1512 Decisions on requests for exception to health care facility regulations  

  • Decisions on Requests for Exception to Health Care Facility Regulations

    [44 Pa.B. 4602]
    [Saturday, July 19, 2014]

     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 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 2014, through June 2014. Future publications of decisions on exception requests will appear on a quarterly basis.

     All 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 Charles Shaffer, Assistant Director, Division of Acute and Ambulatory Care, Room 532, Health and Welfare Building, Harrisburg, PA 17120. 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.

    Hospitals

    Facility Name 28 Pa. Code
    Regulation
    Relating to Request Published Decision
    Chester County Hospital, The § 51.6 Identification of personnel 05/24/14 granted
    Pinnacle Health Hospitals § 105.11(b) Access 05/24/14 deferred
    Indiana Regional Medical Center § 105.11(b) Access 06/14/14 deferred
    Lancaster General Hospital § 107.62(a) Oral orders 05/10/14 granted
    Penn Highlands, Clearfield § 107.62(a) Oral orders 06/14/14 granted
    Pottstown Memorial Medical
     Center
    § 107.62(a) Oral orders 05/03/14 to return form
    Lancaster General Hospital § 107.62(b) Medical staff bylaws 05/10/14 granted
    Penn Highlands, Clearfield § 107.62(b) Medical staff bylaws 06/14/14 granted
    Pottstown Memorial Medical
     Center
    § 107.62(b) Medical staff bylaws 05/03/14 to return form
    Southwest Regional Medical
     Center
    § 109.2 Director of Nursing services 05/10/14 granted
    Children's Home of Pittsburgh § 111.3(b) Dieticians 06/14/14 granted
    Lansdale Hospital § 119.11 Outpatient facilities 06/14/14 granted
    CH Hospital of Allentown § 123.25(2) Anesthetic explosion hazards 05/24/14 granted
    Riddle Hospital § 138.15 High Risk Cardiac Catheterization 06/21/14 deferred
    Pocono Medical Center § 139.12(c) Neonatal intensive care unit 05/17/14 denied
    Aria Health § 143.5 Medical Supervision 05/10/14 granted
    Aria Health § 143.7 Medical orders 05/10/14 granted
    Crichton Rehabilitation Center § 149.1Central supply service 05/10/14 not nec.
    Chestnut Hill Hospital § 153.1 2.5-2.2.2.6(3) Toilet room 05/03/14 granted
    Children's Hospital of
     Philadelphia
    § 153.1 2.6-2.2.2.2(1) Area, patient rooms 05/10/14 granted
    Children's Hospital of
     Philadelphia
    § 153.1 2.6-2.2.6.12(2)(a) Examination/treatment rooms 05/10/14 granted
    Divine Providence Hospital § 153.1 3.1-3.2.2.2 Space requirements (exam/observ room) 06/14/14 granted
    Divine Providence Hospital § 153.13.1-3.6.1 Nurses Station 06/14/14 granted
    Divine Providence Hospital § 153.1 3.1-3.6.7.1 Nourishment Area or Room 06/14/14 granted
    Divine Providence Hospital § 153.13.1-5.5 Environmental Services 06/14/14 granted
    Divine Providence Hospital § 153.1 3.1-7.2.2.1 Corridor Width 06/14/14 granted
    Divine Providence Hospital § 153.1 3.1-7.2.2.3 Doors and Hardware 06/14/14 granted
    Dubois Regional Medical Center,
     Healthy Beginnings,
      807 Turnpike Ave.,
      Suite 140, Clearfield
    § 153.1 3.1-7.2.2.1(1) Public corridors 05/03/14 granted
      807 Turnpike Ave.,
      Suite 140, Clearfield
    § 153.1 3.1-7.2.2.3(1)(a) Minimum door opening 05/03/14 granted
      807 Turnpike Ave.,
      Suite 140, Clearfield
    § 153.13.1-7.2.2.3(1)(b) Outpatient facility 05/03/14 granted
    Geisinger Lewistown Hospital § 153.1 2.1-8.5.3.1 Size (Technology Distribution Room) TDR 05/10/14 granted
    Geisinger Lewistown Hospital § 153.1 2.1-8.5.3.3 Location and access requirements 05/10/14 not nec.
    Geisinger-Bloomsburg Hospital § 153.1 2.5-2.2.4.4 Quiet room 05/03/14 granted
