Decisions on Requests for Exception to Health Care Facility Regulations [46 Pa.B. 1861]
[Saturday, April 9, 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 January 2016, through March 2016. 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 Published Request Decision Uniontown Hospital § 101.172 Patient limits 03/12/2016 granted UPMC St. Margaret Hospital § 107.2 Medical staff membership 12/12/2015 denied Lehigh Valley Hospital § 107.61 Written orders 02/13/2016 granted Lehigh Valley Hospital—Hazleton § 107.61 Written orders 02/13/2016 granted Lehigh Valley Hospital—
Muhlenberg§ 107.61 Written orders 02/13/2016 granted Magee Womens Hospital of UPMC Health System § 107.61 Written orders 03/12/2016 granted St. Clair Memorial Hospital § 107.61 Written orders 02/13/2016 granted UPMC Bedford § 107.61 Written orders 03/12/2016 granted UPMC East § 107.61 Written orders 01/02/2016 granted UPMC Hamot § 107.61 Written orders 03/05/2016 granted UPMC Horizon § 107.61 Written orders 02/13/2016 granted UPMC McKeesport § 107.61 Written orders 01/02/2016 granted UPMC Passavant Hospital § 107.61 Written orders 03/26/2016 granted UPMC Presbyterian Shadyside § 107.61 Written orders 01/02/2016 granted UPMC St. Margaret Hospital § 107.61 Written orders 03/26/2016 granted WellSpan Surgery & Rehabilitation Hospital § 107.61 Written orders 02/13/2016 granted Lehigh Valley Hospital § 111.27(b) Nutritional aspects of patient care 02/13/2016 granted Lehigh Valley Hospital—Hazleton § 111.27(b) Nutritional aspects of patient care 02/13/2016 granted Lehigh Valley Hospital—
Muhlenberg§ 111.27(b) Nutritional aspects of patient care 02/13/2016 granted UPMC Horizon § 111.27(b) Nutritional aspects of patient care 02/13/2016 granted Geisinger-Bloomsburg Hospital § 113.5(a) Pharmacy and therapeutics committee 02/13/2016 granted Geisinger-Lewistown Hospital § 113.5(a) Pharmacy and therapeutics committee 01/02/2016 granted Reading Hospital § 133.21 Facilities 01/09/2016 granted Reading Hospital § 133.31 Policies and procedures 01/09/2016 granted Ephrata Hospital § 138.15 High-risk cardiac catheterizations 11/07/2015 granted Lower Bucks Hospital § 138.15 High-risk cardiac catheterizations 02/13/2016 granted Main Line Hospital Bryn Mawr § 138.15 High-risk cardiac catheterizations 01/09/2016 denied Wayne Memorial Hospital § 138.15 High-risk cardiac catheterizations 02/13/2016 granted Main Line Hospital Bryn Mawr § 138.18 EPS studies 01/09/2016 granted Ohio Valley General Hospital § 138.18(b) EPS studies 02/13/2016 denied UPMC East § 138.18(b) EPS studies 02/13/2016 granted UPMC McKeesport § 138.18(b) EPS studies 02/13/2016 granted Heritage Valley Beaver § 143.4 Medical appraisal of a podiatric patient 02/13/2016 granted Heritage Valley Beaver § 143.5 Medical supervision of podiatric patients 02/13/2016 granted Albert Einstein Medical Center § 153.1 2.1-8.2.1.2 Ventilation and space—conditioning requirements 03/12/2016 granted Children's Institute of Pittsburgh § 153.1 2.1-2.4.3.9(1)(b) Seclusion room—special design elements 02/13/2016 granted Ephrata Community Hospital § 153.1 2.1-8.5.3.2 Size technology distribution rooms (TDRs) 03/12/2016 granted Ephrata Community Hospital § 153.1 2.1-8.5.3.3(2) Location and access requirements 03/12/2016 granted Guthrie Towanda Memorial Hospital § 153.1 3.7-3.4.3.2(2)(b)(i) Phase II space requirements 02/13/2016 granted Guthrie Towanda Memorial Hospital § 153.1 2.2-3.3.4.3(2)(b) Phase I post-anesthetic care unit (PACU)/space requirements 01/16/2016 granted Guthrie Towanda Memorial Hospital § 153.1 3.7-3.4.3.1(2)(b) Phase I post-anesthesia recovery rooms/space requirements 01/16/2016 granted J C Blair Memorial Hospital § 153.1 2.1-3.2.2.2 Examination rooms or emergency department treatment rooms 02/13/2016 granted J C Blair Memorial Hospital § 153.1 2.2-3.1.3.6(2) Treatment rooms or areas 02/13/2016 granted J C Blair Memorial Hospital § 153.1 2.2-3.1.4.3 Secure holding rooms 12/12/2015 