Highland Manor Rehabilitation and Nursing Center
A nursing home in Exeter, Pennsylvania 18643
750 Schooley Avenue, Exeter, Pennsylvania 18643. (570) 655-3791.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 7 health citations at the latest inspection cycle Pennsylvania average: 10.0
- 3.60 nurse hours per resident per day Pennsylvania average: 3.90
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 health citations at the latest inspection cycle
The Pennsylvania average is 10.0.
Last standard inspection Aug 21, 2026.
Most serious in three years: actual harm (G), at a standard inspection on Jan 10, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
32 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 33 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 8 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 21, 2026: standard inspection5 citations
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
May 27, 2026: complaint inspection2 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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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.
Sep 11, 2025: complaint inspection1 citation
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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.
Jun 18, 2025: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Dec 19, 2024: standard inspection6 citations
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Respond appropriately to all alleged violations.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe, appropriate pain management for a resident who requires such services.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Oct 8, 2024: complaint inspection1 citation
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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.
Mar 6, 2024: complaint inspection2 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Jan 10, 2024: standard inspection14 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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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.
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Assess the resident when there is a significant change in condition
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Ensure each resident receives an accurate assessment.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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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.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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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.
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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.
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Provide and implement an infection prevention and control program.
Nov 14, 2023: complaint inspection1 citation
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 1, 1983.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $19,760 in all.
- No Medicare payment denials in the last three years.
- 8 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 14, 2023 | Fine | $19,760 |
Who does the caring?
3.60 nurse hours per resident per day
The Pennsylvania average is 3.90.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Pennsylvania average |
|---|---|---|
| Nurse hours per resident per day | 3.60 | 3.90 |
| Of which registered nurses | 0.60 | 0.78 |
| At weekends | 3.22 | 3.52 |
| Nursing staff turnover | 28.8% | 44.6% |
| Registered nurse turnover | 0% | 39.4% |
| Administrators who left | 0 | Not given |
Who owns it?
- Execucare Associates and Twomagnets LLC and Leshkowitz & Company LLP and Continuum Healthcare I Inc. run it.
- 11 owners or officers are people: Robert L Bruckstein (owns 5% or more directly, 5.4%); Daniel Bruckstein (additional disclosable party (controls, leases property to, or provides services to the home)); Cheryl Dorn (runs it (operational or managerial control)); Warren Litman (corporate director); Warren Litman (runs it (operational or managerial control)); Travis Martin (runs it (operational or managerial control)); Travis Martin (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel Mandelbaum (runs it (operational or managerial control)); Robert L Bruckstein (additional disclosable party (controls, leases property to, or provides services to the home)); Kevin K Musto (runs it (operational or managerial control)); Kevin K Musto (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Continuum Healthcare (13 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Highland Manor Real Property, LLC | Holds 5% or more of the mortgage | 100% | Oct 3, 2019 |
| Stonebridge Healthcare Holdings LLC | Holds 5% or more of the mortgage | 100% | Oct 3, 2019 |
| Stonebridge Healthcare Member III LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 3, 2019 | |
| Highland Manor Real Property, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 3, 2019 | |
| Stonebridge Healthcare Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 3, 2019 | |
| Execucare Associates | Runs it (operational or managerial control) | Jan 15, 2025 | |
| Execucare Associates | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2025 | |
| Twomagnets LLC | Runs it (operational or managerial control) | Nov 2, 2022 | |
| Twomagnets LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2025 | |
| Stonebridge Healthcare Member I LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 3, 2019 | |
| Leshkowitz & Company LLP | Runs it (operational or managerial control) | Jan 1, 2020 | |
| Leshkowitz & Company LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2025 | |
| Continuum Healthcare I Inc. | Runs it (operational or managerial control) | Oct 3, 2019 | |
| Continuum Healthcare I Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2025 | |
| Stonebridge Healthcare Member II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 3, 2019 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Pennsylvania average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 6.8 miles, this one had the 9th most health citations at the latest inspection cycle (7; the middle value was 8.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Highland Manor Rehabilitation and Nursing Center This nursing home | 7 | |
| Wesley Village | 2.7 | 6 |
| Embassy of East Mountain | 5.2 | 12 |
| Maple Ridge Rehabilitation & Healthcare Center | 5.2 | 8 |
| Third Avenue Health & Rehab Center | 5.4 | 8 |
| Meadows Nursing and Rehabilitation Center | 5.7 | 9 |
| Riverstreet Manor | 5.7 | 17 |
| Edenbrook on Second Ave | 6.0 | 12 |
| Heinz Transitional Rehabilitation Unit | 6.2 | 3 |
| Oak Ridge Rehabilitation & Healthcare Center | 6.4 | 13 |
| Embassy of Wyoming Valley | 6.5 | 26 |
| Allied Services Center City Skilled Nursing | 6.8 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.