    Gnaden Huetten Memorial
     Hospital
    § 153.1 2.6-2.2.2.2(1) Area 06/21/14 granted
    Gnaden Huetten Memorial
     Hospital
    § 153.1 2.6-2.2.2.2(2) Clearances 06/21/14 granted
    Holy Spirit Hospital § 153.12.2-3.6.4.3(2)(a) Exam room 05/24/14 granted
    Kane Community Hospital § 153.1 3.1-6.1.4 Public toilets 05/03/14 granted
    Kane Community Hospital § 153.1 3.1-7.2.2.1 Corridor width 05/03/14 granted
    Kane Community Hospital § 153.1 3.1-7.2.2.3 Doors and door hardware 05/03/14 granted
    Lansdale Hospital § 153.1 2.2-2.2.2.5 Hand-washing stations 06/14/14 granted
    Lehigh Valley Hospital § 153.1 2.2-3.4 Diagnostic imaging services 05/10/14 deferred
    Lehigh Valley Hospital § 153.1 3.1-3 Diagnostic and treatment locations 05/10/14 deferred
    Lehigh Valley Hospital § 153.1 3.4 Specific requirements for freestanding outpatient facilities 05/10/14 deferred
    LifeCare Hospitals of Pittsburgh,
     AGH Suburban Campus § 153.12.1-8.7.2.3(1) Hospital type elevator cars 05/10/14 granted
     AGH Suburban Campus § 153.1 2.1-8.7.2.3(3) Renovations 05/10/14 granted
     AGH Suburban Campus § 153.12.2-2.2.2.5(1)(b) Hand-washing station 05/10/14 granted
     AGH Suburban Campus § 153.1 2.2-2.2.2.5(3) Renovations 05/10/14 granted
     AGH Suburban Campus § 153.12.1-8.2.1.1(2) Air handling systems 05/10/14 granted
    Mount Nittany Medical Center § 153.16.4.2 Second filtration bank 04/19/14 withdrawn
    Nason Hospital § 153.12.2-2.11.8.1 patient lounge 06/14/14 granted
    Penn Highlands Dubois—
     Penn Highlands Family
      Practice, 605 State Street,
      Curwensville
    § 153.13.1-3.2.4.2(1) Area, (treatment room) 05/10/14 granted
     Penn Highlands General
      Surgery, 123 South Street
      Ridgway
    § 153.1 3.1-6.1.4 Public toilets 05/10/14 granted
     Penn Highlands General
      Surgery, 757 Johnsonburg
      Road, Suite 110, St. Marys
    § 153.1 3.1-7.2.2.1(1) Public corridors 05/10/14 granted
     Penn Highlands Pediatrics,
      761 Johnsonburg Road,
      Suite 340, St. Mary's
    § 153.1 3.1-3.8.1 Toilet(s) for patient use 05/10/14 granted
     Penn Highlands Pediatrics,
      761 Johnsonburg Road,
      Suite 340, St. Mary's
    § 153.1 3.2-6.3 Support areas for staff 05/10/14 granted
    Pocono Medical Center § 153.1 2.2-2.12.6.6 Infant exam and treatment 05/17/14 denied
    Pottstown Memorial Medical
     Center
    § 153.1 2.5-2.2.2.6(3) Toilet room 05/03/14 granted
    Riddle Hospital § 153.1 2.2-3.1.3.3(3)(b) Point of entry 06/14/14 denied
    Sunbury Community Hospital § 153.12.1-2.6.6.2(2) Hand-washing station 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.2-2.6.2.4(1) Soiled workroom 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.2-2.6.2.5(3) Hand-washing station 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.2-2.6.6.12(1) Environmental services room 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.2-2.6.6.12(2) Environmental services room 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.2-2.6.7.4 Staff accommodations 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.2-2.6.9.1(1) Door openings 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.1-8.2.1 General (basic HVAC system) 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.1-8.2.5 HVAC Filters 06/14/14 denied
    Sunbury Community Hospital § 153.1 2.1-8.4.4.1 Medical Gas systems 06/14/14 denied
    Temple University Hospital,
     Episcopal Campus § 153.12.2-3.1.6.9 Clean workroom or clean supply 05/03/14 granted
     Episcopal Campus § 153.12.2-3.1.6.10 Soiled workroom 05/03/14 granted
    University of Pittsburgh Med.
     Ctr. (UPMC)
     UPMC, Altoona § 153.1 3.1-3.2.2.2(1) Area (exam room) 04/19/14 granted
     UPMC, Altoona § 153.13.1-3.2.2.2(2) Clearances 04/19/14 granted