withdrawn Jameson Memorial Hospital § 153.1 2.2-3.4.5.4(1) Patient toilet rooms 02/13/2016 granted Lancaster General Hospital § 153.1 2.1-8.5.3.2 Size technology distribution rooms (TDRs) 03/12/2016 granted Main Line Hospital Bryn Mawr § 153.1 2.1-8.5.1.2 Size telecommunications service entrance rooms (TSERs) 03/12/2016 granted Main Line Hospital Bryn Mawr § 153.1 2.1-8.5.1.4 Building system requirements telecommunications service entrance rooms (TSERs) 03/12/2016 granted Main Line Hospital Lankenau Medical Center § 153.1 2.1-2.2.5.1 Hand-washing stations in the patient rooms/locations 01/09/2016 granted Main Line Hospital Lankenau Medical Center § 153.1 2.2-3.1.3.6(10) Treatment rooms or areas (fast track) 01/09/2016 granted Main Line Hospital Lankenau Medical Center § 153.1 2.2-3.12.2.8 Nurses stations 01/09/2016 granted Milton S. Hershey Medical Center § 153.1 2.2-3.4.8.3 Patient changing rooms 02/13/2016 granted OSS Orthopaedic Hospital § 153.1 2.2-3.4.1.1 Imaging services—application 01/02/2016 not nec. OSS Orthopaedic Hospital § 153.1 3.1-3.2.2.2 Space requirements—area 01/02/2016 granted Penn Highland Dubois, 104 West Mahoning St., Punxsutawney § 153.1 1.3-3.3.1.1 Healthcare facilities shall provide parking 02/13/2016 not nec. Penn Highland Dubois, 104 West Mahoning St., Punxsutawney § 153.1 3.11-6.2.4 Public toilets 02/13/2016 granted Penn Highland Dubois, 104 West Mahoning St., Punxsutawney § 153.1 3.1-3.6.10 Soiled holding rooms 02/13/2016 granted Penn Highland Dubois, 104 West Mahoning St., Punxsutawney § 153.1 3.1-3.6.6.2(1)(a) Work areas for preparing, dispensing and administering medications 02/13/2016 granted Penn Highland Dubois, 104 West Mahoning St., Punxsutawney § 153.1 3.1-3.8.2 Toilet rooms for patient use 02/13/2016 granted Penn Highland Dubois, 104 West Mahoning St., Punxsutawney § 153.1 3.1-6.2.1 Vehicular drop-off and pedestrian entrances 02/13/2016 not nec. Penn Highland Dubois, 104 West Mahoning St., Punxsutawney § 153.1 3.1-7.2.2.3(2)(b) Doors and door hardware 02/13/2016 granted Penn Highland DuBois, 761 Johnsonburg Rd., St. Marys § 153.1 3.11-6.2.4 Public toilets 02/13/2016 granted Penn Highland DuBois, 761 Johnsonburg Rd., St. Marys § 153.1 3.1-3.6.10 Soiled holding rooms 02/13/2016 granted Penn Highland DuBois, 761 Johnsonburg Rd., St. Marys § 153.1 3.1-3.6.6.2(1)(a) Work areas for preparing, dispensing and administering medications 02/13/2016 granted Penn Highland Dubois, 761 Johnsonburg Rd., St. Marys § 153.1 3.1-5.5.1.1 Environmental services room—number 02/13/2016 granted Schuylkill Medical Center East Norwegian Street § 153.1 2.1-3.2.2.1(1) Space requirements—area (examination rooms) 04/02/2016 granted Somerset Hospital § 153.1 2.2-3.3.2.1(1)(a) Space requirements—operating rooms 01/09/2016 granted St. Luke's Hospital Bethlehem § 153.1 3.1-3.6.5.3 Addition requirements for hand-washing stations that serve multiple patient care stations 02/13/2016 granted St. Luke's Hospital—Anderson Campus § 153.1 2.2-3.12.2.8(1) Nurse stations 03/12/2016 denied Sunbury Community Hospital § 153.1 2.5-2.2.2.2 Space requirements 02/13/2016 granted UPMC Altoona § 153.1 2.1-8.5.3.1(1) Number technology distribution rooms (TDRs) 03/12/2016 granted UPMC Altoona § 153.1 4-6.7.1 Air distribution systems—general 03/12/2016 denied UPMC Hamot § 153.1 2.1-3.2.2.1(2) Space requirements—clearances 01/16/2016 granted UPMC Hamot § 153.1 2.2-3.6.4.3 Control room (6th floor—temporary) 01/16/2016 granted UPMC Hamot § 153.1 2.2-3.6.4.3 Control room (ground floor—
