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PA Bulletin, Doc. No. 09-2035

NOTICES

Decisions on Requests for Exceptions to Health Care Facility Regulations

[39 Pa.B. 6394]
[Saturday, October 31, 2009]

 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 Health Facilities, Subparts B—G.

 Section 51.33(d) 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 2009 through September 2009. Future publications of decisions on exception requests will appear on a quarterly basis.

 Requests for additional information on the exception requests and the Department's decision should be made to the relevant division of the Department. Inquiries regarding hospitals and ambulatory surgical facilities shall be addressed to Joanne Salsgiver, Chief, 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 William Bordner, Director, Division of Nursing Care Facilities, Room 528, Health and Welfare Building, Harrisburg, PA 17120.

Hospitals

Facility Name Regulation Relating to Request Published Decision
Chambersburg Hospital 28 Pa. Code § 51.6(c) staff identification 12/13/08 granted
Waynesboro Hospital 28 Pa. Code § 51.6(c) staff identification 03/07/09 granted
Butler Memorial Hospital 28 Pa. Code § 51.23 PET scanning services 03/07/09 denied
Easton Hospital 28 Pa. Code § 51.23 PET scanning services 02/14/09 granted
Gettysburg Hospital 28 Pa. Code § 51.23 PET scanning 02/21/09 granted
Evangelical Community Hospital28 Pa. Code § 101.172 patient limits 02/14/09 denied
HealthSouth Regional Specialty Hospital 28 Pa. Code § 103.31 hospital requirements 12/13/08 granted for 3 months
Lewistown Hospital 28 Pa. Code § 101.3 hospital requirements 01/24/09 granted
The Children's Institute 28 Pa. Code § 101.31 hospital requirements 02/14/09 denied
Robert Packer Hospital 28 Pa. Code § 107.2 medical staff 12/20/08 not necessary
Penn State Hershey Rehabilitation Hospital28 Pa. Code § 107.26 tissue committee 02/14/09 granted
Select Specialty Hospital Johnstown28 Pa. Code § 107.26 tissue committee 12/03/08 granted
Select Specialty Hospital Johnstown28 Pa. Code § 107.26 tissue committee 12/13/08 granted
Southwest Regional Medical Center28 Pa. Code § 107.26 tissue committee 02/14/09 granted
Southwest Regional Medical Center28 Pa. Code § 107.32 meetings and attendance 01/24/09 granted
St. Mary Medical Center 28 Pa. Code § 107.32 medical staff meetings denied
Elk Regional Health Center 28 Pa. Code § 107.62 oral orders 01/31/09 granted/denied
West Penn Allegheny Health System—Allegheny General Hospital28 Pa. Code § 115.25 infant footprints 03/21/09 granted
Canonsburg General Hospital28 Pa. Code § 123.25 explosion hazards 12/20/08 granted
Charles Cole Memorial Hospital28 Pa. Code § 123.25 explosion hazards 04/25/09 granted
Lancaster Regional Medical Center28 Pa. Code § 123.25 explosion hazards 03/14/09 granted
Mercy Hospital—Scranton 28 Pa. Code § 123.25 explosion hazards 03/07/09 granted
Southwest Regional Medical Center28 Pa. Code § 123.25 explosion hazards 12/13/08 granted
Washington Hospital 28 Pa. Code § 123.25 explosion hazards 11/29/08 granted
Westfield Medical Center 28 Pa. Code § 123.25 explosion hazards 04/25/09 granted
Hospital of the University of Pennsylvania—Radiation Oncology Unit at Chestnut Hill Hospital 28 Pa. Code § 127.31(b) radiology services 06/28/08 withdrawn by DAAC
ACMH Hospital 28 Pa. Code § 127.32 written orders 12/13/08 granted
Altoona Regional Health System28 Pa. Code § 127.32 diagnostic radiology 02/21/09 granted
Brookville Hospital 28 Pa. Code § 127.32 written orders 12/13/08 granted
