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PA Bulletin, Doc. No. 07-2000

NOTICES

Decisions on Requests for Exceptions to Health Care Facility Regulations

[37 Pa.B. 5856]
[Saturday, October 27, 2007]

   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) 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 June, 2007 through September, 2007. 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 the Division of Acute and Ambulatory Care, Susan Legros, Acting Director, Room 532, Health and Welfare Building, Harrisburg, PA 17120. Inquiries regarding long-term care facilities shall be addressed to the Division of Nursing Care Facilities, William Bordner, Director, Room 528, Health and Welfare Building, Harrisburg, PA 17120. Those persons requiring special assistance for speech and/or hearing impairment should call V/TT (717) 783-6514 or the Pennsylvania AT&T Relay Services at (800) 654-5984 (TT).

Hospitals

Facility Name Regulation Relating to Request Published Decision
Community Medical Center 28 Pa. Code § 51.3c notification 07/21/07 granted
Eastern Regional Medical Center 28 Pa. Code § 51.23 PET scanning 07/21/07 granted
Montgomery County Advanced Medical Imaging28 Pa. Code § 51.23 PET scanning 08/18/07 granted
Grove City Medical Center 28 Pa. Code § 51.23 PET scanning 08/18/07 granted
Pinnacle Health Hospitals 28 Pa. Code § 51.23 PET scanning 08/18/07 granted
Memorial Hospital of York 28 Pa. Code § 101.191 multiple facilities 09/01/07 denied
UPMC Northwest 28 Pa. Code § 103.4(3) functions 06/23/07 withdrawn
The Surgical Specialty Center
at Coordinated Health
28 Pa. Code § 107.2 medical staff membership--
podiatrists
09/01/07 granted
Excela Health--Westmoreland 28 Pa. Code §§ 107.11
and 146.1a
medical staff bylaws, rules and
regulations, infection control
08/18/07 granted
Excela Health--Frick 28 Pa. Code §§ 107.11
and 146.1a
medical staff bylaws, rules and
regulations, infection control
08/18/07 granted
Excela Health--Latrobe 28 Pa. Code §§ 107.11 and 146.1amedical staff bylaws, rules and regulations, infection control 08/18/07 granted
Millcreek Community Hospital 28 Pa. Code § 107.25(8) medical staff executive committee 09/15/07 denied
UPMC Northwest 28 Pa. Code § 107.26 additional committees 06/23/07 not needed
Warren General 28 Pa. Code § 107.61 written orders 06/02/07 denied
UPMC Northwest 28 Pa. Code § 107.61 orders for medications/treatment 08/18/07 denied
Millcreek Community Hospital 28 Pa. Code § 117.30(1) emergency paramedic services 06/23/07 granted
Mercy Hospital of Pittsburgh 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards03/31/07 granted
Altoona Regional Health System 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 05/19/07 granted
Aliquippa Community Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 07/07/07 granted
Somerset Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 07/07/07 granted
Pottstown Memorial Medical Center28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 07/07/07 granted
Nason Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 07/07/07 granted
UPMC St. Margaret 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 07/07/07 granted
Albert Einstein Healthcare Network28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 07/21/07 granted
Jameson Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 07/28/07 granted
UPMC Presbyterian Shadyside 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 08/04/07 granted
Bloomsburg Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 08/04/07 granted
Penn State Hershey Medical Center 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 08/04/07 granted
Alle-Kiski Medical Center 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 08/04/07 granted
Edgewood Surgical Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 08/18/07 granted
Ohio Valley General Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 08/18/07 granted
St. Luke's Miners Memorial Hospital28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 08/18/07 granted
