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COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 10-615

NOTICES

DEPARTMENT OF HEALTH

Decisions on Requests for Exceptions to Health Care Facility Regulations

[40 Pa.B. 1828]
[Saturday, April 3, 2010]

 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 October, 2009, through December, 2009. Future publications of decision 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
J.C. Blair Memorial Hospital 28 Pa. Code Act 13 patient safety committee  requirements03/21/09 exception committee cannot grant this request
Abington Memorial Hospital 28 Pa. Code § 51.6 identification of personnel 05/23/09 granted
Hershey Endoscopy Center 28 Pa. Code § 51.6 identification of personnel 07/25/09 granted
West Shore Endoscopy Center 28 Pa. Code § 51.6 identification of personnel07/25/09 granted
York Hospital 28 Pa. Code § 51.23 PET scanning 04/25/09 granted
Wayne Memorial Hospital 28 Pa. Code § 51.23 PET scanning services 10/17/09 granted
Lancaster Regional 28 Pa. Code § 101.3 hospital requirements 09/26/09 denied
 Medical Center(7) and (9)(iii)
The Western Pennsylvania  Hospital 28 Pa. Code § 101.4definitions 03/07/09denied
Milton S. Hershey Medical  Center 28 Pa. Code § 101.12 innovative programs 08/22/09 denied
Albert Einstein Medical  Center 28 Pa. Code § 101.172 patient limits 04/25/09 granted
University of Pennsylvania  HUP Penn Radiation  Oncology at Doylestown 28 Pa. Code § 101.31(7) hospital requirements 05/23/09 granted
Waynesboro Hospital 28 Pa. Code § 101.31(7) hospital requirements 06/13/09 denied
Edgewood Surgical Hospital 28 Pa. Code § 103.3 governing body by laws 11/14/09 not necessary
Western Pennsylvania  Hospital 28 Pa. Code § 103.31chief executive officer 09/26/09 granted
Allegheny General 28 Pa. Code § 103.31 chief executive officer 09/26/09 granted
Western Pennsylvania  Hospital 28 Pa. Code § 103.32 qualifications of chief  executive officer 09/26/09 denied
Allegheny General 28 Pa. Code § 103.32 qualifications of chief  executive officer09/26/09denied
Western Pennsylvania  Hospital 28 Pa. Code § 103.33 responsibilities 09/26/09denied
Allegheny General 28 Pa. Code § 103.33responsibilities09/26/09denied
Western Pennsylvania  Hospital 28 Pa. Code § 103.34 personnel policies and  practices 09/26/09 denied
Allegheny General 28 Pa. Code § 103.34 personnel policies and  practices 09/26/09 denied
Edgewood Surgical Hospital 28 Pa. Code § 103.34 personnel policies and  practices 11/14/09not necessary
Western Pennsylvania  Hospital 28 Pa. Code § 103.35 job descriptions 09/26/09 denied
Allegheny General 28 Pa. Code § 103.35 job descriptions 09/26/09 denied
St. Luke's Quakertown  Hospital 28 Pa. Code § 103.36(b)(4)personnel records 08/22/09 not necessary
Edgewood Surgical Hospital 28 Pa. Code § 103.41—
103.46
fiscal control 11/14/09 not necessary
Westfield Hospital 28 Pa. Code § 105.11 admission access 07/11/09 denied
Muncy Valley Hospital 28 Pa. Code § 107.2 medical staff membership 05/23/09 granted
Indiana Regional Medical  Center 28 Pa. Code § 107.2 medical staff membership 06/13/09 granted
Children's Hospital of  Allentown 28 Pa. Code § 107.2 medical staff membership 07/25/09 granted
Lancaster General Hospital 28 Pa. Code § 107.2 medical staff membership 08/22/09 granted
The Surgical Specialty Center  at Coordinated Health 28 Pa. Code § 107.2 medical staff membership 08/22/09 granted
Crozer Chester Medical  Center 28 Pa. Code § 107.2 medical staff membership 11/14/09 granted
The Washington Hospital 28 Pa. Code § 107.2 medical staff membership 11/14/09 granted
