DEPARTMENT OF HEALTH Decisions on Requests for Exception to Health Care Facility Regulations [46 Pa.B. 1091]
[Saturday, February 27, 2016]Under 28 Pa. Code § 51.33 (relating to requests for exceptions), effective June 6, 1998, the Department of Health (Department) has published in the Pennsylvania Bulletin all requests by entities licensed under the Health Care Facilities Act (35 P. S. §§ 448.101—448.904b) for exceptions to regulations contained in 28 Pa. Code Part IV, Subparts B—G.
Section 51.33(d) of 28 Pa. Code provides that the Department will publish notice of all approved exceptions on a periodic basis. The Department has determined that it will publish notice of all exceptions, both approved and denied. The following list contains the decisions made on exception requests published in the Pennsylvania Bulletin from October 2015, through December 2015. Publications of decisions on exception requests will appear on a quarterly basis.
Requests for additional information on the exception request and the Department's decision should be made to the relevant division of the Department. Inquiries regarding hospitals, abortion facilities and ambulatory surgical facilities shall be addressed to Garrison E. Gladfelter, Jr., Director, Division of Acute and Ambulatory Care, Room 532, Health and Welfare Building, Harrisburg, PA 17120, (717) 783-8980. Inquiries regarding long-term care facilities shall be addressed to Susan Williamson, Director, Division of Nursing Care Facilities, Room 528, Health and Welfare Building, Harrisburg, PA 17120, (717) 787-1816.
Hospitals Facility Name 28 Pa. Code Regulation Relating to Request
PublishedDecision Gettysburg Hospital § 51.6(b) Identification of personnel 11/07/15 granted UPMC St. Margaret Hospital § 107.2 Medical staff membership 12/12/15 deferred Easton Hospital § 107.61 Written orders 01/02/16 granted Ephrata Community Hospital § 107.61 Medical staff, written orders 11/07/15 granted Gettysburg Hospital § 107.61 Medical staff, written orders 11/14/15 granted York Hospital § 107.61 Medical staff, written orders 11/07/15 granted Advanced Surgical Hospital § 107.62(a) Oral orders 11/14/15 granted Advanced Surgical Hospital § 107.62(b) Medical staff by-laws 11/14/15 granted Geisinger Community Medical Center § 113.5(a) Pharmacy and therapeutics committees 12/19/15 granted Geisinger Medical Center § 113.5(a) Pharmacy and therapeutics committees 10/10/15 granted Geisinger Wyoming Valley Medical Center § 113.5(a) Pharmacy and therapeutics committees 12/19/15 granted Lower Bucks Hospital § 123.25(2) Control of anesthetic explosion hazards 12/12/15 granted Geisinger Medical Center § 123.5 Administration of anesthesia 11/14/15 denied Sharon Regional Health System § 127.1 Principle—radiology services 11/14/15 granted Pottstown Memorial Medical Center § 127.31(b) Policies and procedures 12/12/15 granted Geisinger Wyoming Valley Medical Center § 129.2(a) Radiation safety committees 12/19/15 granted Geisinger Community Medical Center § 129.23(a) Radiation safety committees 12/19/15 granted Geisinger Medical Center § 129.23(a) Radiation safety committees 10/10/15 granted Ephrata Community Hospital § 138.15 High-risk cardiac catheterizations 11/07/15 deferred Heritage Valley Sewickley § 143.4 Medical appraisal of a podiatric patients 12/12/15 granted Heritage Valley Sewickley § 143.5 Medical supervision of podiatric patients 12/12/15 granted Abington Memorial Hospital § 153.1 2.6-2.2.2.2(1) Space requirements—area 10/17/15 granted Abington Memorial Hospital § 153.1 2.6-2.2.2.5 Hand-washing stations 10/17/15 granted Albert Einstein Medical Center § 153.1 2.1-2.2.5.3 Renovations 11/14/15 granted Albert Einstein Medical Center § 153.1 2.1-8.2.1.1(2) Vibration isolators 11/14/15 granted Albert Einstein