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PA Bulletin, Doc. No. 16-1498

NOTICES

Decisions on Requests for Exception to Health Care Facility Regulations

[46 Pa.B. 5642]
[Saturday, August 27, 2016]

 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 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 1, 2016, through June 30, 2016. 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
Surgical Institute of Reading § 103.3 Governing body bylaws 06/04/2016 not nec.
Surgical Institute of Reading § 103.34 Personnel policies and practices 06/04/2016 not nec.
Surgical Institute of Reading § 103.41 Principle (fiscal control) 06/04/2016 not nec.
Surgical Institute of Reading § 103.42 Rates (fiscal control) 06/04/2016 not nec.
Surgical Institute of Reading § 103.43 Insurance (fiscal control) 06/04/2016 not nec.
Surgical Institute of Reading § 103.44 Purchasing and inventory (fiscal control) 06/04/2016 not nec.
Surgical Institute of Reading § 103.45 Audit of financial operations (fiscal control) 06/04/2016 not nec.
Surgical Institute of Reading § 103.46 Equipment and supplies (fiscal control) 06/04/2016 not nec.
Thomas Jefferson University Hospital § 105.1 Principal 04/09/2016 withdrawn
Surgical Institute of Reading § 107.11 Medical staff bylaws, rules and regulations (principle) 06/04/2016 not nec.
Surgical Institute of Reading § 107.12 Content of bylaws, rules and regulations 06/04/2016 not nec.
Heritage Valley Beaver § 107.2 Medical staff membership 06/11/2016 granted
Heritage Valley Sewickley § 107.2 Medical staff membership 06/11/2016 granted
UPMC St. Margaret § 107.26(b)(2) Organization of the medical staff (additional committees) 06/11/2016 granted
Chambersburg Hospital § 107.61 Written orders (medical staff) 05/21/2016 granted
Conemaugh Memorial Medical Center § 107.61 Written orders (medical staff) 04/23/2016 granted
St. Luke's Hospital—Anderson Campus § 107.61 Written orders (medical staff) 05/21/2016 granted
St. Luke's Miners Memorial Hospital § 107.61 Written orders (medical staff) 05/21/2016 granted
St. Luke's Quakertown Hospital § 107.61 Written orders (medical staff) 05/21/2016 granted
UPMC Altoona § 107.61 Written orders (medical staff) 05/28/2016 granted
UPMC Mercy § 107.61 Written orders (medical staff) 06/11/2016 granted
Waynesboro Hospital § 107.61 Written orders (medical staff) 05/21/2016 granted
Highlands Hospital § 107.62(a) Oral orders 04/23/2016 granted
Jameson Memorial Hospital § 107.62(a) Oral orders 04/09/2016 granted
Highlands Hospital § 107.62(b) Medical staff by-laws 04/23/2016 granted
Jameson Memorial Hospital § 107.62(b) Medical staff by-laws 04/09/2016 granted
York Hospital § 107.64 Administration of drugs 04/09/2016 granted
Jameson Memorial Hospital § 123.25(2) Control of anesthetic explosion hazards 04/09/2016 granted
St. Luke's Hospital—Anderson Campus § 127.32 Written orders (radiology orders) 04/09/2016 not nec.
St. Luke's Miners Memorial Hospital § 127.32 Written orders (radiology orders) 04/09/2016 not nec.
St. Luke's Quakertown Hospital § 127.32 Written orders (radiology orders) 04/09/2016 not nec.
Indiana Regional Medical Center § 138.15 High-risk cardiac catheterizations 06/11/2016 granted
Jameson Memorial Hospital § 138.15 High-risk cardiac catheterizations 04/16/2016 granted
Main Line Hospital Bryn Mawr § 138.15 High-risk cardiac catheterizations 05/21/2016 withdrawn
Chambersburg Hospital § 138.18(b) EPS studies 03/05/2016 granted
Ohio Valley General Hospital § 143.5 Medical supervision of podiatric patients 04/30/2016 granted
Main Line Hospital Lankenau Medical Center § 153.1 2.1-2.2.5.1 Hand-washing stations in the patient rooms (location) 05/21/2016 granted
UPMC Presbyterian Shadyside § 153.1 2.1-2.4.3.1(2)(a) General (location) 06/11/2016 granted
UPMC Presbyterian Shadyside § 153.1 2.1-2.4.3.9(1)(b) Special design elements (architectural details) 06/11/2016 granted
Penn Highlands DuBois,
100 Hospital Avenue
§ 153.1 2.1-7.2.2.5(1) Windows in patient rooms 05/21/2016 granted
Children's Hospital of Philadelphia and Children's Seashore House of CHOP § 153.1 2.1-8.5.3.2 Size (TDRs) 04/09/2016 not nec.