Taylor Hospital 28 Pa. Code § 107.2 medical staff membership 11/28/09 granted
Edgewood Surgical Hospital 28 Pa. Code § 107.11 principle 11/14/09 not necessary
Edgewood Surgical Hospital 28 Pa. Code § 107.12 by laws rules and  regulations 11/14/09 not necessary
The Western Pennsylvania  Hospital 28 Pa. Code § 107.23 clinical department 03/07/09 denied
LifeCare Hospital of  Pittsburgh 28 Pa. Code § 107.26 additional committees 10/17/09 granted
UPMC St. Margaret 28 Pa. Code § 107.61 written orders radiology 08/22/09 denied
UPMC Northwest 28 Pa. Code § 107.61 written orders radiology 08/22/09 denied
Magee Womens Hospital 28 Pa. Code § 107.61 written orders radiology 08/22/09 granted
Frick Hospital 28 Pa. Code § 107.62(b) oral orders 08/22/09 granted
Westmoreland Regional  Hospital 28 Pa. Code § 107.62(b) oral orders 08/22/09 granted
Latrobe Hospital 28 Pa. Code § 107.62(b) oral orders 08/22/09 granted
Hamot Medical Center 28 Pa. Code § 107.64 administration of drugs 09/26/09 granted
Edgewood Surgical Hospital 28 Pa. Code Chapter 107 medical staff 11/14/09 not necessary
Edgewood Surgical Hospital 28 Pa. Code Chapter 113 pharmacy services 11/14/09 not necessary
Edgewood Surgical Hospital 28 Pa. Code Chapter 115 medical record services 11/14/09 not necessary
Edgewood Surgical Hospital 28 Pa. Code Chapter 125 laboratory services 11/14/09 not necessary
Edgewood Surgical Hospital 28 Pa. Code Chapter 147 environmental services 11/14/09 not necessary
Lock Haven Hospital 28 Pa. Code § 109.2(b) director of nursing  services 12/19/09 granted w/conditions
The Western Pennsylvania  Hospital 28 Pa. Code § 115.25 infant footprints 04/25/09 granted
Alle-Kiski Medical  Center—AVH28 Pa. Code § 115.25 infant footprints 04/25/09 granted
Hamot Medical Center 28 Pa. Code § 117.30 emergency paramedic  services 09/26/09 granted
Montgomery Hospital 28 Pa. Code § 123.25(2) regulations for control of  anesthesia explosion  hazards 03/31/07 granted
Brandywine Hospital 28 Pa. Code § 123.25regulations for control of  anesthesia explosion  hazards 05/23/09 granted
Sunbury Community Hospital 28 Pa. Code § 123.25(2) regulations for control of  anesthesia explosion  hazards 05/23/09granted
Mercy Suburban Hospital 28 Pa. Code § 123.25(2) regulations for control of  anesthetic explosion  hazards 06/13/09granted
Clearfield Hospital 28 Pa. Code § 123.25(2)regulations for control of  anesthetic explosion  hazards 07/11/09 granted
Coordinated Health  Orthopedic Hospital 28 Pa. Code § 123.25(2) regulations for control of  anesthetic explosion  hazards10/11/09 granted
CH Hospital of Allentown 28 Pa. Code § 123.25(2) regulations for control of  anesthetic explosion  hazards 10/11/09 granted
UPMC South Surgery Center 28 Pa. Code § 123.25 regulations for control of  anesthetic explosion  hazards11/14/09 granted
Pottstown Memorial Medical  Center 28 Pa. Code § 127.31(b) policies and procedures for  radiology services10/10/09 denied
The Children's Institute 28 Pa. Code § 127.32 written orders 03/07/09 granted
Uniontown Hospital 28 Pa. Code § 127.32 outpatient radiology  orders 05/09/09 granted
St. Clair Hospital 28 Pa. Code § 127.32 written orders 05/09/09 granted
Bradford Regional Medical  Center 28 Pa. Code § 127.32 written orders radiology 05/09/09 granted
Memorial Hospital, Towanda 28 Pa. Code § 127.32 written orders radiology05/09/09 granted
Montgomery Healthcare  System 28 Pa. Code § 127.32 written orders radiology05/09/09 granted
Charles Cole Memorial  Hospital 28 Pa. Code § 127.32 written orders radiology 05/09/09 granted
