Oak Glen Healthcare: Food Temperature Failures - PA
A complaint inspection at Oak Glen Healthcare and Rehabilitation Center on September 24, 2025, found that food and beverages being served to residents on the nursing units fell outside acceptable temperature ranges for palatability. Inspectors recorded the findings directly: eggs described as mushy and measured at 103.5 degrees Fahrenheit, a half-filled cup of coffee at 99.1 degrees, tomato soup at 104.8 degrees, and milk that registered 53.7 degrees, only slightly chilled.
For context, coffee served at 99 degrees is closer to body temperature than to what most people would recognize as a hot drink. Milk at 53.7 degrees is warmer than most refrigerators are set to run.
The food service manager, identified in the inspection report as Employee 2, was interviewed at 2:00 PM on the day of the inspection. That interview confirmed that adequate supplies of silverware, food, beverages, and lids should have been available for service on the nursing units. It also confirmed what the thermometer readings already showed: the temperatures were outside acceptable ranges.
The nursing home administrator was briefed on the findings at 2:35 PM the same day.
The violation was cited under F0804, which covers the requirement that facilities provide food that is palatable, attractive, and at the proper temperature. Inspectors rated the level of harm as minimal harm or potential for actual harm, with few residents affected.
That rating reflects the lower end of the federal deficiency scale. It does not mean the problem is trivial. Residents in nursing facilities are often elderly, medically fragile, and dependent on adequate nutrition and hydration. Food that arrives lukewarm or improperly chilled is food that is less likely to be eaten. A resident who already struggles with appetite, or who has difficulty swallowing, or who is managing a chronic illness, is not well-served by eggs that have gone mushy in transit and coffee that has gone cold in the cup.
The inspection was triggered by a complaint, meaning someone, whether a resident, a family member, or a staff member, raised a concern that prompted regulators to investigate. The report does not identify who filed the complaint or what specifically prompted it.
What inspectors found when they arrived was a snapshot of what mealtime looked like on the nursing units that day: a half-filled cup of coffee that had cooled to 99 degrees, soup that should have been hot but registered under 105, milk that had warmed past the point of being properly chilled. The food service manager did not dispute any of it.
Oak Glen Healthcare and Rehabilitation Center is a licensed nursing facility in Lewisburg, Pennsylvania. The inspection was conducted under state code provisions governing the responsibility of the licensee and facility management.
The report does not describe whether residents complained about the food, whether they ate it anyway, or whether this was an isolated incident or part of a pattern. It records what inspectors measured and what staff confirmed. On September 24, 2025, at mealtime, the food arriving to residents on the nursing units was not at the temperatures it was supposed to be.
The eggs were mushy. The coffee had cooled to something close to body temperature. The milk had warmed. The administrator was informed at 2:35 in the afternoon. What changed after that, the report does not say.
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 2025-09-24 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: September 13, 2026 · Our methodology
OAK GLEN HEALTHCARE AND REHABILITATION CENTER in LEWISBURG, PA was cited for violations during a health inspection on September 24, 2025.
For context, coffee served at 99 degrees is closer to body temperature than to what most people would recognize as a hot drink.
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.