Chestnut Hill Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 09/01/07 granted
Main Line Hospital--Paoli 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 08/25/07 granted
Phoenixville Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 09/08/07 granted
Bradford Regional Medical Center28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 09/08/07 granted
York Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 09/08/07 granted
Divine Providence Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 09/08/07 granted
Doylestown Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 09/29/07 granted
Sharon Regional Health System 28 Pa. Code § 127.32 diagnostic orders--chiropractors and other MDs not on staff 8/18/07 denied
Lower Bucks Hospital 28 Pa. Code § 138.1 cardiac catheterizations only in a hospital 08/18/07 granted
UPMC Horizon 28 Pa. Code § 138.2 definition of cardiac catherization area09/01/07 granted
Sacred Heart Hospital 28 Pa. Code § 138.15 high-risk cardiac catheterization--open heart program 08/18/07 withdrawn
Riddle Memorial Hospital 28 Pa. Code § 138.18(b) EPS studies 08/18/07 granted
Albert Einstein Healthcare Network28 Pa. Code § 139.12(a) perinatal guidelines 08/18/07 granted
Armstrong County Memorial Hospital28 Pa. Code § 153.1 7.10.H1 cardiac catheterization laboratory01/20/07 granted
St. Clair Memorial Hospital 28 Pa. Code § 153.1 5.1.3.7(1)(b); 5.1.3.7(b); 5.1.3.7(1)(a); 5.1.3.7(1)(c)04/14/07 granted
Pinnacle Health Hospitals--Harrisburg28 Pa. Code § 153.1 5.7.3.1; 5.7.3.2 05/05/07 granted
DuBois Regional Medical Center 28 Pa. Code § 153.1 2.1.3.1 treatment room square footage 05/12/07 granted
Bradford Regional Medical Center 28 Pa. Code § 153.1 7.10HI / now 5.4.1.1 06/02/07 granted
Community Medical Center 28 Pa. Code § 153.1 3.4.2.1 patient care areas 06/02/07 granted
Western Pennsylvania Hospital--Forbes Regional28 Pa. Code § 153.1 7.8A3 sterilizing facilities 06/02/07 granted
Penn State Hershey Rehabilitation 28 Pa. Code § 153.1 2.4--2.1.1.2 patient rooms;
2.4--3.1.1 dining/recreation; 2.4--2.1.5.1(1) showers/tub room
05/26/07 granted
Titusville Area Hospital 28 Pa. Code § 153.1 3.12--2.1.1.1 hand washing 07/21/07 denied
Punxsutawney Area Hospital 28 Pa. Code § 153.1 2.1.3.1 sq footage of treatment rooms 07/21/07 granted
Moses Taylor Hospital 28 Pa. Code § 153.1 4.4.7.1 (table 2.1.5) medical gas
outlets; 10.2.1.1 (2.1.3) air
filtration; 3.1.1.5 hand washing
07/21/07 granted
Albert Einstein Healthcare Network 28 Pa. Code § 153.1 2.1--4.2.3.1 exam room and
4.2.3.2 toilet room
08/18/07 granted
Good Samaritan Hospital 28 Pa. Code § 153.1 2.3.2.2 patient holding 08/18/07 granted
Jameson Memorial Hospital 28 Pa. Code § 153.1 3.2.1.2 equipment; 5.6.1
housekeeping room; 2.1.3.10
soiled workroom; 2.1.1.7(1) pt
wardrobe
08/18/07 granted
Jameson Memorial Hospital 28 Pa. Code § 153.1 2.1.1.6 toilet room;
2.1.15 hand wash stations
08/18/07 granted
Select Specialty Hospital--
Central Pennsylvania
28 Pa. Code § 153.1 9.2.3.1 elevator size 08/18/07 granted
Troy Community Hospital 28 Pa. Code § 153.1 2.1--5.3.3.3(1) Phase II recovery 08/18/07 denied
St. Luke's Hospital 28 Pa. Code § 153.1 5.1.2.5(2) treatment room 09/08/07 denied
Excela Westmoreland Hospital 28 Pa. Code § 153.1 8.1.2.1 IBC code--handicapped accessible patient toilets 09/15/07 not DOH jurisdiction
DSI Bucks County 28 Pa. Code § 153.1c NFPA 101--18.2.2.2.9 and 7.2.1.1409/29/07 not DOH jurisdiction
DSI Bucks County 28 Pa. Code § 153.1 8.2.2.3 of AIA Guidelines 09/29/07 granted
Ambulatory Surgical Facilities
Center for Spine Care at
Lancaster Neuroscience and Spine Associates
28 Pa. Code § 551.3 definitions--PS3 03/10/07 denied
Carbon-Schuylkill Endoscopy Center28 Pa. Code § 551.3 definitions--PS3 06/02/07 granted
Rhawn Street Endoscopy Center 28 Pa. Code § 551.3 definitions--PS3 06/02/07 granted
Grand View Endosocpy Center at Harleysville28 Pa. Code § 551.3 definitions--PS3 07/21/07 granted
Endoscopy Center at St. Mary 28 Pa. Code § 551.3 definitions--PS3 07/21/07 granted