Ephrata Community Hospital 28 Pa. Code § 127.32 written orders radiology 05/09/09 granted
Paoli Hospital Main Line  Health 28 Pa. Code § 127.32 written orders radiology 05/23/09 granted
Lankenau Hospital Main Line  Health 28 Pa. Code § 127.32 written orders radiology 05/23/09 granted
Jeanes Hospital 28 Pa. Code § 127.32 written orders radiology 05/23/09 granted
Susquehanna Health 28 Pa. Code § 127.32 written orders radiology 05/23/09 granted
Lewistown Hospital 28 Pa. Code § 127.32 written orders radiology05/23/09 granted
Penn Presbyterian Medical  Center 28 Pa. Code § 127.32 written orders radiology05/23/09 granted
Bryn Mawr Hospital 28 Pa. Code § 127.32 written orders radiology 05/23/09 granted
Kane Community Hospital 28 Pa. Code § 127.32 written orders radiology06/13/09 granted
Pocono Medical Center 28 Pa. Code § 127.32 written orders radiology 06/13/09 granted
Hospital of the University of  Pennsylvania 28 Pa. Code § 127.32 written orders radiology 06/13/09 granted
Geisinger Medical Center 28 Pa. Code § 127.32 written orders radiology 06/13/09 granted
Geisinger Wyoming Valley  Medical Center 28 Pa. Code § 127.32 written orders radiology 06/20/09 granted
Ohio Valley General Hospital 28 Pa. Code § 127.32 written orders radiology 07/25/09 granted
Punxsutawney Area Hospital 28 Pa. Code § 127.32 written orders radiology 07/25/09 granted
Good Shepherd Rehabilitation  Hospital 28 Pa. Code § 127.32 written orders radiology 07/25/09 granted
Temple University Hospital 28 Pa. Code § 127.32 written orders radiology 07/25/09 granted
Barnes-Kasson County  Hospital 28 Pa. Code § 127.32 written orders radiology 07/25/09 granted
Sacred Heart Hospital 28 Pa. Code § 127.32 written orders radiology08/22/09 granted
St. Lukes Quakertown  Hospital 28 Pa. Code § 127.32 written orders radiology 08/22/09 granted
St. Lukes Miners Memorial  Hospital 28 Pa. Code § 127.32 written orders radiology 08/22/09 granted
St. Lukes Hospital 28 Pa. Code § 127.32 written orders radiology 08/22/09 granted
Lancaster General Hospital 28 Pa. Code § 127.32 written orders radiology 08/22/09 granted
Albert Einstein Medical  Center 28 Pa. Code § 127.32 written orders radiology 08/22/09 granted
Cannonsburg Hospital 28 Pa. Code § 127.32 written orders radiologygranted
Canonsburg General Hospital 28 Pa. Code § 127.32 written orders 09/26/09 granted
Hazleton General Hospital 28 Pa. Code § 127.32 written orders-radiology 10/17/09 granted
Excela Health Frick Hospital 28 Pa. Code § 127.32 written orders-radiology 10/24/09 granted
Excela Health Latrobe  Hospital 28 Pa. Code § 127.32 written orders-radiology 10/24/09 granted
Excela Westmoreland  Hospital 28 Pa. Code § 127.32 written orders-radiology 10/24/09 granted
Abington Memorial Hospital 28 Pa. Code § 127.32 written orders-radiology 11/14/09 granted
Moses Taylor Hospital 28 Pa. Code § 127.32 written orders-radiology 11/14/09 granted
Lansdale Hospital 28 Pa. Code § 127.32 written orders-radiology 12/19/09 granted
The Chester County Hospital 28 Pa. Code § 127.32 written orders-radiology12/19/09 granted
Mid-Valley Hospital 28 Pa. Code § 127.32 written orders-radiology 12/19/09 granted
ACMH 28 Pa. Code § 127.32 written orders-radiology 12/19/09 granted
St. Joseph's Hospital 28 Pa. Code § 127.32 written orders-radiology 12/19/09 granted
ACMH 28 Pa. Code § 131.22—
 131.23
treatment orders and plan  of care 12/19/09 granted
Montrose General Hospital 28 Pa. Code § 133.2 types of special care units 04/25/09 denied
Montrose General Hospital 28 Pa. Code § 133.2 types of special care units 04/25/09 reconsideration granted
