Oak Glen Healthcare: Infection Control Failures - PA
The infection control citation, issued under regulatory tag F0880, was classified as a pattern of deficient practice. No resident was documented as having been harmed. But inspectors determined the failures carried potential for more than minimal harm to the people living there.
That distinction matters in a nursing home setting. Infection spreads through shared spaces, shared staff, shared equipment. A pattern of lapses, even without a documented injury, means something went wrong more than once, in more than one place, before anyone from the outside came to look.
The inspection was triggered by a complaint. Someone, whether a resident, a family member, or a staff member, contacted regulators before the August 22 visit took place. The report does not say what that complaint alleged or whether the infection control finding was directly connected to it.
Oak Glen Healthcare and Rehabilitation Center sits in Lewisburg, a small city in central Pennsylvania best known as the home of Bucknell University and a federal penitentiary. The facility serves a population that, by the nature of nursing home care, is already medically vulnerable, older adults and rehabilitation patients whose immune systems are often compromised and whose proximity to one another creates real transmission risk when infection controls slip.
The infection control deficiency was one of eleven total findings from this inspection. The report does not detail the other ten, but the volume alone signals a facility that was not, in August, meeting basic standards across multiple areas of care.
Inspectors use a scope and severity grid to classify what they find. A pattern finding, which is what Oak Glen received here, means the problem was not isolated to a single incident or a single resident. It was recurring. The severity level assigned, E on the federal scale, sits at the threshold where regulators determine that real harm, not just theoretical harm, was possible.
The facility was given a correction deadline. Oak Glen reported to regulators that it had addressed the infection control deficiency by October 21, nearly two months after inspectors walked out the door.
Two months is a standard window for this type of citation. It is also two months during which the pattern inspectors documented continued to exist, at least in its original form, inside a building where residents eat together, share hallways, and depend on the same staff to move between their rooms.
The inspection report does not describe what the infection control failures looked like in practice. It does not name the residents who were potentially affected, describe which areas of the facility were involved, or explain what staff were observed doing or failing to do. What it records is the conclusion: a pattern existed, harm was possible, and the facility was deficient.
That absence of detail is itself part of how this system works. Federal inspection reports document findings at a level of abstraction that can make it difficult for families choosing a facility, or residents already living in one, to understand what actually happened inside those walls.
What the record does show is this: someone filed a complaint about Oak Glen Healthcare and Rehabilitation Center. Inspectors came. They found eleven things wrong. One of those things was a recurring failure to run a proper infection control program in a building full of people who could not easily afford to get sick.
The facility says it fixed the problem by late October.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Oak Glen Healthcare and Rehabilitation Center from 2025-08-22 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: October 7, 2026 · Our methodology
OAK GLEN HEALTHCARE AND REHABILITATION CENTER in LEWISBURG, PA was cited for violations during a health inspection on August 22, 2025.
The infection control citation, issued under regulatory tag F0880, was classified as a pattern of deficient practice.
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.