1331 Decisions on requests for exception to health care facility regulations  

  • Decisions on Requests for Exception to Health Care Facility Regulations

    [45 Pa.B. 3924]
    [Saturday, July 18, 2015]

     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 April 2015, through June 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 Published Decision
    Wilkes-Barre General Hospital § 101.31(7) Extension of request for hospital requirements 06/06/15 granted
    Jefferson Hospital § 107.2 Medical staff membership (psychologists) 04/11/15 not nec.
    Jefferson Hospital § 107.2 Medical staff membership (podiatrists) 04/11/15 granted
    Washington Health System § 107.2 Medical staff membership 04/11/15 granted
    Kane Community Hospital § 107.26(b)(3) Additional committees 04/11/15 granted
    Magee Womens Hospital of UPMC Health System § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC Altoona § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC Bedford § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC East § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC Hamot § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC Horizon § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC McKeesport § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC Mercy § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC Northwest § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC Passavant § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC Presbyterian Shadyside § 107.26(b)(3) Additional committees 04/11/15 granted
    UPMC St. Margaret § 107.26(b)(3) Additional committees 04/11/15 granted
    Lock Haven Hospital § 107.61 Written orders 06/06/15 granted
    ACMH Hospital § 107.62(a) Oral orders 04/25/15 granted
    Jefferson Hospital § 107.62(a) Oral orders 04/11/15 granted
    Penn Highlands Elk § 107.62(a) Oral orders 04/25/15 granted
    St. Clair Hospital § 107.62(a) Oral orders 05/23/15 granted
    ACMH Hospital § 107.62(b) The medical staff by-laws 04/25/15 granted
    Jefferson Hospital § 107.62(b) The medical staff by-laws 04/11/15 granted
    Penn Highlands Elk § 107.62(b) The medical staff by-laws 04/25/15 granted
    St. Clair Hospital § 107.62(b) The medical staff by-laws 05/23/15 granted
    St. Luke's Hospital—Anderson Campus § 107.64 Administration of drugs 04/04/15 denied
    St. Luke's Hospital Bethlehem § 107.64 Administration of drugs 04/04/15 denied
    St. Luke's Quakertown Hospital § 107.64 Administration of drugs 04/04/15 denied
    Ephrata Community Hospital § 127.32 Written orders (radiology) 05/16/15 denied
    Nason Hospital § 138.18 EPS studies 06/13/15 granted
    Abington Memorial Hospital § 153.1 2.6-2.2.2.7 Patient bathing facilities 04/11/15 denied
    Abington Memorial Hospital § 153.1 2.6-2.3.1.1 Dining, recreation, and day spaces—general 04/11/15 denied
    Butler Memorial Hospital § 153.1 4-7.5.2(a) Bronchoscopy 02/14/15 denied
    Evangelical Community Hospital § 153.1 3.2-3.2.6.10 Soiled holding rooms 05/02/15 granted
    Evangelical Community Hospital § 153.1 3.1-8.4.3.2 Hand-washing station sinks 05/02/15 granted
    Evangelical Community Hospital § 153.1 3.2-6.4.1 Lounge facilities 05/02/15 granted
    Evangelical Community Hospital § 153.1 3.2-4.1.3 Specimen storage 05/02/15 granted
    Evangelical Community Hospital § 153.1 3.1-3.6.6.1 Medication safety zones—general 05/02/15 granted
    Evangelical Community Hospital § 153.1 3.1-3.6.6.2 Medication safety zones—work areas for preparing, dispensing, and administering medications 05/02/15 granted
    Evangelical Community Hospital § 153.1 3.1-7.2.2.9 Grab bars 05/02/15 granted
    Geisinger Medical Center § 153.1 2.1-8.5.3.2 Size of Technology Distribution Rooms (TDRs) 06/13/15 granted
    Geisinger Medical Center § 153.1 2.1-8.5.3.1 Number of Technology Distribution Rooms (TDRs) 05/09/15 granted
    Gettysburg Hospital § 153.1 3.6-3.6.10.3 Work counter 04/25/15 granted
    Gettysburg Hospital § 153.1 3.6-3.6.10.2 Flushing-rim clinical sink with a bedpan washer 04/25/15 granted
