Highland Manor Rehabilitation and Nursing Center
750 Schooley Avenue, Exeter, PA 18643 · Luzerne County · 120 certified beds · avg 110 residents/day · certified since Feb 1, 1983
Part of chain: CONTINUUM HEALTHCARE (13 facilities, chain avg rating 2.5★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$19,760
Fines, last 3 years
3.66
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 10, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (33)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 27, 2026 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| May 27, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jun 18, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 8, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Mar 6, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Mar 6, 2024 | E · Potential for harm, repeated | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint |
| Jan 10, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 10, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 10, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jan 10, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 10, 2024 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 10, 2024 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 10, 2024 | E · Potential for harm, repeated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jan 10, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Nov 14, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Feb 24, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Feb 24, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 24, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 24, 2023 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Feb 24, 2023 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 23 | 1 | G ▲ |
| 2025 | 2 | 0 | E |
| 2026 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $19,760.
| Date | Type | Amount / length |
|---|---|---|
| Nov 14, 2023 | Fine | $19,760 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.66 | 3.94 | 3.95 | top 50% in Pennsylvania; bottom 45% in the U.S. |
| Registered Nurse hours | 0.58 | 0.80 | 0.69 | bottom 40% in Pennsylvania; bottom 49% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.58 | 3.50 | top 47% in Pennsylvania; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.56 | 0.48 | bottom 27% in Pennsylvania; bottom 36% in the U.S. |
| Total nursing staff turnover (%) | 43.4 | 44.5 | 45.8 | top 47% in Pennsylvania; top 46% in the U.S. |
| RN turnover (%) | 7.7 | 39.9 | 42.9 | top 3% in Pennsylvania; top 3% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.59, RN 0.57, weekend 3.33. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bruckstein, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
| Bruckstein, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
| Continuum Healthcare I INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/03/2019 |
| Continuum Healthcare I INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/08/2025 |
| Dorn, Cheryl | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Execucare Associates | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/15/2025 |
| Execucare Associates | Organization | ADP of the SNF | NOT APPLICABLE | 05/08/2025 |
| Highland Manor Real Property, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/03/2019 |
| Highland Manor Real Property, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
| Leshkowitz & Company LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Leshkowitz & Company LLP | Organization | ADP of the SNF | NOT APPLICABLE | 05/08/2025 |
| Litman, Warren | Individual | Corporate Director | NOT APPLICABLE | 06/01/2024 |
| Litman, Warren | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Mandelbaum, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2019 |
| Martin, Travis | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/29/2024 |
| Martin, Travis | Individual | ADP of the SNF | NOT APPLICABLE | 01/29/2024 |
| Musto, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/03/2019 |
| Musto, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
| Stonebridge Healthcare Holdings LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/03/2019 |
| Stonebridge Healthcare Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/03/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Wesley Village | 2.7 mi | Pittston, PA | ★★★☆☆ | 3/5 | |
| Embassy of East Mountain | 5.2 mi | Wilkes-Barre, PA | ★☆☆☆☆ | 1/5 | |
| Maple Ridge Rehabilitation & Healthcare Center | 5.2 mi | Kingston, PA | ★★★☆☆ | 3/5 | |
| Third Avenue Health & Rehab Center | 5.4 mi | Kingston, PA | ★★★★☆ | 3/5 | |
| Meadows Nursing and Rehabilitation Center | 5.7 mi | Dallas, PA | ★★☆☆☆ | 2/5 | abuse |
| Riverstreet Manor | 5.7 mi | Wilkes-Barre, PA | ★★☆☆☆ | 2/5 | abuse |
| Edenbrook on Second Ave | 6.0 mi | Kingston, PA | ★☆☆☆☆ | 2/5 | |
| Heinz Transitional Rehabilitation Unit | 6.2 mi | Wilkes-Barre, PA | ★★★★★ | 4/5 | |
| Oak Ridge Rehabilitation & Healthcare Center | 6.4 mi | Taylor, PA | ★☆☆☆☆ | 1/5 | abuse |
| Embassy of Wyoming Valley | 6.5 mi | Wilkes Barre, PA | ★★☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 395566.