Main Line Endoscopy Center, East 28 Pa. Code § 551.3 definitions--PS3 08/18/07 granted
Mountain Laurel Surgery Center 28 Pa. Code § 551.3 definitions--PS3 08/18/07 granted
Mt. Airy Ambulatory Endoscopy Surgery Center28 Pa. Code § 551.3 definitions--PS3 08/18/07 granted
Main Line Endoscopy Center, East 28 Pa. Code § 551.3 definitions--PS3 09/01/07 granted
Temple University School of
Podiatric Medicine Ambulatory Surgical Center
28 Pa. Code § 551.3 definitions--PS3 09/01/07 granted
PMA Gastroenterology Center 28 Pa. Code § 551.3 definitions--PS3 09/08/07 denied
20/20 Surgery Center 28 Pa. Code § 551.3 definitions--PS3 09/15/07 granted
West Chester Endoscopy, LLC 28 Pa. Code § 551.3 definitions--PS3 09/13/07 granted
Wellspan Endoscopy Center 28 Pa. Code § 551.3(a) administrative responsibilities 08/18/07 granted
Abington Surgical Center 28 Pa. Code § 551.21(d) criteria for surgery--laparoscopic procedures 06/02/07 granted
Northwood Surgery Center 28 Pa. Code § 551.21(d) criteria for surgery--laparoscopic procedures 06/02/07 granted
Gettysburg Ambulatory Surgical Center, LLC28 Pa. Code § 551.21(d) criteria for surgery--laparoscopic procedures 07/21/07 granted/
denied
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 553.1 governing body 08/18/07 granted
Surgery Center at Limerick 28 Pa. Code § 553.1 governing body 09/15/07 granted
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 553.4(a) annual governing body meeting 09/29/07 granted
PMA Gastroenterology Center 28 Pa. Code § 553.31(a) anesthesia services--propofol 09/15/07 granted
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 555.1 medical staff 08/18/07 granted
Surgery Center at Limerick 28 Pa. Code § 555.1 medical staff 09/15/07 granted
CHP South Surgery Center 28 Pa. Code § 555.2 medical staff membership 07/21/07 denied
CHP North Surgery Center 28 Pa. Code § 555.2 medical staff membership 07/21/07 denied
CHP South Surgery Center 28 Pa. Code § 555.3(d)(2)(3) reappointment 07/21/07 denied
CHP North Surgery Center 28 Pa. Code § 555.3(d)(2)(3) reappointment 07/21/07 denied
Valley Surgical Center 28 Pa. Code § 555.31(a) anesthesia services--propofol 08/19/06 granted
Drexel Center for Digestive Health 28 Pa. Code § 555.31(a) anesthesia services--propofol 08/18/07 granted
Temple University School of Podiatric Medicine ASC 28 Pa. Code § 555.31(a) anesthesia services--propofol 07/21/07 granted
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 557.1 principle--quality assurance 08/18/07 granted
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 557.3(f) quality assurance committee 09/29/07 granted
Surgery Center at Limerick 28 Pa. Code § 557.4 quality assurance 09/15/07 granted
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 563.1 principle--medical records 08/18/07 not needed
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 563.2(a) medical records service 09/29/07 granted
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 563.12 form and content of record 08/18/07 denied
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 567 environmental services--infection control 08/18/07 denied
Surgery Center at Limerick 28 Pa. Code § 567.2 quality assurance committee 09/15/07 granted
SmartHealth Norwin Hills Outpatient Center28 Pa. Code § 567.2(1) infection control prevention, control and investigation 09/29/07 granted
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 567.2(i) written standards for ASF sanitation and asepsis 09/29/07 granted
CHP South Surgery Center 28 Pa. Code § 569.35 general safety precautions 03/31/07 granted
Surgery Center of the Main Line 28 Pa. Code § 569.35 general safety precautions 07/07/07 granted
UPMC St. Margaret Harmar Outpatient Center28 Pa. Code § 569.35 general safety precautions 07/07/07 granted
Gamma Surgery Center 28 Pa. Code § 569.35 general safety precautions 07/21/07 granted
Harrisburg Endoscopy and Surgery Center 28 Pa. Code § 569.35 general safety precautions 07/28/07 granted