    Gettysburg Hospital § 153.1 3.6-3.6.11.1 Stretcher/wheelchair storage 04/25/15 granted
    Gettysburg Hospital § 153.1 3.6-3.7.1 Staff lounge 06/06/15 granted
    Heart of Lancaster Regional Medical Center § 153.1 3.6-3.6.6 Medicine rooms 05/09/15 granted
    JC Blair Memorial Hospital § 153.1 2.2-3.4.6.6(2) Medication safety zone and storage—locked storage 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 2.2-3.4.2.1(1)(b) CT scanner rooms 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 2.2-3.4.4.7 Pre-procedure patient care area or rooms 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 3.1-3.6.6.1 Medication safety zones—general 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 3.1-3.6.1 Nurse stations 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 2.2-3.4.5.4(1) Patient toilet room—access 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 2.2-3.4.6.6(1) Medication safety zone and storage—patient holding 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 3.1-6.3.5.1 Medical records—location 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 2.2-3.4.5.4(2) Patient toilet room—serving multiple procedure rooms 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 3.1-6.3.5.2 Medical records—space requirements 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 2.2-3.4.6.3 Consultation areas 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 3.1-3.6.6.2 Medication safety zones—work areas 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 2.2-3.4.4.2(2) MRI scanner room space requirements 04/11/15 denied
    JC Blair Memorial Hospital § 153.1 2.2-3.4.4.7 Pre-procedure patient care areas 06/06/15 granted
    JC Blair Memorial Hospital § 153.1 2.2-3.4.5.4 Patient toilet room 06/06/15 granted
    JC Blair Memorial Hospital § 153.1 2.2-3.4.4.2(2) MRI scanner room equipment clearances 06/06/15 granted
    JC Blair Memorial Hospital § 153.1 2.2-3.4.2.1(1)(b) CT scanner room equipment clearances 06/06/15 granted
    JC Blair Memorial Hospital § 153.1 3.1-6.3.5.2 Medical records—space requirements 06/06/15 granted
    JC Blair Memorial Hospital § 153.1 3.1-6.3.5.1 Medical records—location 06/06/15 granted
    Milton S Hershey Medical Center § 153.1 3.1-1.4 Facility layout 05/09/15 granted
    Milton S Hershey Medical Center § 153.1 2.1-8.5.3.2 Size of Technology Distribution Rooms (TDRs) 06/06/15 granted
    Milton S Hershey Medical Center § 153.1 2.2-3.10.2.2(1)(a) Space requirements 05/09/15 granted
    Milton S Hershey Medical Center § 153.1 2.1-8.5.3.4 Facility requirements (TDRs) 06/06/15 granted
    Reading Hospital § 153.1 2.2-3.6.3.4 Patient uptake/cool-down rooms 04/11/15 denied
    Reading Hospital § 153.1 2.2-3.4.6.6(1) Medication safety zone and storage 05/09/15 not nec.
    St. Luke's Miners Memorial Hospital § 153.1 2.1-8.5.3.2 Size of Technology Distribution Rooms (TDRs) 06/13/15 granted
    St. Mary's Medical Center § 153.1 2.2-3.2.2.7 Shower rooms 04/11/15 denied
    Surgical Specialty Center at Coordinated Health § 153.1 2.2-3.12.6.12 Environmental services rooms 04/25/15 denied
    Surgical Specialty Center at Coordinated Health § 153.1 2.1-2.6.6.2(1)(b)(ii) Hand-washing stations 05/09/15 denied
    Tyrone Hospital § 153.1 3.1-7.2.2.3 Doors and door hardware 04/11/15 not nec.
    Tyrone Hospital § 153.1 3.1-7.2.2.8 Hand-washing stations 04/04/15 granted
    Tyrone Hospital § 153.1 3.1-7.2.2.3(4)(b) Doors and door hardware 04/04/15 granted
    Tyrone Hospital § 153.1 3.1-3.8.2 Toilet room(s) for patient use 05/02/15 granted
    Tyrone Hospital § 153.1 3.1-7.2.2.1 Corridor width 04/11/15 granted
    Tyrone Hospital § 153.1 3.1-3.2.3.3 Hand-washing stations 04/11/15 granted
    UPMC Hamot § 153.1 2.1-8.5.3.2 Size of Technology Distribution Rooms (TDRs) 05/23/15 granted
    UPMC Hamot § 153.1 2.1-8.5.3.3(2) Location and access requirements 05/23/15 granted
    UPMC Horizon § 153.1 Table 2.1-4 Station outlets for hospitals 04/11/15 granted
    UPMC Horizon § 153.1 2.2-3.1.3.6(2)(a) Space requirements 04/11/15 granted
    UPMC Presbyterian Shadyside § 153.1 2.1-3.2.2.2(5) Room features 04/11/15 granted
