Highland Manor Rehab: Nursing Services Violations - PA
The inspection took place on May 27, 2026. Inspectors cited the facility under Pennsylvania nursing services regulations, a set of standards governing how nursing staff are deployed, supervised, and held accountable for resident care. The deficiency was categorized as causing minimal harm or potential for actual harm, and a few residents were listed as affected.
That is nearly everything the released records say. The narrative section of the inspection report, which typically describes in plain language what inspectors saw, what staff said, and what residents experienced, is missing here. What remains is a citation, a regulatory code, and a harm level. The story those fragments point toward is not fully told.
What the records do establish is this: someone filed a complaint. Inspectors came. They found something wrong with how nursing services were being delivered. And they documented it.
Complaint inspections are not routine visits. They are triggered by a specific allegation, most often filed by a resident, a family member, or a staff member who believed something was going wrong inside the building. When inspectors arrive on a complaint, they are looking for a particular problem. In this case, they found one.
The Pennsylvania nursing services regulation cited, 28 Pa. Code 211.12(d)(1)(3)(5), covers the responsibilities of nursing staff in long-term care. The subsections address ensuring that residents receive care consistent with their needs, that nursing personnel follow physician orders, and that nursing staff are sufficient in number and competence to meet those needs. A deficiency under this standard means inspectors concluded the facility fell short on at least one of those counts.
The harm level assigned was the lowest on the federal scale. That designation means inspectors did not find evidence of serious injury or a pattern of systemic failure reaching across the facility. But the lowest harm level still represents a finding, a formal conclusion that something in the delivery of nursing care to at least some residents did not meet the required standard.
How many residents were affected is described only as "few." Federal inspection forms use that word to mean a small number, generally fewer than a handful of people in a given unit or situation. It is not a precise count. It is a category. The people inside that category, what they experienced, what they needed that they did not receive, are not described in the available records.
Highland Manor is a rehabilitation and nursing center, which means it serves both residents in long-term care and patients recovering from hospitalizations, surgeries, or acute illness who need skilled nursing before returning home. Nursing services are the core of what such a facility provides. When those services fall short, the people most exposed are often those with the fewest resources to compensate: residents who cannot advocate loudly for themselves, patients whose recovery depends on consistent skilled attention, families who are not present around the clock.
The inspection report references a plan of correction, the document facilities are required to submit explaining how they will fix a cited deficiency. That plan is not included in the released records. Inspectors noted that anyone seeking information on how Highland Manor intended to address the violation should contact the facility directly or reach out to the Pennsylvania state survey agency.
The facility has not responded publicly to the citation. No statement appears in the available records.
What is known is narrow but not nothing. A complaint was filed at Highland Manor Rehabilitation and Nursing Center. Inspectors arrived and investigated. They cited a nursing services violation. A few residents were affected. The harm was categorized as minimal or potential. The full account of what happened to those residents, what the complaint alleged, what inspectors observed when they walked the halls and reviewed the records, is not available in what was released.
The people who filed that complaint, and the residents whose care prompted it, are somewhere inside that gap.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Highland Manor Rehabilitation and Nursing Center from 2026-05-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 13, 2026 · Our methodology
HIGHLAND MANOR REHABILITATION AND NURSING CENTER in EXETER, PA was cited for violations during a health inspection on May 27, 2026.
The inspection took place on May 27, 2026.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.