Medical Center § 153.1 2.2-3.3.4.4(7) Phase II recovery rooms or area/patient toilet rooms 11/14/15 granted Aria Health § 153.1 2.2-2.6.2.2(1) Space requirements 11/14/15 granted Aria Health § 153.1 2.2-2.6.2.6(1) Toilet rooms or human waste disposal rooms 11/14/15 granted Aria Health § 153.1 2.2-3.4.5.4 Patient toilet rooms 10/17/15 granted Aria Health—Bucks County Campus § 153.1 Table 2.1-4 Station outlets for oxygen, vacuum (suction) and medical air systems in hospitals (2.2-3.13.3) 12/19/15 not nec. Aria Health—Franklin Campus § 153.1 Table 2.1-4 station outlets for oxygen, vacuum (suction) and medical air systems in hospitals (2.2-3.13.3) 12/19/15 not nec. Aria Health—Torresdale § 153.1 2.1-3.2.2.1(1) Space requirements—area 12/12/15 granted Delaware County Memorial Hospital § 153.1 3.6-3.8.1 Waiting rooms 12/12/15 granted Geisinger Lewistown Hospital § 153.1 2.1-7.2.2.1 Corridor widths 11/14/15 not nec. Geisinger Lewistown Hospital § 153.1 2.2-3.4.4.2(2) MRI scanner room space requirements 11/14/15 granted Geisinger Medical Center § 153.1 2.1-2.6.4.2 Multipurpose rooms 12/12/15 not nec. Geisinger Medical Center § 153.1 2.1-2.6.7.1 Nourishment area 12/12/15 granted Geisinger Medical Center § 153.1 2.1-2.7.1 Staff lounge facilities 12/12/15 not nec. Geisinger Medical Center § 153.1 2.1-7.2.2.5 Windows in patient rooms 12/12/15 granted Geisinger Medical Center § 153.1 2.2-2.6.8.1 Support areas for families and visitors 12/12/15 not nec. Geisinger Medical Center § 153.1 3.13-6.2.2 Reception areas 12/12/15 denied Holy Spirit Hospital § 153.1 2.1-8.5 Facility requirements 12/12/15 granted Holy Spirit Hospital § 153.1 2.1-8.5.3.2 Size of technology distribution rooms (TDRs) 12/12/15 granted J C Blair Memorial Hospital § 153.1 2.2-3.1.4.3 Secure holding rooms 12/12/15 deferred Monongahela Valley Hospital § 153.1 2.2-3.4.5.4 Patient toilet rooms 12/12/15 granted Muncy Valley Hospital § 153.1 2.1-8.5.3.2 Size of technology distribution rooms (TDRs) 10/10/15 granted Penn Presbyterian Medical Center § 153.1 2.1-8.5.3.2 Size of technology distribution rooms (TDRs) 12/19/15 granted Penn Presbyterian Medical Center § 153.1 2.1-8.5.3.3(2) Location and access requirements 12/19/15 granted St. Luke's Hospital Anderson Campus § 153.1 2.2-3.12.2.8(1) Nurse stations 11/07/15 denied Uniontown Hospital § 153.1 2.1-2.2.5.3 Renovations 11/21/15 granted Uniontown Hospital § 153.1 2.1-8.5.3.2 Size of technology distribution rooms (TDRs) 10/17/15 granted Uniontown Hospital § 153.1 2.2-2.6.8.1 Family and visitor lounge 10/17/15 granted Waynesboro Hospital § 153.1 2.1-8.5.1.2 Size of telecommunications service entrance rooms (TSERs) 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.2.2.1(1) Capacity 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.2.2.2(1) Area 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.2.2.2(3) Where renovation. . . 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.2.2.5 Hand-washing stations 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.2.2.8 Patient storage 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.2.3 Patient/family centered care 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.2.6.4 Multipurpose rooms 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.6.2.2(1) Space requirements 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.6.2.2(2) Clearances 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.6.2.2(4) Space requirements 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.6.2.6 Toilet rooms 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.6.7.2 Staff toilets 11/14/15 withdrawn Waynesboro Hospital § 153.1 2.2-2.6.8.1 Family and visitor lounges 11/14/15 withdrawn Waynesboro Hospital § 153.1 Table 6.4 Minimum filter efficiencies re: inpatient care 