     UPMC, Altoona § 153.1 3.1-3.2.4.2(1) Area (treatment room) 04/19/14 granted
     UPMC, Altoona § 153.13.1-3.2.4.2(2) Clearance 04/19/14 granted
     UPMC, Altoona § 153.13.1-3.9.2 Diagnostic imaging facilities 04/19/14 granted
     UPMC, Altoona § 153.13.1-7.2.2.1 Corridor width 04/19/14 granted
     UPMC, Altoona § 153.13.1-7.2.2.2 Ceiling height 04/19/14 granted
    UPMC, East § 153.1 2.6-2.3.1.1(1) Inpatient spaces 05/10/14 denied
    UPMC Horizon, Shenango
     Campus
    § 153.1 2.1-2.2.6.3 Toilet room 06/14/14 granted
    UPMC Horizon, Shenango
     Campus
    § 153.12.2-2.2.2.5(1)(b) Hand-washing stations 06/14/14 granted
    UPMC Horizon, Shenango
     Campus
    § 153.12.2-2.11.3.2(1) LDR and LDRP rooms 06/14/14 granted
    UPMC Horizon, Shenango
     Campus
    § 153.12.2-2.11.6.11(2)(a) Storage area 06/14/14 granted
    UPMC Horizon, Shenango
     Campus
    § 153.12.2-2.11.6.13 Examination/treatment room 06/14/14 granted
    UPMC Horizon, Shenango
     Campus
    § 153.12.2-2.11.7.2 Staff storage facilities 06/14/14 granted
    UPMC Horizon, Shenango
     Campus
    § 153.12.2-2.11.7.3 Staff toilet room 06/14/14 granted
    UPMC Horizon, Shenango
     Campus
    § 153.12.2-2.11.8.1 Patient lounge 06/14/14 granted
    UPMC Mercy § 153.1 2.2-2.12.6.5 Environmental Services Room 05/24/14 granted
    UPMC Presbyterian/Shadyside § 153.12.2-3.9.6.10 Soiled workroom 06/14/14 denied
    UPMC Presbyterian Shadyside—
     Western Psychiatric Institute
     and Clinic
    § 153.12.2-2.2.2.1(2)(a) Clearances 05/10/14 granted
     Western Psychiatric Institute
     and Clinic
    § 153.1 2.2-2.2.2.2(2)(a) Clearances 05/24/14 granted
     Western Psychiatric Institute
     and Clinic
    § 153.1 2.5-2.2.2.6 Toilet room access 05/10/14 granted
    Abortion Facilities
    Planned Parenthood Keystone
     (PPKey)—
     Allentown § 29.33(6) Blood group test 05/24/14 granted
     Easton § 29.33(6) Blood group test 05/24/14 granted
     Harrisburg § 29.33(6) Blood group test 05/24/14 granted
     Reading § 29.33(6) Blood group test 05/24/14 granted
     Warminster § 29.33(6) Blood group test 05/24/14 granted
     York § 29.33(6) Blood group test 05/24/14 granted
    Ambulatory Surgical Facilities
    NextGen Endoscopy Centre, The § 551.3 Definitions (PS III patients) 05/24/14 deferred
    Hospital of the University of PA
     Reproductive Surgical Facility
    § 553.1Principle (Governing Body) 05/10/14 granted
    Surgery Center at Penn
     Medicine University City
    § 553.1Principle (Governing Body) 05/10/14 granted
    Center for Surgical Arts § 553.31 Administrative responsibilities 06/14/14 granted
    Surgery Center at Penn
     Medicine University City
    § 553.31(b) Administrative policies and procedures 05/10/14 granted
    Hospital of the University of PA
     Reproductive Surgical Facility
    § 555.1 Principle (Medical Staff) 05/10/14 granted
    Surgery Center at Penn
     Medicine University City
    § 555.1Principle (Medical Staff) 05/10/14 granted
    Hospital of the University of PA
     Reproductive Surgical Facility
    § 555.2 Medical Staff Membership 05/10/14 granted
    Surgery Center at Penn
     Medicine University City
    § 555.2 Medical Staff Membership 05/10/14 granted
    Hospital of the University of PA
     Reproductive Surgical Facility
    § 555.3(a)—(f) Requirements for membership and privileges 05/10/14 granted
    Surgery Center at Penn
     Medicine University City
    § 555.3(a)—(f) Requirements for membership 05/10/14 granted
    NextGen Endoscopy Centre, The § 555.31(a) Anesthesia services 05/24/14 deferred
    Surgery Center at Penn
     Medicine University City
    § 555.4(a)—(c) Clinical activities and duties 05/10/14 granted