Butler Memorial Hospital 28 Pa. Code § 137.21(b)(9)policies and procedures for  obstetrical services 10/10/09 granted
Gettysburg Hospital 28 Pa. Code § 138.2 definitions 04/25/09not necessary
Excela Health Westmoreland  Hospital—Center for  Cardiovascular Medicine 28 Pa. Code § 138.18 EPS studies07/11/09 granted
Excela Health Latrobe  Hospital 28 Pa. Code § 138.18 EPS studies 07/11/09 granted
The Western Pennsylvania  Hospital 28 Pa. Code § 143.2 podiatry director 03/07/09 denied
The Western Pennsylvania  Hospital 28 Pa. Code § 143.3 podiatry surgical  procedures 03/07/09 denied
Holy Spirit Hospital 28 Pa. Code § 143.5 medical supervision of  podiatric patients 04/25/09denied
Penn State Hershey Rehab 28 Pa. Code § 153.1 2.1.1.2, 2.1.1.5, 3.1.1,  2.1.5.1(1) 05/26/07 granted
DuBois Regional Medical  Center Station Square 28 Pa. Code § 153.1 3.1-5.2.1.1 corridor width 01/26/08 granted
Indiana Regional Medical  Center28 Pa. Code § 153.1 cardiac surgery
5.4.1 catheterization lab
03/21/09 not necessary
The Western Pennsylvania  Hospital—Penn Hills 28 Pa. Code § 153.1 3.1-5.2.1.1(1) (corridor  width) 04/25/09 granted
UPMC Presbyterian  Shadyside Pittsburgh  Medical Center 28 Pa. Code § 153.1 2.1-5.4.1.4 (support areas  for cardiac cath lab)04/25/09 granted
UPMC Presbyterian  Shadyside Shadyside  Beckwith Center at Hillman28 Pa. Code § 153.1 2.1.1 (general purpose  exam rooms) 2.1.1.1(1)  space requirements),  2.1.1.2 (hand-washing  station) 04/25/09 granted
UPMC Presbyterian  Shadyside Western  Psychiatric Institute &  Clinic 28 Pa. Code § 153.1 2.3-2.1.1.5(1) (toilet room),  2.1-3.1.1.2(2)  (dimensions and  clearances), 2.1-  8.2.2.3(2)(b)(i) (inpatient  bedrooms; new  construction), 4.6.12.1  (corridors) 04/25/09 not necessary
Jersey Shore Hospital 28 Pa. Code § 153.1 7.7C3 (warming cabinet  requirements)04/25/09 denied
Shamokin Area Community  Hospital 28 Pa. Code § 153.1 3.1.3 (examination/
 treatment room)
04/25/09 granted
Jefferson Regional Medical  Center28 Pa. Code § 153.1 18.2.3.3 (corridor width) 04/25/09 denied
St. Mary Medical Center 28 Pa. Code § 153.1 2.5.5 (sterilization facility) 05/09/09 granted
St. Mary Medical Center 28 Pa. Code § 153.1 3.7-2.6.3 (staff shower in  outpatient surgical  facility); 3.7-2.5.5  (sterilization facility) 05/09/09 granted
St. Mary Medical Center 28 Pa. Code § 153.1 3.7-2.5.7.1 (anesthesia  equipment and supply  storage) 05/09/09 granted
St. Mary Medical Center 28 Pa. Code § 153.1 22.4.2.1(1) (phase II  recovery room)05/09/09 granted
Magee-Womens Hospital 28 Pa. Code § 153.1 2.1.1.2 (handwashing  station)05/09/09 granted
Geisinger Medical Center 28 Pa. Code § 153.1 5.3.2.5, patient change  areas 2.5.1.1 and 2.5.1.2 05/23/09 granted
Temple University  Hospital—Episcopal  Campus28 Pa. Code § 153.1 10.1.4 vaccum, oxygen or  air outlets05/23/09 granted
DuBois Regional Medical  Center—Charles Medical  Center28 Pa. Code § 153.1 3.1; 5.2.11 corridor width;  3.1; 2.1.1.1.1(1)  minimum floor area 05/23/09 granted
DuBois Regional Medical  Center—Brookville Family  Medical Practice28 Pa. Code § 153.1 3.1-5.2.11 corridor width;  3.1-2.1.1.1.1(1)  minimum floor area 05/23/09 granted
Alle-Kiski Medical Center,  Allegheny Valley Hospital 28 Pa. Code § 153.1 2.4.3.2.1 (activities for  daily living unit) 05/23/09 granted
St. Mary Medical Center 28 Pa. Code § 153.1 (2.1-space in patient care  area 3.4.2.1(b)) 06/13/09 granted
The Western Pennsylvania  Hospital—West Penn  Allegheny Oncology  Network Cercone Practice  Site 28 Pa. Code § 153.1 3.1; 5.2.1.1(1) corridor  width 06/13/09 granted
