Oak Glen Healthcare: Resident Rights Violations - PA
The deficiency, one of 11 cited during the inspection, concerns something that can feel abstract until it isn't: who you live with, and whether anyone asks you about it before changing that.
For residents of a nursing home, the room is the home. It is where they sleep, where they receive visitors, where they spend most of their waking hours. A roommate is not a minor administrative detail. For someone who cannot leave on their own, cannot advocate loudly for themselves, and may depend entirely on the staff around them for their daily needs, the person on the other side of a curtain matters in ways that are hard to overstate.
The right at issue here is specific. Residents are entitled to choose whether to share a room, and with whom. They are also entitled to written notice before any change is made to that arrangement. Not a verbal mention in passing. Not a conversation that may or may not have happened. Written notice, in advance.
Oak Glen did not do that.
Inspectors classified the violation at Scope/Severity Level D, meaning it was isolated in nature and did not result in documented harm to any resident. But the federal inspection framework does not require actual harm before a violation is cited. The finding acknowledges potential for more than minimal harm, which is the threshold for a citation.
That distinction matters. The absence of documented harm is not the same as the absence of harm. A resident moved without notice, placed with a stranger they did not choose, may not file a complaint. They may not know they had a right to be asked. They may not feel safe objecting. The inspection system catches what inspectors can document. It does not catch everything.
Oak Glen Healthcare and Rehabilitation Center is a nursing and rehabilitation facility in Lewisburg, a small borough in Union County in central Pennsylvania. The August 22 inspection was triggered by a complaint, meaning someone, a resident, a family member, or another party, raised a concern that prompted regulators to send investigators to the facility.
The inspection did not result in a single deficiency. It produced eleven. The nature of the other ten was not detailed in the summary reviewed for this report, but the breadth of the findings across a single inspection visit is worth noting. One deficiency can reflect a lapse. Eleven deficiencies cited in one visit suggests something more systemic about how the facility was operating at the time inspectors arrived.
The roommate rights violation was corrected, according to the facility. Oak Glen reported a correction date of October 21, 2025, roughly two months after the inspection. That is a meaningful gap. Whatever the administrative process required, residents at the facility spent those two months in a facility that had just been found to be disregarding their right to written notice about who they live with.
Corrections reported by facilities are self-reported. Inspectors return to verify. Whether the correction at Oak Glen has been verified was not reflected in the inspection summary.
The federal government's nursing home inspection system is built on the premise that residents in long-term care facilities retain rights, not as a courtesy, but as a legal matter. The right to choose a roommate. The right to written notice before that changes. These are not aspirational guidelines. They are enforceable standards, and their enforcement depends almost entirely on whether inspectors show up, ask the right questions, and find the evidence.
What the August inspection at Oak Glen found is that those rights were not being honored. A resident somewhere in that facility, at some point before inspectors arrived, was moved, or assigned a roommate, without receiving the written notice the law requires.
That resident may not know, even now, that it happened to them.
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 6, 2026 · Our methodology
OAK GLEN HEALTHCARE AND REHABILITATION CENTER in LEWISBURG, PA was cited for violations during a health inspection on August 22, 2025.
For residents of a nursing home, the room is the home.
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.