    York Cancer Center § 153.1 3.1-3.6.10 Soiled holding rooms 06/13/15 granted
    York Hospital § 153.1 3.1-3.6.10 Soiled holding rooms 04/11/15 granted
    Lehigh Valley Hospital § 571.2(d) Modifications to HHS requirements 04/11/15 granted
    Ambulatory Surgical Facilities
    Geisinger Medical Center Woodbine § 51.31 Principle 05/23/15 denied
    Geisinger Medical Center Woodbine § 51.32 Exceptions for innovation programs 05/23/15 denied
    Paoli Surgery Center § 551.21(d)(1) Criteria for ambulatory surgery 01/10/15 granted
    North East Surgery Center § 551.21(d)(3) Criteria for ambulatory surgery 06/06/15 granted in part; denied
    in part
    Geisinger Medical Center Outpatient Surgery Woodbine § 551.22(3)(i) Criteria for performance of ambulatory surgery— pediatric, accreditation of training 04/11/15 denied
    Geisinger Medical Center Outpatient Surgery Woodbine § 551.22(3)(ii) Criteria for performance of ambulatory surgery—pediatric, certification 04/11/15 denied
    Twin Rivers Endoscopy Center § 551.3(ii) Class B, Definitions (PS III patients) 05/23/15 granted
    Hospital of the University of PA Reproductive Surgical Facility § 551.3(ii) Class B, Definitions (PS III patients) 04/11/15 denied
    Children's Hospital of Philadelphia, Brandywine Valley Specialty Care and Surgery Center §§ 553.1—553.4 Governing bodies 06/13/15 granted
    Children's Hospital of Philadelphia, King of Prussia Specialty Care and Ambulatory Center §§ 553.1—553.4 Governing bodies 04/18/15 granted
    Children's Hospital of Philadelphia, Brandywine Valley Specialty Care and Surgery Center §§ 555.1—555.3 Medical staff 06/13/15 granted
    Children's Hospital of Philadelphia, King of Prussia Specialty Care and Ambulatory Center §§ 555.1—555.3 Medical staff 04/18/15 granted
    Reading Hospital SurgiCenter at Spring Ridge § 555.22 Preoperative care 04/04/15 denied
    Abington Memorial Hospital Endoscopy Center § 555.31(a) Principle 04/11/15 granted
    Geisinger Medical Center Outpatient Surgery Woodbine § 555.32(a) Administration of anesthesia 04/25/15 granted
    UPMC Digestive Health and Endoscopy Center § 555.32(a) Administration of anesthesia 04/11/15 granted
    Children's Hospital of Philadelphia, Brandywine Valley Specialty Care and Surgery Center §§ 557.1—557.4 Quality assurance and improvement 06/13/15 granted
    Children's Hospital of Philadelphia, King of Prussia Specialty Care and Ambulatory Center §§ 557.1—557.4 Quality assurance and improvement 04/18/15 granted
    Children's Hospital of Philadelphia, Brandywine Valley Specialty Care and Surgery Center § 559.2 Directors of nursing 06/13/15 granted
    Children's Hospital of Philadelphia, King of Prussia Specialty Care and Ambulatory Center § 559.2 Directors of nursing 04/18/15 granted
    Children's Hospital of Philadelphia, Brandywine Valley Specialty Care and Surgery Center §§ 563.1—563.13 Medical records 06/13/15 granted
    Children's Hospital of Philadelphia, King of Prussia Specialty Care and Ambulatory Center §§ 563.1—563.13 Medical records 04/18/15 granted
    Children's Hospital of Philadelphia, Brandywine Valley Specialty Care and Surgery Center § 567.53 Sterilization control 06/13/15 denied
    Children's Hospital of Philadelphia, King of Prussia Specialty Care and Ambulatory Center § 567.53 Sterilization control 05/09/15 denied
    Associates in Urology § 569.2 Fire safety standards 05/16/15 denied
    Penn Highlands DuBois § 569.35(7) General safety precautions (flammable agents in ASF) 04/04/15 granted
    Penn Highlands Elk Surgery Center § 569.35(7) General safety precautions (flammable agents in ASF) 05/02/15 granted
    CH Ambulatory Surgery Center of Hazleton § 571.1 3.7-7.2.3.3(3) Walls 05/09/15 denied
    Radiance Surgery Center § 571.1 3.7-3.2.3.2 Clearances 05/30/15 denied
    Radiance Surgery Center § 571.1 3.7-3.6.5 Scrub facilities 05/30/15 denied
    Nursing Care Facilities
    Church of God Home, Inc. § 201.22(h) Prevention, control, and surveillance of tuberculosis 06/13/15 granted
    Margaret E. Moul Home § 201.22(h) Prevention, control, and surveillance of tuberculosis 04/11/15 granted