Geisinger Community Medical Center § 153.1 2.2-2.11.9.2(1) Space requirements (area (cesarean delivery rooms)) 04/02/2016 granted
UPMC Hamot § 153.1 2.2-2.5.2.2(1) Space requirements (area) 05/21/2016 granted
Holy Spirit Hospital § 153.1 2.2-2.6.7.1(2) Staff lounge facilities 06/11/2016 granted
Temple University Hospital § 153.1 2.2-3.1.3.3(3)(h) Reception and triage areas 05/21/2016 granted
Main Line Hospital Lankenau Medical Center § 153.1 2.2-3.1.3.6(10) Treatment rooms or areas (fast track) 04/16/2016 granted
Jameson Memorial Hospital § 153.1 2.2-3.1.3.6(5)(a) Treatment rooms for bariatric patients 04/16/2016 granted
UPMC East § 153.1 2.2-3.12.2.6 Patient toilet rooms 05/21/2016 granted
UPMC East § 153.1 2.2-3.12.6.7 Nourishment area or rooms 05/21/2016 granted
Hanover Hospital § 153.1 2.2-3.4.2.1(1)(b) CT scanner rooms 03/12/2016 granted
Saint Vincent Hospital § 153.1 2.2-3.4.3.3(3) Radiography (fluoroscopy rooms) 06/18/2016 granted
Heritage Valley Sewickley § 153.1 2.2-3.4.5.4 Patient toilet rooms 04/09/2016 granted
Magee-Womens Hospital of UPMC Health System § 153.1 2.2-3.4.5.4 Patient toilet rooms 05/21/2016 granted
Jameson Memorial Hospital § 153.1 2.2-3.4.5.4(1) Patient toilet room 04/16/2016 granted
Lancaster Regional Medical Center § 153.1 2.2-3.5.3.1(2) General (location) 04/23/2016 granted
UPMC Altoona § 153.1 2.2-3.5.3.1(2—4) Pre-procedure and recovery patient care areas (general) 03/12/2016 granted
Williamsport Regional Medical Center § 153.1 2.2-3.6.3.6(1) Support areas for PET facilities 02/13/2016 granted
Children's Hospital of Philadelphia and Children's Seashore House of CHOP § 153.1 2.7-2.2.2.2(2) Space requirements (clearances) 04/09/2016 granted
Children's Hospital of Philadelphia and Children's Seashore House of CHOP § 153.1 2.7-2.2.2.6 Patient toilet rooms 04/09/2016 granted
Penn Highlands DuBois,
177 Washington Street, St. Marys
§ 153.1 3.1-3.2.2.2(1) Space requirements (area) 03/12/2016 granted
Thomas Jefferson University Hospital, GI § 153.1 3.1-3.2.2.2(1) Space requirements (area) 05/21/2016 granted
Thomas Jefferson University Hospital, Jefferson Endocrinology § 153.1 3.1-3.2.2.2(1) Space requirements (area) 05/21/2016 granted
Thomas Jefferson University Hospital, Jefferson Internal Medicine § 153.1 3.1-3.2.2.2(1) Space requirements (area) 05/21/2016 granted
Penn Highlands DuBois,
177 Washington Street, St. Marys
§ 153.1 3.1-3.2.2.2(2) Space requirements (clearances) 03/12/2016 granted
Milton S. Hershey Medical Center § 153.1 3.1-3.6.5.1 Hand-washing stations (location) 05/21/2016 granted
Thomas Jefferson University Hospital, Jefferson Endocrinology § 153.1 3.1-6.2.4.1 Public toilets 05/28/2016 granted
Thomas Jefferson University Hospital, Jefferson Endocrinology § 153.1 3.1-6.2.4.1 Public toilets 05/28/2016 granted
Milton S. Hershey Medical Center § 153.1 3.6-3.2.5.1 Hand-washing stations 05/21/2016 granted
Thomas Jefferson University Hospital, Family Medicine,
833 Chestnut Street
§ 153.1 3.8-3.1.2.1 Space requirements (area) 06/04/2016 granted
Thomas Jefferson University Hospital, Medical Oncology,
925 Chestnut Street,
3rd and 4th Floors
§ 153.1 3.8-3.1.2.1 Space requirements (area) 06/11/2016 granted
Thomas Jefferson University Hospital, Neurology/Neuroscience § 153.1 3.8-3.1.2.1 Space requirements (area) 06/04/2016 granted
Thomas Jefferson University Hospital, Rheumatology,
211 South 9th Street
§ 153.1 3.8-3.1.2.1 Space requirements (area) 06/11/2016 granted
Thomas Jefferson University Hospital, Internal Medicine,
833 Chestnut Street
§ 153.1 3.8-3.1.2.1 Space requirements (area) 06/18/2016 granted
UPMC Altoona § 153.1 4-6.7.1 Air distribution systems—
general
03/12/2016 granted
Jameson Memorial Hospital § 153.1 Table 7.1 Design parameters 04/16/2016 granted
Albert Einstein Medical Center § 153.1 Table 7.1 Design parameters—
critical and intensive care
04/09/2016 granted
Ambulatory Surgical Facilities
Western Pa. Surgery Center § 51.3 Notification (general provisions) 06/18/2016 not nec.