Milton S. Hershey Medical  Center 28 Pa. Code § 153.1 5.3.1.2; layout; room(s);  post 5.3.2.2; anesthetic  care units 5.3.3.2; 5.3.5;  (PACUs); support areas  for surgical suite 06/20/09 granted w/conditions
Milton S. Hershey Medical  Center 28 Pa. Code § 153.1 5.3.5.11; anesthesia  workroom, staff; 5.3.6.2;  2.1.5 clothing change  areas; station outlets for  oxygen, vacuum  (suction) and medical air  systems in hospitals 06/20/09 granted w/conditions
DuBois Regional Medical  Center 28 Pa. Code § 153.1 2.1-2.2.1 toilet rooms;  2.1-3.1.1.3 windows; 2.1-  3.1.5.9 patient bathing  facilities 06/27/09 granted w/conditions
UPMC Presbyterian  Shadyside 28 Pa. Code § 153.1 3.1-5.2.1.1(1) public  corridors; 3.1-1.1.1.1(2)  clearance 06/27/09 granted w/conditions
Milton S. Hershey Medical  Center 28 Pa. Code § 153.1 Table 2.1-station outlets  for oxygen, 5.3.2.2  vacuum and medical air  systems 07/11/09 granted
Elk Regional Health Center 28 Pa. Code § 153.1 5.2.1.1 Corridor 07/11/09 granted
American Access Care of  Pennsylvania, Inc. 28 Pa. Code § 153.1 3.7-2.7.1 (outpatient  surgical facilities pre op  area 3.7-2.4.2.1 (phase II  recovery) 07/25/09 granted
DuBois Regional Medical  Center 28 Pa. Code § 153.1 3.1-5.2.11 (corridor width)  3.1-5.2.14 (exam room  door); 3.1-2.1.1.1 (floor  area requirement in  exam room) 07/25/09 granted
The Western Pennsylvania  Hospital 28 Pa. Code § 153.1 3.1-2.1.1.2 (hand-washing  stations) and 3.1-2.1.8.1  (toilet facilities) 07/25/09 granted
Elk Regional Health Center 28 Pa. Code § 153.1 3.1-2.1.1.1 (space  requirements in  outpatient facilities) 07/25/09 granted
The Childrens Hospital of  Philadelphia 28 Pa. Code § 153.1 2.1-10.1.2.3(4) (inpatient  toilet rooms) 07/25/09 denied
UPMC Presbyterian  Shadyside 28 Pa. Code § 153.1 2.1.3-2.1.3.1 (space  requirements in  treatment rooms)07/25/09 granted
Children's Hospital of  Allentown 28 Pa. Code § 153.1 5.3.2.1(1)(a) (space  required in procedure  rooms)07/25/09 granted
Lancaster Regional Medical  Center 28 Pa. Code § 153.1 (9.9.2(b)(1)) general purpose  exam 09/26/09 granted
Kane Community Hospital 28 Pa. Code § 153.1 Table 2.1-5 medical air  outlet 09/26/09 not necessary
Pottstown Memorial Medical  Center 28 Pa. Code § 153.1 2.1-5.5.6.2 patient toilet 09/26/09 granted
Pottstown Memorial Medical  Center 28 Pa. Code § 153.1 2.1-5.5.8.5 patient holding  area 09/26/09 granted with conditions
Westmoreland Hospital 28 Pa. Code § 153.1 3.1.1.2 space requirements 10/10/09 not necessary
St. Luke's Hospital, Bethlehem 28 Pa. Code § 153.1 3.1-5.2.1.1(1) corridor  width10/10/09 granted
Warminster Surgical 28 Pa. Code § 153.1 2.4.1.1(4) recovery areas,  general 10/10/09 granted
Western Pennsylvania  Hospital 28 Pa. Code § 153.1 3.1-2.1.1.1(1) exam 10/10/09 granted
Western Pennsylvania  Hospital 28 Pa. Code § 153.1 3.1-5.2.1.1(1) corridor  width 10/10/09 granted
DuBois Regional Medical  Center 28 Pa. Code § 153.1 3.1-5.2.1.1 corridor width 10/24/09 granted
The Children's Institute 28 Pa. Code § 153.1 3.1-2.1.1.3 documentation  space; 3.1-2.1.7.5 soiled  holding; 3.1-2.2 and 2.3  imaging and laboratory  services; 3.1-4.1.7  wheelchair storage 11/14/09 granted
UPMC Presbyterian  Shadyside 28 Pa. Code § 153.1 2.1-3.1.1.2(2) dimensions  and clearances; 2.3-  2.1.1.5(1) toilet room 11/14/09 granted
Abington Health Lansdale  Hospital 28 Pa. Code § 153.1 NFPA 101-18.2.5.10 dead  end corridor11/14/09 granted/not necessary
Lankenau Hospital 28 Pa. Code § 153.1 5.9.4.9 soiled workrooms 12/19/09 granted