permanent)01/16/2016 granted UPMC Hamot § 153.1 2.2-3.6.6.16 Hot lab for SPECT facilities 01/16/2016 granted UPMC Horizon § 153.1 4-6.7.1 Air distribution systems—general 02/13/2016 granted UPMC Presbyterian Shadyside § 153.1 2.1-8.5.3.2 Size technology distribution Rooms (TDRs) 01/09/2016 granted UPMC Presbyterian Shadyside § 153.1 3.1-3.2.2.2(1) Space requirements—area 01/09/2016 granted Waynesboro Hospital § 153.1 2.1-8.5.1.2 Size telecommunications service entrance rooms (TSERs) 02/13/2016 granted Waynesboro Hospital § 153.1 2.2-2.6.2.2(4) Space requirements 02/13/2016 not nec. Waynesboro Hospital § 153.1 2.2-2.6.2.6 Toilet rooms or human waste disposal rooms 02/13/2016 not nec. Waynesboro Hospital § 153.1 2.2-2.6.8.1 Family and visitor lounges 02/13/2016 not nec. Waynesboro Hospital § 153.1 Tables 6.4 Minimum filter efficiencies and 7.1 design parameters—
patient rooms02/13/2016 granted Williamsport Regional Medical Center § 153.1 2.2-3.6.3.6(1) Support areas for PET facilities 02/13/2016 denied York Hospital § 153.1 2.1-2.2.5.3 Hand-washing station in patient room—renovations 01/09/2016 granted York Hospital § 153.1 Table 7.1 Design parameters—inpatient nursing patient rooms 01/09/2016 granted Ambulatory Surgical Facilities
Advanced Center for Surgery § 551.21 Criteria for ambulatory surgery 03/19/2016 granted Elite Surgery Center, LLC § 551.21(d) Criteria for ambulatory surgery (CPT codes: 43770) 01/09/2016 granted Elite Surgery Center, LLC § 551.21(d) Criteria for ambulatory surgery (CPT codes: 49650, 49651, 49652, 49653, 49654, 49655, 49656, 49657, 496590) 02/13/2016 denied Children's Surgery Center § 551.22(3)(ii) Criteria for performance of ambulatory surgery on pediatric patients 03/12/2016 granted Children's Surgery Center of Malvern § 551.22(3)(ii) Criteria for performance of ambulatory surgery on pediatric patients (Dr. Sara Toema, DDS) 02/17/2016 granted Pain Center of Wyoming Valley, LLC § 551.3(ii) Class B definitions (PS III patients) 02/13/2016 granted Penn Highland DuBois—Endoscopy Center § 551.3(ii) Class B definitions (PS III patients) 01/16/2016 granted Elite Surgery Center, LLC § 553.31 Administrative responsibilities 02/13/2016 granted Progressive Surgical Institute Abe, Inc. § 553.31 Principle 03/12/2016 denied LVHN Children's Surgery Center § 553.31(a) Administrative responsibilities 02/13/2016 granted Fairgrounds Surgical Center § 555.11(b) Written orders 02/13/2016 granted LVHN Surgery Center—Tilghman § 555.11(b) Written orders 02/13/2016 granted Saint Vincent Endoscopy Center § 555.3 Requirements for membership and privileges 01/09/2016 granted Saint Vincent Surgery Center of Erie § 555.3 Requirements for membership and privileges 01/09/2016 granted Jefferson Endoscopy Center at Bala, LLC § 555.31(a) Anesthesia services (propofol) no pub granted Langhorne Access Center § 555.31(a) Anesthesia services (propofol) no pub granted Pain Center of Wyoming Valley, LLC § 555.31(a) Anesthesia services (propofol) no pub granted Penn Highland DuBois—Endoscopy Center § 555.31(a) Anesthesia services (propofol) no pub granted Mount Nittany Health Surgical Center § 559.2 Directors of nursing 01/09/2016 granted Philadelphia Surgi-Center, Inc. § 559.2 Directors of nursing 03/12/2016 granted LVHN Children's Surgery Center § 561.1 Drugs and biologicals 03/12/2016 granted CHOP King of Prussia Specialty Care & Ambulatory Surgery Center § 567.53 Sterilization controls 01/09/2016 granted Center for the Surgical Arts, LLC § 569.35(7) General safety precautions no pub granted CHOP King of Prussia Specialty Care & Ambulatory Surgery Center § 569.35(7) General safety precautions no pub granted Dermatologic SurgiCenter Drexel Hill § 569.35(7) General safety precautions no pub granted Dermatologic SurgiCenter Philadelphia (Center City) § 569.35(7) General safety precautions no pub granted LVHN Children's Surgery Center § 569.35(7) General safety precautions no pub granted Mifflin County Community Surgical Center § 569.35(7) General safety precautions no pub granted Heart Care Consultants ASC, LLC § 571.1 3.7-3.1.2 Examination rooms 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 3.7-3.3.4 Image viewers 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 3.7-3.4.3.2 Phase II recovery areas 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 3.7-3.6.6 Medication safety zones 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 