Allegheny Health Network Surgery Center—Bethel Park, LLC § 551.21 Criteria for ambulatory surgery (re: general surgeon) 05/21/2016 granted
Langhorne Access Center § 551.21 Criteria for ambulatory surgery 04/09/2016 granted/ denied in part
Monroeville ASC, LLC § 551.21 Criteria for ambulatory surgery 02/13/2016 granted
Peter's Township Surgery Center, LLC § 551.21 Criteria for ambulatory surgery 02/13/2016 granted
Excela Health Norwin Medical Commons § 551.21(d) Criteria for ambulatory surgery 03/12/2016 granted/ denied in part
The Surgery Center at Benbrook § 551.21(d) Criteria for ambulatory surgery 03/26/2016 granted
Chambersburg Endoscopy Center, LLC § 551.3(ii) Class B definitions (PS III patients) 04/23/2016 granted
Pinnacle Health Pain Management Center West § 551.3(ii) Class B definitions (PS III patients) 05/21/2016 granted
Saint Vincent Endoscopy Center § 551.3(ii) Class B definitions (PS III patients) 05/28/2016 denied
Einstein Montgomery Surgery Center § 553.1 Principle (governing body) 05/28/2016 denied
Reading Ambulatory Surgery Center, LP § 553.3 Governing body responsibilities 05/21/2016 granted
McCandless Endoscopy Center, LLC § 553.31 Administrative responsibilities 03/12/2016 granted
Progressive Surgical Institute Abe, Inc. § 553.31 Administrative responsibilities 03/12/2016 granted
Reading Ambulatory Surgery Center, LP § 553.31 Administrative responsibilities 05/21/2016 granted
Penn Medicine at Radnor Endoscopy Facility § 553.31(a) Administrative responsibilities 06/04/2016 denied
Einstein Montgomery Surgery Center § 555.1 Principle (medical staff) 05/28/2016 granted
Reading Ambulatory Surgery Center, LP § 555.3 Requirements for membership and privileges 05/21/2016 granted
Chambersburg Endoscopy Center, LLC § 555.31(a) Anesthesia services (propofol) 04/23/2016 granted
Einstein Montgomery Surgery Center § 557.1 Policy (quality assurance and improvement) 05/28/2016 denied
Einstein Montgomery Surgery Center § 557.2 Plan (quality assurance and improvement) 05/28/2016 granted
Reading Ambulatory Surgery Center, LP § 557.2 Plan (quality assurance and improvement) 06/04/2016 granted
Einstein Montgomery Surgery Center § 557.4 Quality assurance and improvement committee 05/28/2016 granted
Einstein Montgomery Surgery Center § 559.1 Nursing department 05/28/2016 denied
Einstein Montgomery Surgery Center § 559.2 Director of nursing 05/28/2016 not nec.