11/14/15 withdrawn Waynesboro Hospital § 153.1 Table 7.1 Design parameters re: patient rooms 11/14/15 withdrawn West Penn Hospital § 153.1 2.1-8.5.3.2 Size of technology distribution rooms (TDRs) 12/12/15 granted Penn Highlands DuBois Endoscopy Center § 553.1 Governing body—principle 11/07/15 granted Penn Highlands DuBois Endoscopy Center § 553.31(b) Management and administration of operations—administrative responsibilities 11/07/15 granted Penn Highlands DuBois Endoscopy Center § 555.1 Medical staff—principle 11/07/15 granted Penn Highlands DuBois Endoscopy Center § 557.1 Quality assurance and improvement—policy 11/07/15 granted Penn Highlands DuBois Endoscopy Center § 563.1 Medical records—principle 11/07/15 granted Penn Highlands DuBois Endoscopy Center § 563.2 Medical records—organization and staffing 11/07/15 granted Penn Highlands DuBois Endoscopy Center § 567.2 Environmental services infection control—committee responsibilities 11/07/15 granted Penn Highlands DuBois Endoscopy Center § 569.1 Fire and safety services—principle 11/07/15 granted Lower Bucks Hospital § 569.35(7) General safety precautions no pub withdrawn Ambulatory Surgical Facilities
Monroeville ASC, LLC § 551.21 Criteria for ambulatory surgery 11/14/15 resubmit Peters Township Surgery Center, LLC § 551.21 Criteria for ambulatory surgery (total knee and total hip replacement—
27437, 27446, 27442, 27130, 27443, 27438)08/29/15 resubmit Peters Township Surgery Center, LLC § 551.21 Criteria for ambulatory surgery (total shoulder arthroplasty—23472, 23743, 23474, 23470) 09/05/15 denied UOC Surgical Services, Ltd. § 551.21 Criteria for ambulatory surgery 12/12/15 deferred Wexford Surgery Center § 551.21 Criteria for ambulatory surgery 11/14/15 resubmit Grandview Surgery & Laser Center § 551.21(a)(2) Criteria for ambulatory surgery 06/13/15 denied Geisinger Gray's Woods Outpatient Surgery & Endoscopy Center § 551.21(d) Criteria for ambulatory surgery 10/17/15 denied Pine Grove Ambulatory Surgical Center § 551.21(d) Criteria for ambulatory surgery 10/10/15 granted Children's Surgery Center of Malvern § 551.22(3)(ii) Criteria for performance of ambulatory surgery on pediatric patients (Dr. Kaynaz Myrum, DMD) 12/19/15 granted Children's Surgery Center of Malvern § 551.22(3)(ii) Criteria for performance of ambulatory surgery on pediatric patients (Dr. Sara Toema, DDS) 12/19/15 denied Radiance Surgery Center § 551.31 Licensure 11/15/14 denied Radiance Surgery Center § 551.33 Survey 11/15/14 denied Radiance Surgery Center § 551.34 Licensure process 11/15/14 denied St. Luke's West End Endoscopy § 553.2 Ownership 10/10/15 granted St. Luke's West End Endoscopy § 553.3(2), (4)—(9) and (11)—(16) Governing body—responsibilities 10/10/15 granted Allegheny Health Network Surgery Center—Bethel Park, LLC § 553.31 Administrative responsibilities 11/14/15 not nec. Allegheny Health Network Surgery Center—Bethel Park, LLC § 553.31 Administrative responsibilities 10/10/15 denied Laurel Laser & Surgery Center—Altoona § 553.31 Administrative responsibilities 12/12/15 denied Monroeville ASC, LLC § 553.31 Administrative responsibilities 10/10/15 denied Monroeville ASC, LLC § 553.31 Administrative responsibilities 11/14/15 not nec. Peters Township Surgery Center, LLC § 553.31 Administrative responsibilities 10/10/15 denied Peters Township Surgery Center, LLC § 553.31 Administrative responsibilities 11/14/15 not nec. St. Luke's West End Endoscopy § 553.31 Administrative responsibilities 10/10/15 granted Wexford Surgery Center § 553.31 Administrative responsibilities 10/10/15 denied Wexford Surgery Center § 553.31 Administrative responsibilities 11/14/15 not nec. St. Luke's West End Endoscopy § 553.4(b),
