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PA Bulletin, Doc. No. 15-1331

NOTICES

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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