3.7-3.6.11.2(1) Surgical equipment and supply storage—area 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 3.7-3.6.11.3(1) Storage space for stretchers and wheelchairs 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 3.7-3.6.13 Sterile processing rooms 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 3.7-3.7.3 Staff showers 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 3.7-5.1 Sterilization facilities 03/26/2016 denied Heart Care Consultants ASC, LLC § 571.1 Table 3.1-3 Station outlets for oxygen, vacuum and medical air in outpatient facilities (3.1-8.4.4) 03/26/2016 denied Peripheral Vascular Institute of Philadelphia, LLC § 571.1 3.7-3.4.3.1(2) Phase I post-anesthesia recovery rooms—space requirements 01/09/2016 granted Premier at Exton Surgery Center, LLC § 571.1 3.7-3.3.1.2 Space requirements for operating rooms 02/13/2016 denied Nursing Care Facilities
Audubon Villa Health and Rehabilitation Center § 211.9(g) Pharmacy services 03/02/2016 granted Broomall Presbyterian Village § 205.67(j) and (k) Electric requirements for existing and new construction 01/23/2016 granted Buckingham Valley Rehabilitation and Nursing Center § 201.3 Definitions—nurse aide 01/16/2016 granted Devon Manor § 211.9(g) Pharmacy services 01/23/2016 granted Donahoe Manor § 211.9(g) Pharmacy services 01/23/2016 granted Hamilton Arms Center § 211.9(g) Pharmacy services 01/02/2016 granted Hampton House § 211.9(g) Pharmacy services 02/06/2016 granted John J. Kane Regional Center—
McKeesport§ 201.22(e) and (j) Prevention, control and surveillance of tuberculosis 02/06/2016 granted John J. Kane Regional Center—
Scott Township§ 201.22(e) and (j) Prevention, control and surveillance of tuberculosis 02/06/2016 granted ManorCare Health Services—
Bethel Park§ 211.9(g) Pharmacy services 01/23/2016 granted ManorCare Health Services—
Camp Hill§ 211.9(g) Pharmacy services 02/06/2016 granted ManorCare Health Services—
Carlisle§ 211.9(g) Pharmacy services 02/27/2016 granted ManorCare Health Services—
Chambersburg§ 211.9(g) Pharmacy services 01/30/2016 granted ManorCare Health Services—
Dallastown§ 211.9(g) Pharmacy services 01/23/2016 granted ManorCare Health Services—
Elizabethtown§ 211.9(g) Pharmacy services 03/02/2016 granted ManorCare Health Services—
Erie§ 211.9(g) Pharmacy services 01/23/2016 granted ManorCare Health Services—
Greentree§ 211.9(g) Pharmacy services 01/23/2016 granted ManorCare Health Services—
Kingston§ 211.9(g) Pharmacy services 02/06/2016 granted ManorCare Health Services—
Kingston Court§ 211.9(g) Pharmacy services 02/06/2016 granted ManorCare Health Services—
Monroeville§ 211.9(g) Pharmacy services 03/05/2016 granted ManorCare Health Services—
Pittsburgh§ 211.9(g) Pharmacy services 02/06/2016 granted ManorCare Health Services—
Shadyside§ 211.9(g) Pharmacy services 02/13/2016 granted ManorCare Health Services—
Whitehall Borough§ 211.9(g) Pharmacy services 01/23/2016 granted Meadowview Rehabilitation and Nursing Center (formerly and published as ''The Ridge at Whitemarsh Health and Rehabilitation'') § 211.9(g) Pharmacy services 01/23/2016 granted Mercy Center Nursing Unit, Inc. § 211.9(g) Pharmacy services 01/30/2016 granted Mt. Hope Nazarene Retirement Community § 211.9(g) Pharmacy services 03/02/2016 granted Oakwood Healthcare & Rehabilitation Center § 211.9(g) Pharmacy services 01/30/2016 granted Platinum Ridge Center for Rehabilitation and Healing § 205.25(b) Kitchens 01/16/2016 granted Platinum Ridge Center for Rehabilitation and Healing § 205.33(c) Utility rooms 01/16/2016 granted Susquehanna Valley Nursing & Rehabilitation Center § 211.9(g) Pharmacy services 03/02/2016 granted The Village at Penn State § 205.36(h) Bathing facilities 03/02/2016 granted Willowbrooke Court at Brittany Pointe Estates § 205.6(a) Function of building 03/05/2016 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. 16-604. Filed for public inspection April 8, 2016, 9:00 a.m.]