Chambersburg Hospital 28 Pa. Code § 127.32 written orders 03/28/09 granted
Children's Hospital of Pittsburgh of UPMC 28 Pa. Code § 127.32 written orders 12/20/08 granted
Doylestown Hospital 28 Pa. Code § 127.32 written orders 02/14/09 granted
Easton Hospital 28 Pa. Code § 127.32 written orders 04/25/09 granted
Edgewood Surgical Hospital 28 Pa. Code § 127.32 written orders 04/25/09 granted
Elk Regional Health Center28 Pa. Code § 127.32 written orders 12/20/08 granted
Excela Frick Hospital 28 Pa. Code § 127.32 written orders 03/07/09 granted
Excela Latrobe Hospital 28 Pa. Code § 127.32 written orders 03/07/09 granted
Fulton County Medical Center28 Pa. Code § 127.32 written orders 04/25/09 granted
Gettysburg Hospital 28 Pa. Code § 127.32 written orders 03/21/09 granted
Grand View Hospital 28 Pa. Code § 127.32 written orders 04/25/09 granted
Hamot Medical Center 28 Pa. Code § 127.32 written orders 02/21/09 granted
Heart of Lancaster Regional Medical Center 28 Pa. Code § 127.32 written orders 02/14/09 granted
Heritage Valley Beaver 28 Pa. Code § 127.32 written orders 01/24/09 granted
Heritage Valley Sewickley 28 Pa. Code § 127.32 written orders 01/24/09 granted
Holy Redeemer Hospital and Medical Center 28 Pa. Code § 127.32 written orders 02/14/09 granted
Holy Spirit Hospital 28 Pa. Code § 127.32 written orders 01/24/09 granted
JC Blair Memorial Hospital 28 Pa. Code § 127.32 written orders 02/21/09 granted
Jennersville Regional Hospital 28 Pa. Code § 127.32 written orders 03/28/09 granted
Lancaster General Hospital 28 Pa. Code § 127.32 written orders 04/25/09 granted
Lancaster Regional Medical Center 28 Pa. Code § 127.32 written orders 02/17/09 granted
Lehigh Valley Hospital Muhlenberg 28 Pa. Code § 127.32 written orders 04/25/09 granted
Magee-Womens Hospital 28 Pa. Code § 127.32 written orders 02/14/09 granted
Marian Community Hospital 28 Pa. Code § 127.32 written orders 01/24/09 granted
Memorial Hospital—York 28 Pa. Code § 127.32 written orders 03/28/09 granted
Mercy Fitzgeral Hospital 28 Pa. Code § 127.32 written orders 04/25/09 granted
Mercy Hospital Scranton 28 Pa. Code § 127.32 written orders 02/21/09 granted
Mercy Philadelphia Hospital 28 Pa. Code § 127.32 written orders 04/25/09 granted
Mercy Suburban Hospital 28 Pa. Code § 127.32 written orders 02/14/09 granted
Millcreek Community Hospital 28 Pa. Code § 127.32 written orders 02/21/09 granted
Miners Medical Center 28 Pa. Code § 127.32 written orders 12/13/08 granted
Monongahela Valley Hospital Inc. 28 Pa. Code § 127.32 written orders 03/21/09 granted
Montrose General Hospital 28 Pa. Code § 127.32 written orders 04/25/09 granted
Mount Nittany Medical Center 28 Pa. Code § 127.32 written orders 12/20/08 granted
Penn State Milton S. Hershey Medical Center 28 Pa. Code § 127.32 written orders 03/14/09 granted
Pinnacle Health 28 Pa. Code § 127.32 written orders 12/13/08 granted
Pottstown Memorial Medical Center 28 Pa. Code § 127.32 written orders 04/25/09 granted
Robert Packer Hospital 28 Pa. Code § 127.32 written orders 03/21/09 granted
Roxborough Memorial Hospital 28 Pa. Code § 127.32 written orders 03/28/09 granted
Saint Vincent Health Center 28 Pa. Code § 127.32 written orders 03/28/09 granted
St. Mary Medical Center 28 Pa. Code § 127.32 written orders 04/25/09 granted
St. Christopher's Hospital for Children 28 Pa. Code § 127.32 written orders 12/13/08 granted
The Bloomsburg Hospital 28 Pa. Code § 127.32 written orders 04/25/09 granted
The Ellwood City Hospital 28 Pa. Code § 127.32 written orders 03/14/09 granted
UPMC Bedford 28 Pa. Code § 127.32 written orders 02/21/09 granted
