Lewisburg Healthcare Center

In the surveyor’s words

From the most serious findings on record at Lewisburg Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jan 15, 2026

  Based on record review and staff interview, the facility failed to follow a physician order for a resident to receive nothing by mouth (NPO). Resident #95 was given a soft drink by a staff member which resulted in the resident immediately coughing. This failed practice had the potential for more than minimal harm to any resident with an (NPO) order for or an order for thickened liquids. Resident identifiers #95, #13, #33, #80, #87 and #51. Facility Census 90.The citation will be cited at past non-compliance. The immediate Jeopardy occurred on 05/01/25 and was corrected on 05/03/25. […]

• Actual harm, isolatedF692Feb 7, 2024

  Based on observation, record review and staff the interview, the facility failed to offer sufficient fluid intake to maintain proper hydration for a resident. This failed practice caused harm to Resident #11 evident by his fluid intake being low for 19 days resulting in the physician to order Sodium Chloride Solution 0.9% intravenously. This was found to be true for (1) one of (1) one residents reviewed for hydration during the Long Term Care Survey Process. Resident identifier #11. Facility Census 86. Findings Included: a) Resident # 11 An observation on 02/05/24 at 3:10 PM of Hall 100's fluid pass revealed that ice water was being passed in eight (8) ounce Styrofoam cups. […]

• No harm, potential for more than minimal, patternF577Jan 15, 2026

  Based on resident interview, record review, and staff interview the facility failed to ensure residents knew the location of the state inspection resultsThis was a random opportunity for discovery. Facility Census: 90.Findings Included:a) Resident Council Meeting: During the resident council meeting held on 01/13/26 at 2:00 PM Resident #16, #17, #30, #11, and #75 were in attendance and all had BIMS of 14 or higher. When the residents were asked if they knew the location of the survey results, the resident council president stated he was never told where they were located and all others were in agreement of that statement. […]

• No harm, potential for more than minimal, patternF584Jan 15, 2026

  Based on observation and staff interview, the facility failed to provide a safe, clean, comfortable, and homelike environment for resident's bathrooms and also for not resolving a grievance for missing clothing for a resident. This was a random opportunity for discovery. Rooms: #112, #204, #205, #207. Resident identifiers: #57, #21, #81, #12 and #5 Facility census: 90. a) Resident bathroom [ROOM NUMBER]: Upon facility entrance observation and walkthrough on 01/12/26 at 11:35AM, Resident #57's bathroom did not appear to have been cleaned and was observed to have dried brown spots on the floor around the base of the toilet and on the toilet seat. […]

• No harm, potential for more than minimal, patternF880Jan 15, 2026

  Based on observation, and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections during meal service in the dining room. This failed practice was a random opportunity for discovery during the Long Term Care Facility Annual Survey. Resident identifier: #81, #58, and #61. […]