    Surgery Center at Penn
     Medicine University City
    § 557.2 Plan (Quality Assurance) 05/10/14 granted
    Surgery Center at Penn
     Medicine University City
    § 557.2(c)(6)Infection control procedures 05/10/14 granted
    Prism Center for Spine Care
     and Pain Care
    § 557.4 Quality Assurance & Improvement Committee 05/24/14 granted
    WellSpan Surgery Center § 559.1 Nursing Department 05/03/14 granted
    Surgery Center at Penn
     Medicine University City
    § 563.1 Principle (Medical Records) 05/10/14 granted
    Zitelli and Brodland PC—
     5200 Center Ave, Pittsburgh § 569.35(7) General safety precautions 07/12/14 granted
     575 Coal Valley Road #360,
     Clairton
    § 569.35(7)General safety precautions 07/12/14 granted
    Children's Surgery Center,
     LLC SP
    § 571.13.7-3.4.1.1 General (pre-operative holding) 05/24/14 not nec.
    Children's Surgery Center,
     LLC SP
    § 571.13.7-3.4.2.2 Post anesthesia recovery positions 05/24/14 not nec.
    Surgery Center at Penn
     Medicine University City
    § 571.1 3.7-3.4.2.1(5)(a) Pediatric recovery stations 05/10/14 granted
    Nursing Care Facilities
    Laurel View Village § 201.18(e) management 04/26/14 granted
    Lankenau Transitional Care
     Center
    § 201.22(c)
    and (k)
    prevention, control and surveillance of tuberculosis 06/14/14 granted
    Regina Community Nursing
     Center
    § 201.22(e) and (j) prevention, control and surveillance of tuberculosis 05/17/14 granted
    Timber Ridge Health Center § 201.22(j)prevention, control and surveillance of tuberculosis 06/07/14 granted
    Golden Hill Nursing and Rehab § 201.3 definitions 05/24/14 granted
    Artman Lutheran Home § 205.10(b) doors 06/14/14 granted
    Swaim Health Center § 205.35(h) bathing facilities 05/24/14 granted
    Conner-Williams Nursing Home § 205.36(h) bathing facilities 05/17/14 granted
    ManorCare Health Services—
     Monroeville
    § 205.36(h) bathing facilities 05/24/14 granted
    Bryn Mawr Terrace, The § 205.6(a) function of building 05/10/14 granted
    Cambria Care Center § 205.6(a) function of building 06/07/14 granted
    Cedarbrook Nursing Homes § 205.6(a)function of building 06/14/14 granted
    Holy Family Residence § 205.6(a) function of building 06/14/14 granted
    Chapel Point at Carlisle § 207.2(b)administrator's responsibility 06/07/14 granted
    UPMC Magee-Women's Hospital
     Transitional Care Unit § 211.3(c) oral and telephone orders 04/26/14 denied
    UPMC McKeesport
     Long Term Care Facility § 211.3(c) oral and telephone orders 04/19/14 denied
    UPMC Transitional Care Unit § 211.3(c) oral and telephone orders 04/26/14 denied
    Baldwin Health Center § 211.9(g) pharmacy services 06/14/14 granted
    Buckingham Valley Rehabilitation and Nursing
     Center
    § 211.9(g) pharmacy services 05/10/14 granted
    Buffalo Valley Lutheran Village § 211.9(g) pharmacy services 06/14/14 granted
    Care Pavilion Nursing and
     Rehabilitation Center
    § 211.9(g) pharmacy services 04/19/14 granted
    Carleton Senior Care and
     Rehabilitation Center
    § 211.9(g) pharmacy services 06/14/14 granted
    Frey Village § 211.9(g) pharmacy services 05/24/14 granted
    Golden LivingCenter § 211.9(g) pharmacy services 05/24/14 granted
    Golden LivingCenter—
     Blue Ridge Mountain § 211.9(g)pharmacy services 06/07/14 granted
    Golden LivingCenter—Mansion § 211.9(g)pharmacy services 06/07/14 granted
    Golden LivingCenter—
     Murrysville
    § 211.9(g) pharmacy services 05/03/14 granted
    Golden LivingCenter—Summit § 211.9(g) pharmacy services 05/31/14 granted
    Golden LivingCenter—
     William Penn
    § 211.9(g)pharmacy services 05/24/14 granted
    Golden LivingCenter—
     York Terrace