UPMC Braddock 28 Pa. Code § 127.32 written orders 02/21/09 granted
The Washington Hospital 28 Pa. Code § 127.32 written orders 03/28/09 granted
UPMC Mercy 28 Pa. Code § 127.32 written orders 04/25/09 granted
UPMC Northwest 28 Pa. Code § 127.32 written orders 12/13/08 granted
UPMC Presbyterian Shadyside 28 Pa. Code § 127.32 written orders 12/13/08 granted
UPMC South Side 28 Pa. Code § 127.32 written orders 04/25/09 granted
UPMC St Margaret 28 Pa. Code § 127.32 written orders 02/21/09 granted
Warren General Hospital 28 Pa. Code § 127.32 written orders 12/20/08 granted
Waynesboro Hospital 28 Pa. Code § 127.32 written orders 03/28/09 granted
West Penn Allegheny Health System— Allegheny General Hospital 28 Pa. Code § 127.32 written orders 03/21/09 granted
York Hospital 28 Pa. Code § 127.32 written orders 03/28/09 granted
Bucktail Medical Center 28 Pa. Code § 131.22 treatment orders 12/20/08 granted
Jersey Shore Hospital 28 Pa. Code § 131.22 treatment orders 12/20/08 granted
Soldiers and Sailors Memorial Hospital 28 Pa. Code § 137.12(d) delivery suite 03/14/09 granted
Meadville Medical Center 28 Pa. Code § 138.15 high risk cardiac 02/21/09 granted w/conditions
Uniontown Hospital 28 Pa. Code §§ 138.15
 and 138.18(b)
high risk cardiac 02/21/09 granted
Excela Health Westmoreland Hospital 28 Pa. Code § 138.18 EPS Studies denied
Waynesboro Hospital 28 Pa. Code §§ 143.4
 and 143.7
podiatric patients 02/14/09 denied
Altoona Regional Health System 28 Pa. Code § 153.1 2.1.1.4 (desk), 2.2.111/15/08 withdrawn
DuBois Regional Medical Center—Brookville Hospital Campus 28 Pa. Code § 153.1 3.1-5.2.1.1 (corridor width)12/20/08 granted
DuBois Regional Medical Center—Charles Medical Center 28 Pa. Code § 153.1 3.1-5.2.1.1 (corridor width)12/20/08 granted
Elk Regional Health Center 28 Pa. Code § 153.1 3.1, 2.1.3.1 (space  requirements) 03/28/09 granted
Elk Regional Health Center 28 Pa. Code § 153.1 3.1-2.1.7.5 (soiled  workroom) 03/28/09 not necessary
Hospital of the University of Pennsylvania 28 Pa. Code § 153.1 2.1-3.4.2.1(1) 12/20/08 granted
Main Line Surgery 28 Pa. Code § 153.1 2.4.2 stepdown recovery 03/28/09 granted
Pinnacle Health at Harrisburg Hospital 28 Pa. Code § 153.1 2.1-5.3.2.4 clearance 01/10/09 granted
Southwest Regional Medical Center 28 Pa. Code § 153.1 2.3-2.2.1.1 special 03/14/09 granted
Southwest Regional Medical Center 28 Pa. Code § 153.1 3.1.1.5 handwashing 02/21/09 granted
St. Luke's Hospital 28 Pa. Code § 153.1 2.1-10.3 electrical denied
St. Luke's Quakertown Hospital 28 Pa. Code § 153.1 2.1-10.3 (NFPA 70) denied
The Center for Cosmetic Surgery PC, d/b/a The Skin Center 28 Pa. Code § 153.1 3.7-5.2.1.1 corridor 11/22/08 granted
The Children's Hospital of Philadelphia 28 Pa. Code § 153.1 7.2.A5 toilet room doors 03/14/09 denied
The Western Pennsylvania Hospital 28 Pa. Code § 153.1 2.1.2.1(2) (clearances) 02/21/09 granted
Thomas Jefferson University 28 Pa. Code § 153.1 3.2.2.4(3) borne infection 03/14/09 denied
Trevose Specialty Care Surgical Center 28 Pa. Code § 153.1 3.7-2.4.1.1(2) PACU 10/18/08 granted/not necessary
UPMC Braddock 28 Pa. Code § 153.1 10.1.4.2 vacuum 03/21/09 not necessary
UPMC Mercy Hospital 28 Pa. Code § 153.1 2.1-3.1.1.1(1) Patient 10/18/08 granted/not necessary
UPMC Prebyterian Shadyside 28 Pa. Code § 153.1 2.1.2.1 space 02/21/09 granted
UPMC Presbyterian Shadyside 28 Pa. Code § 153.1 2.1-5.5.4.2 (toilets) 02/21/09 granted
West Penn Allegheny Health System The Western Pennsylvania Hospital 28 Pa. Code § 153.1 2.4 section 2.1.1.2.(1) 03/21/09 granted
Ambulatory Surgical Facilities
