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 Hospital 28 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 Hospital 28 Pa. Code § 107.26 tissue committee 02/14/09 granted Select Specialty Hospital Johnstown 28 Pa. Code § 107.26 tissue committee 12/03/08 granted Select Specialty Hospital Johnstown 28 Pa. Code § 107.26 tissue committee 12/13/08 granted Southwest Regional Medical Center 28 Pa. Code § 107.26 tissue committee 02/14/09 granted Southwest Regional Medical Center 28 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 Hospital 28 Pa. Code § 115.25 infant footprints 03/21/09 granted Canonsburg General Hospital 28 Pa. Code § 123.25 explosion hazards 12/20/08 granted Charles Cole Memorial Hospital 28 Pa. Code § 123.25 explosion hazards 04/25/09 granted Lancaster Regional Medical Center 28 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 Center 28 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 System 28 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 Center 28 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 Center 28 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 143.7podiatric patients 02/14/09 denied Altoona Regional Health System 28 Pa. Code § 153.1 2.1.1.4 (desk), 2.2.1 11/15/08 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 surgery 03/28/09 granted Center for Specialized Surgery 28 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 surgery 12/13/08 granted Lee Ambulatory Surgery Facility 28 Pa. Code § 551.21 criteria for ambulatory surgery 12/20/08 denied Mount Nittany Surgical Center 28 Pa. Code § 551.21 criteria for ambulatory surgery 03/07/09 granted Northwood Surgery Center 28 Pa. Code § 551.21 criteria for ambulatory surgery 03/28/09 denied Physicians Surgery Center Lancaster Regional 28 Pa. Code § 551.21(d) criteria for ambulatory surgery 04/19/08 granted Surgery Center at Limerick 28 Pa. Code § 551.21 criteria for ambulatory surgery 02/14/09 denied Surgical Specialty Center 28 Pa. Code § 551.21 criteria for ambulatory surgery 03/21/09 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 Center 28 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 precautions 01/24/09 granted UOC Surgical Services 28 Pa. Code § 569.35 general safety precautions 04/25/09 granted Warminster Surgical Center 28 Pa. Code § 569.35 general safety precautions 12/20/08 granted Westfield Surgery Center 28 Pa. Code § 569.35 general safety precautions 02/14/09 granted Carlisle Outpatient Surgery Center 28 Pa. Code § 571.1 3.7-5.2.2.2 ceiling finishes 03/28/09 not necessary Mahoning Valley Ambulatory Surgery Center 28 Pa. Code § 571.1 3.7- A2.3.3 02/14/09 granted Susquehanna Endo Center 28 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 Home 28 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 East 28 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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