HIGHLAND MANOR NURSING AND CONVALESCENT CENTER
The information listed below provides an in-depth look into the type and quality of care offered at Highland Manor Nursing and Convalescent Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
HIGHLAND MANOR NURSING AND CONVALESCENT CENTER
750 SCHOOLEY AVENUE
EXETER, PA 18643
(570) 655-3791
750 SCHOOLEY AVENUE
EXETER, PA 18643
(570) 655-3791
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
97%Number of Residents and Certified Beds
- Residents: 116
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Partnership
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Highland Manor Nursing and Convalescent Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 19.5% |
| ADL Index Range: 6-10 | 9.4% |
| ADL Index Range: 0-5 | 4.0% |
| Total Percent: | 32.9% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 28.6% |
| ADL Index Range: 6-10 | 22.8% |
| ADL Index Range: 0-5 | 5.3% |
| Total Percent: | 56.7% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 6.3% |
| ADL Index Range: 0-5 | 1.6% |
| Total Percent: | 7.9% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 1.1% |
| Total Percent: | 1.1% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - Signs of depression | 0.5% |
| ADL Index Range: 11-14 - No Signs of depression | 0.06% |
| Total Percent: | 0.5% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - No Signs of depression | 0.4% |
| Total Percent: | 0.4% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 11-14 - No Signs of depression | 0.5% |
| Total Percent: | 0.5% |
Rating Details For Highland Manor Nursing and Convalescent Center
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 33 Minutes | 1 Hour and 17 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 42 Minutes | 43 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 28 Minutes | 2 Hours and 35 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 15 Minutes | 2 Hours |
| Total Nurse Hours | 3 Hours and 43 Minutes | 4 Hours and 35 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Pennsylvania are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Pennsylvania Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 20% | 18% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 3% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 7% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 5% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 8% | 11% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 4% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 22% | 17% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 55% | 63% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 15% | 19% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 82% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 26% | 20% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 13% |
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/11/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Set Up or Keep a Group of People to Review and Ensure Quality.
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Train All Employees on What to Do in an Emergency.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Mistreatment
Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
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1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Pharmacy Service
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
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Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Resident Assessment
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 01/29/2010 | $7,638 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Highland Manor Nursing and Convalescent Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Mistreatment
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
| | |
Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Highland Manor Nursing and Convalescent Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/25/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Furnishings and Decorations
Restrictions on the Use of Highly Flammable Materials.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Proper Medical Gas Storage and Administration Areas.
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Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Source: Medicare Nursing Home Compare; Pennsylvania Department of Health - Retrieved 2011
