residents whose ability to walk got worse
44.8%25.2%Improving
Long-stay residents on antianxiety or sleep medication
14.8%15.4%Worsening
Short-stay residents newly given an antipsychotic
1.3%1.4%No change
Residents with a long-term catheter
2.5%0.8%Improving
Residents with new or worsening incontinence
24.1%27.7%Worsening
Residents with depressive symptoms
8.3%49.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.2%—
Short-stay residents given the pneumonia vaccine
87.7%99.1%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $19,760 in total fines.
- $19,760
Federal fine
Nov 14, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CONTINUUM HEALTHCARE · 13 homes · 2.5 stars avg
- Occupancy
- 109.6 residents on an average day (91% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.