750 Schooley Avenue, Exeter, PA 18643 · CCN 395566 · 120 certified beds · Data from the September 2026 CMS release
Here is what state inspectors and payroll records say about Highland Manor Rehabilitation and Nursing Center, from the September 2026 CMS release, the current one. CMS publishes a new release about once a month and we load it the night it appears. Under each part of the record is a question worth asking the facility.
CMS overall★★★★★2 of 5CMS inspections★★★★★2 of 5CMS staffing★★★★★3 of 5CMS quality★★★★★4 of 5
Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.
Serious findings on record. State inspectors recorded 1 citation in the last three years where CMS determined a resident was actually harmed. Ask the administrator what happened and what changed afterward.
Serious findings1 on record, most recent 2024-01-10
Nursing hours per resident per day2.79 (state median 3.36)
CMS records 1 serious finding for this facility (0 at the immediate-jeopardy level in the last three years). A serious finding is a fact about a specific date; ask the administrator what happened and what changed.
2024-01-10: Actual harm (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction date not included in the CMS record; ask the facility whether this finding was cleared on the state's revisit, and when
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.79
state median 3.36
Weekend staffing gap
5% more
nursing hours on weekends than weekdays · state median 4% fewer
Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days. Facilities report these hours to CMS from payroll and other auditable records every quarter. Hours are not adjusted for how much care residents need; a rehabilitation-heavy building needs more. Most facilities staff lower on weekends. Ask who the nurse in the building is on a Saturday night, and how many aides are on the unit.
In the Full Report: the deep staffing breakdown, registered-nurse hours, agency-staff reliance, any days with zero RN coverage, and annual turnover.
1 enforcement action, totaling $19,760 in fines. A fine is tied to a specific inspection and date, and some are years old. Ask what it was for and whether it is resolved.
In the Full Report: each penalty itemized with its date, type, and amount.
You will not have time to check this every month. We will.
We check Highland Manor Rehabilitation and Nursing Center's official CMS record every night. When something serious changes (a new actual-harm or immediate-jeopardy citation, a penalty, a Special Focus listing, a staffing drop, or a rating change), you get an email. One subscription follows this one facility. Cancel any time from the manage page.
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This page is the summary. The Full Report is the complete record: every citation on file with its date, severity, and what happened next; the full staffing picture from payroll data, including agency use, turnover, and days with no RN on site; every penalty and payment denial; and who owns the home and how their other facilities are rated. Get it for this home alone, or for up to 5 homes side by side, in one plain-English document your whole family can read. It opens on your screen the moment you pay, with 60 days of monitoring so you hear if anything changes.
And because you will still have to sit across from the administrator, we include the 17 questions this home's own record raises, each with the fact behind it and what a good answer sounds like, plus a printable scorecard and the documents to request.
What you get
Free page
Full Report
CMS star ratings and a one-line plain-English summary
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Whether serious findings exist, and the most recent one
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Headline staffing: nursing hours vs. state median, weekend gap
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Penalty count and total fines
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Ownership type and chain name
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Every citation on file, multi-year, with date, severity, and what happened next
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The full staffing picture: RN hours, agency reliance, zero-RN days, turnover
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Every penalty and payment denial, with dates and amounts
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Who owns the home, and how the owner's other facilities are rated
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All of it for up to 5 homes, side by side
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60 days of monitoring, so you hear if anything changes
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One plain-English document to print, share with family, or bring to the tour
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Plus: the questions each home's record raises, and a printable scorecard
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Plus: the documents to request, and how to get help in your state
Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), the September 2026 CMS release (CMS processing date 2026-09-01); CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Highland Manor Rehabilitation and Nursing Center, Exeter” at medicare.gov/care-compare.