Dubois Regional Medical  Center, Schmidt & Hall,  Family Practice28 Pa. Code § 153.1 3.1-2.1.1.1(1) minimum  floor area for exam  rooms12/19/09 granted
Dubois Regional Medical  Center, Dr. Scerbo, Internal  Medicine, Suite 205 28 Pa. Code § 153.1 3.1, 5.2 general standards;  5.2.11 corridor width;  5.2.14 door width;  2.1.1.1.1(1) minimum  floor area granted
Dubois Regional Medical  Center, Dr. Suvarnakar,  Internal Medicine 28 Pa. Code § 153.1 3.1, 5.2.11 corridor width;  5.2.14 exam room door 12/19/09 granted
St. Mary Medical Center 28 Pa. Code § 153.1 3.4.2.1(b) clearance 12/19/09 granted
Holy Spirit Hospital 28 Pa. Code § 153.1 5.3.3.2(2) layout12/19/09denied
Heritage Valley Beaver 28 Pa. Code § 153.1 2.1.1.2 space requirements 12/19/09 granted
Ambulatory Surgical Facilities
McCandless Endoscopy  Center LLc 28 Pa. Code § 551.3 definitions 07/25/09 granted
Drexel Center for Digestive  Health 28 Pa. Code § 551.3 definitions 09/26/09 granted
Main Line Endoscopy Center  South 28 Pa. Code § 551.3 definitions 10/10/09 granted
Laser Spine Surgery Center of  Pennsylvania, LLC28 Pa. Code § 551.3 definitions 11/14/09 denied
Susquehanna Endoscopy  Center, LLC 28 Pa. Code § 551.3 definitions 05/23/09 granted
Conyngham Valley  Surgicenter 28 Pa. Code § 551.3 definitions 05/23/09 granted
Surgery Center of Pottsville 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 07/11/09 granted
Crossroads Surgery Center 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 07/11/09 granted
OSI Ambulatory Surgery  Center surgery 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 07/25/09denied
Northwood Surgery Center 28 Pa. Code § 551.21(d)criteria for ambulatory  surgery 08/22/09 granted
Turk's Head Surgery Center,  LLC28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 08/22/09 granted
Surgery Center of Lebanon,  LP 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 09/26/09 granted
Physicians' Surgery Center  Lancaster General, LLC28 Pa. Code § 551.21(d) criteria for ambulatory  surgery09/26/09 granted
The Physicians' Surgery  Center Lancaster General,  LLC 28 Pa. Code § 551.21 criteria for ambulatory  surgery 10/10/09 granted
The Surgery Center at  Brinton Lake, LLC 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 10/10/09 granted/denied in part
Lee Ambulatory Surgery  Facility 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 10/10/09 granted
The Neurospine Center 28 Pa. Code § 551.21 criteria for ambulatory  surgery 10/10/09 granted
Renal Endocrine Assoc, PC 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery10/17/09denied
Associates in Kidney Disease  & Hypertension, PC 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 10/17/09denied
Eastern Pennsylvania  Nephrology Associates, PC 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 11/14/09 granted
West Shore Surgery Center 28 Pa. Code § 555.21(d) criteria for ambulatory  surgery11/14/09 granted
Nephrology Hypertension  Associates of Lehigh 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 11/21/09 granted
Hypertension Nephrology  Associates, PC 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 12/19/09 granted
Delaware Valley Nephrology  and Hypertension  Associates, PC 28 Pa. Code § 551.21(d)criteria for ambulatory  surgery 12/19/09 granted
Surgery Center of Allentown,  LP 28 Pa. Code § 551.21(d) laparoscopic cholecystectomies granted
Carlisle Outpatient Surgery  Center 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 03/28/09 granted/denied in part
The Surgery Center of the  Main Line 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 04/25/09 granted
