Oak Glen Healthcare: Residents Go Days Without Showers - PA
Federal inspectors found that Oak Glen Healthcare and Rehabilitation Center failed to provide basic hygiene assistance to residents who couldn't care for themselves, leaving two men without showers or shaving help for days.
Resident 107 arrived at the facility on Thursday, August 14. Six days later, when inspectors observed him on August 20 at 11:09 AM, his hair appeared uncombed and oily. He had facial hair indicating numerous days without shaving.
The man confirmed to inspectors that he had not received a shower since his admission to the facility. No staff had helped him shave during those six days either.
"Nursing staff supplied him with shaving equipment" only on the day inspectors questioned him about it, according to Employee 8, a licensed practical nurse interviewed at 11:10 AM on August 20.
Facility records showed Resident 107 was supposed to receive showers on Wednesday and Saturday evenings. He was totally dependent on two staff members for physical assistance with bathing.
Nurse aide staff documented no showers until August 20 at 11:42 PM — more than 12 hours after the inspector's observation and questioning. There was no evidence staff had offered him a shower before that date.
He missed his scheduled Saturday shower on August 16.
The second resident presented an equally troubling picture. Resident 90 sat eating lunch on August 20 at 12:33 PM with very scruffy whiskers covering his face and extending down his neck.
"He needed to shave," the resident told inspectors.
His quarterly assessment from July 22 indicated he required partial assistance with personal hygiene. The same assessment showed he had severe cognitive impairment, with a mental status score of two.
Administrators were notified about Resident 90's facial hair condition at 3:32 PM on August 20.
The next day, inspectors returned to check on him. At 12:18 PM on August 21, Resident 90 was again seated at a dining table eating lunch. His face and neck appeared to have been shaved, but whiskers remained in spotty areas across his face and lip.
"They shaved me this morning," Resident 90 told inspectors.
The incomplete shaving job didn't meet his personal standards. "I like a clean shave, that is how I did it at home, and has a young chap," he said. "That is how we had to be on the farm."
The inspection occurred following a complaint about the facility. Inspectors interviewed the nursing home administrator, director of nursing, and assistant director of nursing about both residents' conditions on August 21 at 2:00 PM.
The violations represent a failure to provide care and assistance with activities of daily living for residents unable to perform them independently. Federal regulations require nursing homes to ensure residents receive necessary help with basic hygiene tasks.
Both cases involved residents with documented dependencies. Resident 107 required total assistance from two staff members for showering. Resident 90 needed partial help with personal hygiene due to his severe cognitive impairment.
The facility's own documentation system showed scheduled care that didn't happen. Electronic records indicated specific shower days for Resident 107, but staff failed to provide the assistance until after inspectors questioned the neglect.
For Resident 90, the attempted shaving after administrators learned of the violation left him with an incomplete job that didn't meet his stated preference for being clean-shaven — a standard he maintained throughout his life on the farm and at home.
The inspection found the facility failed to provide adequate assistance to two of two residents reviewed for activities of daily living concerns. The deficiency affected few residents overall, according to the inspection report.
Inspectors classified the violations as causing minimal harm or potential for actual harm to residents. However, the cases demonstrate systematic failures in basic care provision for vulnerable residents who depend entirely on staff assistance for fundamental hygiene needs.
The nursing home must submit a plan of correction to continue participating in Medicare and Medicaid programs. The findings become public 14 days after the facility receives the inspection documents.
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: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
OAK GLEN HEALTHCARE AND REHABILITATION CENTER in LEWISBURG, PA was cited for violations during a health inspection on August 22, 2025.
Resident 107 arrived at the facility on Thursday, August 14.
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.