    Spang Cest Manor § 201.22(h) Prevention, control, and surveillance of tuberculosis 05/02/15 granted
    SpiriTrust Lutheran The Village at Gettysburg § 201.22(h) Prevention, control, and surveillance of tuberculosis 05/16/15 granted
    SpiriTrust Lutheran The Village at Shrewsbury § 201.22(h) Prevention, control, and surveillance of tuberculosis 05/16/15 granted
    SpiriTrust Lutheran The Village at Sprenkle Drive § 201.22(h) Prevention, control, and surveillance of tuberculosis 05/16/15 granted
    SpiriTrust Lutheran The Village at Utz Terrace § 201.22(h) Prevention, control, and surveillance of tuberculosis 05/16/15 granted
    StoneRidge Popular Run § 201.22(h) Prevention, control, and surveillance of tuberculosis 06/13/15 granted
    StoneRidge Towne Centre § 201.22(h) Prevention, control, and surveillance of tuberculosis 06/13/15 granted
    Luther Acres Manor § 201.22(j) Prevention, control, and surveillance of tuberculosis 04/18/15 granted
    The Village at Penn State § 201.3 Definitions 05/16/15 granted
    Laurel View Village § 205.20(a) Resident bedrooms 05/30/15 granted
    Rolling Hills Manor § 205.24(a) Dining room 05/09/15 granted
    Rolling Hills Manor § 205.27 Lounge and recreational areas 05/09/15 granted
    Mountain View Care Center § 205.31 Storage 06/13/15 granted
    Whitestone Care Center § 205.31 Storage 04/11/15 granted
    Forbes Center for Rehabilitation and Healthcare § 205.36(b) Bathing facilities 05/02/15 granted
    Mosser Nursing Home § 205.36(f) and (h) Bathing facilities 05/02/15 granted
    Artman Lutheran Home § 205.36(h) Bathing facilities 06/20/15 granted
    Woodhaven Care Center § 205.36(h) Bathing facilities 04/18/15 granted
    Manchester Commons § 205.6(a) Function of building 04/25/15 granted
    Milford Senior Care and Rehabilitation Center § 205.6(a) Function of building 05/23/15 granted
    Waverly Heights § 205.6(a) Function of building 04/25/15 granted
    Edinboro Manor § 205.67(j) and (k) Electric requirements for existing and new construction 04/18/15 granted
    Saint Joseph Villa § 205.67(j) and (k) Electric requirements for existing and new construction 05/16/15 granted
    Avalon Springs Nursing Center § 211.9(g) Pharmacy services 06/06/15 granted
    Broomall Manor § 211.9(g) Pharmacy services 04/11/15 granted
    Caring Heart Rehabilitation and Nursing Center § 211.9(g) Pharmacy services 05/16/15 granted
    Colonial Manor Nursing Home § 211.9(g) Pharmacy services 04/25/15 granted
    Courtyard Gardens Nursing and Rehabilitation Center § 211.9(g) Pharmacy services 05/02/15 granted
    Foulkeways at Gwynedd § 211.9(g) Pharmacy services 05/23/15 granted
    Golden Livingcenter—Rosemont § 211.9(g) Pharmacy services 06/20/15 granted
    Hanover Hall § 211.9(g) Pharmacy services 05/16/15 granted
    Hospitality Care Center of Hermitage, Inc. § 211.9(g) Pharmacy services 06/06/15 granted
    Kingston Health Care Center § 211.9(g) Pharmacy services 04/04/15 granted
    Little Flower Manor § 211.9(g) Pharmacy services 06/20/15 granted
    Mountain City Nursing & Rehabilitation Center § 211.9(g) Pharmacy services 06/06/15 granted
    Normandie Ridge § 211.9(g) Pharmacy services 06/20/15 granted
    Penn Hall at Menno Haven § 211.9(g) Pharmacy services 05/23/15 granted
    Pinecrest Manor § 211.9(g) Pharmacy services 06/06/15 granted
    Quincy Retirement Community § 211.9(g) Pharmacy services 05/23/15 granted
    St. Luke's Villa § 211.9(g) Pharmacy services 04/04/15 granted
    Swaim Health Center § 211.9(g) Pharmacy services 06/20/15 granted
    Twin Pines Health Care Center § 211.9(g) Pharmacy services 04/11/15 granted
    Westminster Village § 211.9(g) Pharmacy services 06/13/15 granted
    Westminster Woods at Huntingdon § 211.9(g) Pharmacy services 05/23/15 granted
    Wyndmoor Hills Health Care & Rehab Center § 211.9(g) Pharmacy services 04/25/15 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. 15-1331. Filed for public inspection July 17, 2015, 9:00 a.m.]

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