Bethlehem Endoscopy Center 28 Pa. Code § 551.3(ii) definitions 02/14/09 granted
Brandywine Valley Endoscopy Center 28 Pa. Code § 551.3 definitions 12/20/08 granted
Saint Vincent Endo Center, LLC 28 Pa. Code § 551.3 definitions 02/21/09 denied
SAM Surgery Center 28 Pa. Code § 551.3 definitions 02/14/09 denied
The Pain & Surgical Center of Langhorne 28 Pa. Code § 551.3 definitions 02/21/09 denied
The PMA Gastroenterology Center 28 Pa. Code § 551.3 definitions 03/14/09 granted
Blue Bell Ambulatory Surgery Center 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery03/28/09 granted
Center for Specialized Surgery28 Pa. Code § 551.21(d)(2) laparoscopic surgery 12/01/07 granted subject to terms
Lackawanna Surgery Center 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery12/13/08 granted
Lee Ambulatory Surgery Facility 28 Pa. Code § 551.21 criteria for ambulatory  surgery12/20/08 denied
Mount Nittany Surgical Center 28 Pa. Code § 551.21 criteria for ambulatory  surgery03/07/09 granted
Northwood Surgery Center28 Pa. Code § 551.21 criteria for ambulatory  surgery03/28/09 denied
Physicians Surgery Center Lancaster Regional 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery04/19/08 granted
Surgery Center at Limerick 28 Pa. Code § 551.21 criteria for ambulatory  surgery02/14/09 denied
Surgical Specialty Center 28 Pa. Code § 551.21 criteria for ambulatory  surgery03/21/09 denied
UPMC Mercy South Side Surgery Center 28 Pa. Code §§ 553.1,  555.2 and 555.3 principle, medical staff 03/28/09 granted
Warminister Surgical Center28 Pa. Code § 553.31 administrative 01/24/09 granted
SAM Surgery Center 28 Pa. Code § 555.31 propofol 02/14/09 denied
Ambulatory Surgery Center of Pennsylvania Hospital 28 Pa. Code § 569.35 general safety precautions 04/25/09 granted
Carlisle Outpatient Surgery Center 28 Pa. Code § 569.35 general safety precautions 03/28/09 granted
Geisinger Endoscopy & Surgery Center 28 Pa. Code § 569.35 general safety precautions 02/21/09 granted
Holy Redeemer Ambulatory Surgery Center 28 Pa. Code § 569.35 general safety precautions 10/04/08 granted
St. Christopher Hospital for Children 28 Pa. Code § 569.35(7) general safety precautions 01/24/09 granted
Surgery Center of Lancaster 28 Pa. Code § 569.35 general safety precautions01/24/09 granted
UOC Surgical Services 28 Pa. Code § 569.35 general safety precautions 04/25/09 granted
Warminster Surgical Center28 Pa. Code § 569.35 general safety precautions12/20/08 granted
Westfield Surgery Center 28 Pa. Code § 569.35 general safety precautions02/14/09 granted
Carlisle Outpatient Surgery Center28 Pa. Code § 571.1 3.7-5.2.2.2 ceiling finishes03/28/09 not necessary
Mahoning Valley Ambulatory Surgery Center 28 Pa. Code § 571.1 3.7- A2.3.3 02/14/09 granted
Susquehanna Endo Center28 Pa. Code § 571.1 3.9.2.2 examination 12/13/08 not necessary
Nursing Care Facilities
Muncy Valley Hospital Skilled Nursing Unit 28 Pa. Code § 201.3 definitions 03/14/09 granted
Julia Pound Care Center 28 Pa. Code § 201.3 definitions 04/18/09 granted
Consulate Health Care of Cheswick 28 Pa. Code § 201.3 definitions 05/09/09 granted
Marian Manor 28 Pa. Code § 201.3 definitions 05/09/09 granted
Messiah Village 28 Pa. Code § 201.3 definitions 05/23/09 granted
Susque-View Home 28 Pa. Code § 201.3 definitions 07/11/09 granted
Memorial Medical Center 28 Pa. Code § 201.17 location 06/13/09 granted
Millcreek Community Hospital Transitional Care Unit 28 Pa. Code § 201.18(e) management 05/09/09 temp granted
Millcreek Manor 28 Pa. Code § 201.18(e) management 05/09/09 temp granted