    § 211.9(g) pharmacy services 06/14/14 granted
    Good Shepherd Home Raker
     Center
    § 211.9(g) pharmacy services 05/03/14 granted
    Highlands Care Center § 211.9(g) pharmacy services 06/14/14 granted
    Kindred Transitional Care and
     Rehabilitation—Wyomissing
    § 211.9(g) pharmacy services 06/07/14 granted
    Kutztown Manor, Inc. § 211.9(g) pharmacy services 05/17/14 granted
    Luther Crest Nursing Facility § 211.9(g) pharmacy services 05/10/14 granted
    Lutheran Community of Telford
    § 211.9(g) pharmacy services 05/31/14 granted
    ManorCare Health Services—
     Bethlehem (2021) § 211.9(g) pharmacy services 05/24/14 granted
    ManorCare Health Services—
     Lansdale
    § 211.9(g) pharmacy services 05/10/14 granted
    ManorCare Health Services—
     Laureldale
    § 211.9(g) pharmacy services 05/10/14 granted
    ManorCare Health Services—
     Sinking Spring
    § 211.9(g) pharmacy services 05/17/14 granted
    Millville Health and
     Rehabilitation Center
    § 211.9(g) pharmacy services 04/19/14 granted
    Milton Nursing and
     Rehabilitation Center
    § 211.9(g) pharmacy services 04/19/14 granted
    Mount Carmel Nursing &
     Rehabilitation Center
    § 211.9(g) pharmacy services 05/10/14 granted
    Mountainview Specialty Care
     Center
    § 211.9(g)pharmacy services 06/14/14 granted
    Old Orchard Health Care Center § 211.9(g) pharmacy services 04/26/14 granted
    Orangeville Health and
     Rehabilitation Center
    § 211.9(g) pharmacy services 06/14/14 granted
    Pembrooke Health and
     Rehabilitation Center
    § 211.9(g) pharmacy services 04/19/14 granted
    Powerback Rehabilitation
     Phoenixville
    § 211.9(g) pharmacy services 04/19/14 granted
    Prospect Park Health and
     Rehabilitation Center
    § 211.9(g) pharmacy services 06/14/14 granted
    Richboro Rehabilitation and
     Nursing Center
    § 211.9(g) pharmacy services 05/10/14 granted
    Riverside Rehabilitation &
     Nursing Center
    § 211.9(g) pharmacy services 05/31/14 granted
    Slate Belt Nursing and
     Rehabilitation Center
    § 211.9(g) pharmacy services 05/31/14 granted
    Spruce Manor Nursing &
     Rehabilitation Center
    § 211.9(g) pharmacy services 04/19/14 granted
    Statesmen Health and
     Rehabilitation Center
    § 211.9(g) pharmacy services 04/19/14 granted
    Susquehanna Health Skilled
     Nursing & Rehabilitation
     Center
    § 211.9(g) pharmacy services 05/17/14 granted
    Susque-View Home, Inc. § 211.9(g) pharmacy services 05/17/14 granted
    Timber Ridge Health Center § 211.9(g) pharmacy services 06/07/14 granted
    Valley Manor Nursing and
     Rehabilitation Center
    § 211.9(g) pharmacy services 04/26/14 granted
    White Cliff Health and
     Rehabilitation Center
    § 211.9(g) pharmacy services 05/31/14 granted
    Willowbrooke Court at
     Brittany Pointe Estates § 211.9(g) pharmacy services 04/19/14 granted
     Fort Washington Estates § 211.9(g) pharmacy services 05/17/14 granted
     Granite Farms Estates § 211.9(g) pharmacy services 06/07/14 granted
     Normandy Farms Estates § 211.9(g) pharmacy services 05/03/14 granted
     Southampton Estates § 211.9(g) pharmacy services 04/19/14 granted
     Spring House Estates § 211.9(g) pharmacy services 04/19/14 granted
    Windy Hill Village of the
     Presbyterian Homes
    § 211.9(g) pharmacy services 05/03/14 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 address or for speech and/or hearing impaired persons V/TT (717) 783-6514, or the Pennsylvania AT&T Relay Service at (800) 654-5984.

    MICHAEL WOLF, 
    Secretary

    [Pa.B. Doc. No. 14-1512. Filed for public inspection July 18, 2014, 9:00 a.m.]

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