West Shore Surgery Center 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 05/23/09 granted
Gettysburg Hospital-Wellspan  Surgical Center 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 05/23/09 granted
The Neurospine Center, LP 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 06/13/09 granted/denied in part
West Shore Endoscopy Center 28 Pa. Code § 551.21(d) criteria for ambulatory  surgery 06/13/09 granted
Laser Spine Surgery Center of  Pennsylvania, LLC28 Pa. Code § 551.31(a) licensure 11/14/09 granted
Gettysburg Hospital  (Wellspan Surgical Center)28 Pa. Code §§ 553.2;  553.3; 553.4; 563.2;  563.12 (ownership); (governing  body resp); (other  functions); (organization  and staffing); (form and  content of record) 04/25/09 withdrawn
Lawrence County Surgery  Center of Edgewood  Surgical Hospital 28 Pa. Code § 553.3 governing body  responsibilities 11/14/09 granted
Gettysburg Hospital 28 Pa. Code § 553.3(8)
 (iii) and (v)
governing body  responsibilities 05/09/09not necessary
Lawrence County Surgery  Center of Edgewood  Surgical Hospital 28 Pa. Code § 553.31 administrative  responsibilities 11/14/09 granted
Mount Nittany Surgical  Center 28 Pa. Code § 553.31 administrative  responsibilities 10/10/09denied
East Side Surgery Center 28 Pa. Code § 553.31(a) administrative  responsibilities 10/20/07 granted
UPMC Mercy South Side  Surgery Center 28 Pa. Code §§ 553.31(a);  557.4; 563.2; 567.2 administrative  responsibilities; quality  assurance and  improvement committee;  organization and  staffing; committee  responsibilities 04/25/09 granted/not necessary in part
Gettysburg Hospital Wellspan  Surgical Center 28 Pa. Code §§ 555.1 and  555.3 medical staff 04/25/09 granted
Memorial Hospital Outpatient  Endoscopy Center 28 Pa. Code § 555.2 director of nursing 04/25/09 granted
Lawrence County Surgery  Center of Edgewood  Surgical Hospital 28 Pa. Code § 555.3 requirements for  membership and  privileges 11/14/09 granted
Valley Forge Surgical Center,  LP 28 Pa. Code § 555.31(a) licensure-class A ASF 07/11/09 granted
Drexel Center for Digestive  Health28 Pa. Code § 555.31 membership and privileges 09/26/09 granted
Main Line Endoscopy Center  South 28 Pa. Code § 555.31 principle 10/10/09 granted
Premier Podiatric Surgery  Centerservices 28 Pa. Code § 555.31(a) principle for anesthesia 12/19/09 granted
Wyomissing Hills Podiatric  Surgical Center28 Pa. Code § 555.31(a) anesthesia services-
 propofol
12/16/06 denied
Lee Ambulatory Surgical  Center 28 Pa. Code § 555.32 administration of  anesthesia 09/26/09 granted
Surgery Center at Brinton  Lake 28 Pa. Code § 555.32(a) administration of  anesthesia 10/17/09 granted
Hamot Surgery Center 28 Pa. Code § 555.32(a) administration of  anesthesia 11/14/09 granted
Lawrence County Surgery  Center of Edgewood  Surgical Hospital28 Pa. Code Chapter 557 quality  assurance and  improvement11/14/09 granted
The Center for Spine Care at  Lancaster Neurospine &  Spine Associates 28 Pa. Code §§ 559.2;  553.31(a) director of nursing and  administrative  responsibilities06/20/09 granted
UPMC St. Margaret Harmar  Outpatient Center28 Pa. Code § 559.2 director of nursing 02/17/07 granted
Regional Ambulatory Surgical  Center 28 Pa. Code § 559.2 director of nursing 02/17/07 granted
Center for Reproductive  Surgery, LCC 28 Pa. Code § 559.3(b) nursing personnel 12/19/09 denied
Abington Memorial Hospital 28 Pa. Code § 567.1 infection control 12/01/07 granted
Lawrence County Surgery  Center of Edgewood  Surgical Center 28 Pa. Code § 567.2 committee responsibilities 11/14/09 granted