Evangelical Ambulatory Surgery Center28 Pa. Code § 569.35 general safety precautions 08/04/07 granted
Altoona Regional Health System Surgery Center28 Pa. Code § 569.35 general safety precautions 08/04/07 granted
Center for Same Day Surgery, The 28 Pa. Code § 569.35 general safety precautions 08/04/07 granted
Surgical Center of York 28 Pa. Code § 569.35 general safety precautions 08/18/07 granted
Surgery Center at Limerick 28 Pa. Code § 569.35 general safety precautions 09/08/07 granted
Surgery Center at Brinton Lake, LLC 28 Pa. Code § 569.35 general safety precautions 09/29/07 granted
Surgery Center of Central Pennsylvania 28 Pa. Code § 571.1 3.1 2.1.3 treatment rooms
and 3.7 2.4.1 recovery areas
07/21/07 granted
Ludwick Laser and Surgery Center 28 Pa. Code § 571.1 9.5.F3c recovery stations 08/18/07 granted
Excela Health--Latrobe NUMEROUS governing body, medical staff 06/02/07 granted/not necessary
Excela Health--Frick NUMEROUS governing body, medical staff 06/02/07 granted/not necessary
Excela Health--Westmoreland NUMEROUS governing body, medical staff 06/02/07 granted/not necessary
Nursing Care Facilities
Presbyterian Homes of the Presbytery of Huntingdon 28 Pa. Code § 201.3 definitions 07/21/07 granted
Wayne Woodlands Manor 28 Pa. Code § 201.3 definitions 07/21/07 granted
Belle Haven 28 Pa. Code § 201.3 definitions 07/21/07 granted
Laurel View Village 28 Pa. Code § 201.3 definitions 08/04/07 granted
Shamokin Area Community Hospital Skilled Nursing28 Pa. Code § 201.17 location 06/23/07 granted
Shamokin Area Community Hospital Skilled Nursing 28 Pa. Code § 205.6(a) function of building 06/23/07 granted
Sunbury Community Hospital Skilled Nursing 28 Pa. Code § 205.6(a) function of building 06/23/07 granted
Muncy Valley Hospital Skilled Nursing Unit 28 Pa. Code § 205.6(a) function of building 06/23/07 granted
Bucktail Medical Center 28 Pa. Code § 205.6(a) function of building 06/23/07 granted
The Village at Luther Square 28 Pa. Code § 205.6(a) function of building 07/21/07 granted
Maple Winds Care Center 28 Pa. Code § 205.6(a) function of building 07/21/07 granted
Renaissance Gardens at Maris Grove 28 Pa. Code § 205.6(a) function of building 07/28/07 granted
Laurel Care Nursing and Rehab Center 28 Pa. Code § 205.6(a) function of building 08/04/07 granted
Memorial Hospital, Inc. Skilled Nursing Unit28 Pa. Code § 205.6(a) function of building 08/04/07 granted
Charles Cole Memorial Hospital ECF 28 Pa. Code § 205.6(a) function of building 08/04/07 granted
Baptist Homes of Western 28 Pa. Code § 205.6(a) function of building 08/18/07 granted
Mt. Macrina Manor 28 Pa. Code § 205.6(a) function of building 08/18/07 granted
Centre Crest 28 Pa. Code § 205.6(a) function of building 09/01/07 granted
Arbutus Park Manor 28 Pa. Code § 205.6(a) function of building 09/22/07 granted
Jefferson Manor Health Care 28 Pa. Code § 206.6(a) function of building 09/22/07 granted
Chatham Acres Nursing Center, Inc. 28 Pa. Code § 205.20(d)(f) resident bedrooms 06/23/07 granted
Garden Spot Village 28 Pa. Code § 205.28(a) nurses' station 06/30/07 granted
The Health Center at The Hill at Whitemarsh 28 Pa. Code § 205.28(b) nurses' station 07/28/07 granted
Bucktail Medical Center 28 Pa. Code § 205.28(a) nurses' station 07/28/07 granted
Holy Family Residence 28 Pa. Code § 205.28(b) nurses' station 07/28/07 granted
Golden Living Center--Mansion 28 Pa. Code § 205.36(h) bathing facilities 08/04/07 granted
Lebanon Valley Brethren Home 28 Pa. Code § 205.67(k) electric requirements 07/21/07 granted
Pennsylvania Soldiers' and Sailors' Home 28 Pa. Code § 205.68(a) special electrical req 09/22/07 granted
HealthSouth York Transitional Rehab Unit28 Pa. Code § 211.12(b) nursing services 06/23/07 granted
Mercy Jeannette Hospital Skilled Nursing Center 28 Pa. Code § 211.12(b) nursing services 07/21/07 granted

CALVIN B. JOHNSON, M. D., M.P.H.,   
Secretary

[Pa.B. Doc. No. 07-2000. Filed for public inspection October 26, 2007, 9:00 a.m.]



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