UPMC Northwest Transitional Care Unit 28 Pa. Code § 201.18(e) management 06/13/09 temp granted
Grove City Medical Center Transitional Care Center 28 Pa. Code § 201.18(e) management 07/11/09 temp granted
Presbyterian Center for Continuing Care 28 Pa. Code § 201.18(e) management 09/05/09 temp granted
Nottingham Village 28 Pa. Code § 205.6(a) function of building 03/14/09 granted
Phoebe Home, Inc. 28 Pa. Code § 205.6(a) function of building 03/14/09 denied
Forbes Road Nursing and Rehab Center 28 Pa. Code § 205.6(a) function of building 04/04/09 granted
Wallingford Nursing and Rehab Center 28 Pa. Code § 205.6(a) function of building 04/18/09 granted
St. Barnabas Nursing Home28 Pa. Code § 205.6(a) function of building 04/18/09 granted
Phoebe Home, Inc. 28 Pa. Code § 205.6(a) function of building 05/09/09 granted
Coldstream Crossing 28 Pa. Code § 205.6(a) function of building 05/23/09 granted
Main Line Nursing and Rehab Center 28 Pa. Code § 205.6(a) function of building 06/13/09 granted
Main Line Nursing and Rehab Center 28 Pa. Code § 205.6(a) function of building 06/20/09 granted
Provident Point Healthcare Residence 28 Pa. Code § 205.6(a) function of building 06/20/09 granted
Grandview Health Homes, Inc. 28 Pa. Code § 205.6(a) function of building 06/27/09 granted
Pleasant Ridge Manor East28 Pa. Code § 205.6(a) function of building 07/11/09 granted
Meadows Nursing and Rehab Center 28 Pa. Code § 205.6(a) function of building 07/11/09 granted
Phoebe Berks Health Care Center, Inc. 28 Pa. Code § 205.6(a) function of building 07/25/09 granted
Pennsylvania Soldiers' and Sailors' Home 28 Pa. Code § 205.10(a) doors 05/09/09 temp granted
Fox Subacute at Mechanicsburg 28 Pa. Code § 205.21(a) special care room 07/25/09 granted
Progressive Care 28 Pa. Code § 205.24(a) dining room 04/04/09 granted
John Heinz Senior Rehab Care 28 Pa. Code § 205.24 dining room 04/04/09 denied
Coldstream Crossing 28 Pa. Code § 205.26(e) laundry 05/23/09 granted
Progressive Care 28 Pa. Code § 205.27 lounge and recreation  rooms 04/04/09 granted
John Heinz Senior Rehab Care 28 Pa. Code § 205.27 lounge and recreation  rooms 04/04/09 denied
St. Monica Manor 28 Pa. Code § 205.27 lounge and recreation  rooms 07/18/09 temp granted
St. Monica Manor 28 Pa. Code § 205.28(b) dining room 07/18/09 temp granted
St. Monica Manor 28 Pa. Code § 205.28(b) nurses' station 07/18/09 granted
Fox Subacute Mechanicsburg Hospital ECF 28 Pa. Code § 205.28(c) nurses' station 09/19/09 temp granted
John Heinz Senior Rehab Care 28 Pa. Code § 205.31 storage 04/04/09 denied
Cranberry Place 28 Pa. Code § 205.36(h) bathing facilities 06/13/09 granted
Fox Subacute at Mechanicsburg 28 Pa. Code § 205.36(b) bathing facilities 07/25/09 granted
Memorial Medical Center 28 Pa. Code § 205.38(b) toilet facilities 06/13/09 granted
Progressive Care 28 Pa. Code § 205.38(b) toilet facilities 04/04/09 granted
UPMC Northwest Transitional Care Unit 28 Pa. Code § 205.38(d) toilet facilities 06/13/09 granted
Provident Point Healthcare Residence 28 Pa. Code § 205.67(j) electrical requirements 06/20/09 granted
Rockhill Mennonite Community 28 Pa. Code § 205.67(j) electrical requirements 07/25/09 not required
Charles Cole Memorial Hospital, ECF 28 Pa. Code § 211.3(a) oral and telephone orders 04/25/09 denied
Lakeview Senior Care and Living Center 28 Pa. Code § 211.3(a) oral and telephone orders 04/25/09 denied

 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.

EVERETTE JAMES, 
Secretary

[Pa.B. Doc. No. 09-2035. Filed for public inspection October 30, 2009, 9:00 a.m.]



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