Cornerstone Ambulatory  Surgery Center 28 Pa. Code § 569.35 general safety precautions 07/11/09 granted
Hazelton Surgery Center,  d/b/a Center for Advanced  Surgery 28 Pa. Code § 569.35general safety precautions 07/25/09 granted
UPMC Mercy South Side  Surgery Center 28 Pa. Code § 569.35 general safety precautions 07/25/09 granted
Foundation Surgery Center of  Fort Washington, LLC 28 Pa. Code § 569.35 general safety precautions 07/25/09 granted
Norwin Medical Commons 28 Pa. Code § 569.35 general safety precautions 09/26/09 granted
Eastern Pennsylvania  Nephrology Associates 28 Pa. Code § 569.35(7) general safety precautions 10/17/09 granted
Nephrology Hypertension  Associates of the Lehigh  Valley28 Pa. Code § 569.35(7) general safety precautions 10/17/09 granted
Apple Hill Surgical Center 28 Pa. Code § 569.35(7) general safety precautions 10/17/09 granted
Hazleton General Hospital 28 Pa. Code § 569.35(7) general safety precautions 10/17/09 granted
UPMC Monroeville Surgery  Center 28 Pa. Code § 569.35 general safety precautions 12/19/09 granted
Laser Spine Surgery Center of  Pennsylvania, LLC28 Pa. Code § 569.35 general safety precautions 12/19/09 granted
Spartan Health Surgicenter 28 Pa. Code § 569.35 general safety precautions 05/09/09 granted
The Neurospine Center, LP 28 Pa. Code § 569.35 general safety precautions 06/13/09 granted
The Scranton Endoscopy  Center 28 Pa. Code § 571.1 3.9-2.3.2.2 (area and  dimensions)06/13/09 granted
Long-Term Care Nursing Care Facilities
Artman Lutheran Home 28 Pa. Code § 201.3 definitions 10/10/09 granted
Paul's Run 28 Pa. Code § 201.3 definitions 10/10/09 granted
Riverwoods 28 Pa. Code § 201.3 definitions 11/07/09 granted
Schuylkill Medical  Center—South 28 Pa. Code § 201.18(e) management10/17/09 granted
Lutheran Community at  Telford 28 Pa. Code § 205.6(a)function of building 10/31/09 granted
Schuylkill Medical  Center—South 28 Pa. Code § 205.6(a) function of building 12/05/09 granted
Orangeville Nursing & Rehab 28 Pa. Code § 205.6(a) function of building 12/12/09 granted
John J. Kane Regional  Center 28 Pa. Code § 205.6(a) function of building 12/19/09 granted
Hanover Hall 28 Pa. Code § 205.10(d) doors 11/14/09 granted
Golden Living Center—Erie 28 Pa. Code § 205.19(b) windows and windowsills 12/05/09 granted
St. Monica Manor 28 Pa. Code § 205.24(a) dining room 07/18/09 temporarily granted
Lutheran Community at  Telford 28 Pa. Code § 205.25(a) kitchen 10/31/09 granted
Lutheran Community at  Telford 28 Pa. Code § 205.26(a) laundry10/31/09 granted
Highland Park Care Center 28 Pa. Code § 205.28(c)(1)nurse's station 12/19/09 granted
Transitional Care Center 28 Pa. Code § 205.31 storage10/10/09 granted
Transitional Care Center 28 Pa. Code § 205.36 bathing facilities 10/10/09 granted
Haven Convalescent Home,  Inc. 28 Pa. Code § 205.36(h) bathing facilities 11/28/09 granted
Schuylkill Medical  Center—South 28 Pa. Code § 205.36(h) bathing facilities 11/28/09 granted
Countryside Christian  Community 28 Pa. Code § 205.67(j)—(k)electrical requirements 09/26/09 granted
Lutheran Community at  Telford 28 Pa. Code § 205.67(k) electric requirements 10/31/09 granted
Schuylkill Medical  Center—South 28 Pa. Code § 211.12(b) nursing services 10/17/09 granted
Charles Cole Memorial  Hospital 28 Pa. Code § 211.3(a) oral and telephone orders 04/25/09 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.

EVERETTE JAMES, 
Secretary

[Pa.B. Doc. No. 10-615. Filed for public inspection April 2, 2010, 9:00 a.m.]



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