(e), (f) and (h)Other functions 10/10/15 granted St. Luke's West End Endoscopy § 555.2 Medical staff membership 10/10/15 granted St. Luke's West End Endoscopy § 555.3 Requirements for membership and privileges 10/10/15 granted St. Luke's West End Endoscopy § 555.31(a) Anesthesia services (propofol) 11/07/15 granted St. Luke's West End Endoscopy § 555.4 Clinical activities and duties of physician assistants and certified registered nurse practitioners 10/10/15 granted St. Luke's West End Endoscopy § 557.2 Quality assurance and improvement—plan 10/10/15 granted St. Luke's West End Endoscopy § 557.3 Quality assurance and improvement program 10/10/15 granted St. Luke's West End Endoscopy § 563.10 Medical records—ownership 10/10/15 granted St. Luke's West End Endoscopy § 563.2 Medical records—organization and staffing 10/10/15 granted St. Luke's West End Endoscopy § 567.2(2) Committee responsibilities 10/10/15 granted West Shore Surgery Center, Ltd § 569.35(7) General safety precautions (flammable agents in ASF) 11/07/15 granted Nursing Care Facilities
Juniper Village at Brookline—Rehabilitation and Skilled Care § 51.6(b) Identification of personnel 12/05/15 denied Sarah Reed Senior Living § 201.22(d) and (e) Prevention, control, and surveillance of tuberculosis 10/10/15 granted John J. Kane—Glen Hazel § 201.22(e) and (j) Prevention, control, and surveillance of tuberculosis 12/12/15 granted Vincentian De Marillac § 201.22(e),
(j) and (k)Prevention, control, and surveillance of tuberculosis 10/03/15 granted Vincentian Home § 201.22(e),
(j) and (k)Prevention, control, and surveillance of tuberculosis 10/03/15 granted Shenango Presbyterian SeniorCare § 201.22(h) Prevention, control, and surveillance of tuberculosis 10/03/15 granted Berks Heim Nursing & Rehabilitation § 201.22(h) and (j) Prevention, control, and surveillance of tuberculosis 11/21/15 granted Thornwald Home § 201.3 Definitions 10/31/15 granted Providence Care Center § 205.19(b) Windows and windowsills 12/19/15 granted Fox Subacute at South Philadelphia § 205.25(a) Kitchens 12/12/15 granted Kirkland Village § 205.28(b) Nurses stations 10/10/15 granted Latrobe Health and Rehabilitation Center § 205.36(b) and (h) Bathing facilities 10/24/15 granted Fox Subacute at South Philadelphia § 205.36(h) Bathing facilities 12/12/15 granted Parkhouse Nursing and Rehabilitation Center § 205.36(h) Bathing facilities 11/14/15 granted Fox Subacute at South Philadelphia § 205.38(a) and (b) Toilet facilities 12/12/15 granted Fox Subacute at South Philadelphia § 205.6(a) Function of building 12/12/15 granted Pembrooke Health and Rehabilitation Center § 205.67(j) and (k) Electric requirements for existing and new construction 11/14/15 granted St. Anne's Retirement Community § 205.67(k) Electric requirements for existing and new construction 12/12/15 granted Kinkora Pythian Home § 211.9(g) Pharmacy services 10/03/15 granted Masonic Village at Lafayette Hill § 211.9(g) Pharmacy services 11/14/15 granted Presbyterian Homes of the Presbytery of Huntingdon § 211.9(g) Pharmacy services 10/07/15 granted Saint Joseph Villa § 211.9(g) Pharmacy services 10/10/15 granted St. Monica Center for Rehabilitation & Healthcare § 211.9(g) Pharmacy services 11/14/15 granted Westgate Hills Rehabilitation and Nursing Center § 211.9(g) Pharmacy services 11/14/15 granted Persons with a disability who require an alternative format of this notice (for example, large print, audiotape, Braille) should contact the Division of Acute and Ambulatory Care or the Division of Nursing Care Facilities at the previously referenced addresses or telephone numbers, or for speech and/or hearing impaired persons V/TT (717) 783-6514 or the Pennsylvania AT&T Relay Service at (800) 654-5984.
KAREN M. MURPHY, PhD, RN,
Secretary[Pa.B. Doc. No. 16-332. Filed for public inspection February 26, 2016, 9:00 a.m.]