Einstein Montgomery Surgery Center § 561.2 Pharmaceutical service 05/28/2016 denied
Einstein Montgomery Surgery Center § 563.2 Organization and staffing (medical records) 05/28/2016 granted
Einstein Montgomery Surgery Center § 565.1 Principle (laboratory services) 05/28/2016 withdrawn
Einstein Montgomery Surgery Center § 565.12 Radiology service policy 05/28/2016 denied
Einstein Montgomery Surgery Center § 567.2 Committee responsibilities 05/28/2016 granted
Reading Ambulatory Surgery Center, LP § 567.2 Committee responsibilities 05/21/2016 granted
Einstein Montgomery Surgery Center § 567.22 Linen service policy 05/28/2016 denied
Eyes of York Surgical Center, LLC § 567.43 Ventilation system 04/23/2016 not nec.
Children's Hospital of Philadelphia, Brandywine Valley Specialty Care & Surgery Center § 567.53 Sterilization controls 04/09/2016 granted
Einstein Montgomery Surgery Center § 569.1 Principle (general provisions—fire and safety services) 05/28/2016 denied
Einstein Montgomery Surgery Center § 569.11 Firefighting service (internal disaster plan) 05/28/2016 denied
Einstein Montgomery Surgery Center § 569.13 Testing fire warning systems 05/28/2016 denied
Einstein Montgomery Surgery Center § 569.14 Internal disaster and fire plans 05/28/2016 denied
Einstein Montgomery Surgery Center § 569.32 Fire inspection 05/28/2016 granted
Allegheny Health Network Surgery Center—Bethel Park, LLC § 569.35(7) General safety precautions 05/21/2016 granted
Einstein Montgomery Surgery Center § 569.35(7) General safety precautions 05/28/2016 granted
Einstein Montgomery Surgery Center § 569.37 Report of emergencies causing interruption of service 05/28/2016 denied
Einstein Montgomery Surgery Center § 571.1 3.7-3.8.1.1 Patient changing and preparation area (space) 05/28/2016 granted
Einstein Montgomery Surgery Center § 571.1 3.7-3.4.2.1 Pre- and postoperative patient care areas (general) 05/28/2016 granted
Nursing Care Facilities
Brethren Village § 201.18(e) Management 04/23/2016 granted
Penn Center for Rehabilitation & Care § 201.18(e) Management 06/11/2016 granted
Presbyterian Center for Continuing Care § 201.18(e) Management 06/11/2016 granted
Rehabilitation Center at Brethren Village § 201.18(e) Management 03/12/2016 granted
The Transitional Care Unit at Nazareth Hospital § 201.18(e) Management 06/11/2016 granted
Crawford County Care Center § 201.22(d) and (e) Prevention, control and surveillance of tuberculosis 05/28/2016 granted
John J. Kane Regional Center—Ross Township § 201.22(e) and (j) Prevention, control and surveillance of tuberculosis 04/23/2016 granted
Paul's Run § 205.24(a) Dining rooms 04/16/2016 granted
Oakmont Center for Nursing & Rehabilitation § 205.26(e) Laundry 06/11/2016 granted
Paul's Run § 205.27 Lounge and recreation rooms 04/16/2016 granted
St. Anne Home § 205.28(b) Nurses' station 04/23/2016 granted
Oakmont Center for Nursing & Rehabilitation § 205.33(b) Utility room 06/11/2016 granted
Brookmont Healthcare Center, LLC § 205.6(a) Function of building 03/19/2016 granted
Edinboro Manor § 205.6(a) Function of building 04/30/2016 granted
Quarryville Presbyterian Retirement Community § 205.6(a) Function of building 06/11/2016 granted
Rehabilitation Center at Brethren Village § 205.6(a) Function of building 04/16/2016 granted
The Meadows at Shannondell § 205.6(a) Function of building 04/23/2016 granted
The Shook Home § 205.6(a) Function of building 06/11/2016 granted
Vincentian Home § 205.6(a) Function of building 06/11/2016 granted
WillowBrooke Court at Normandy Farms Estates § 205.6(a) Function of building 04/16/2016 granted
StoneRidge Towne Centre § 205.67(j) and (k) Electric requirements for existing and new construction 05/07/2016 granted
Pennswood Village § 205.67(k) Electric requirements for existing and new construction 04/16/2016 granted
Rehabilitation Center at Brethren Village § 205.67(k) Electric requirements for existing and new construction 04/02/2016 granted
Germantown Home § 211.9(g) Pharmacy services 04/16/2016 granted
Gwynedd Square Center for Nursing and Convalescent Care § 211.9(g) Pharmacy services 04/16/2016 granted
Hillsdale Rehabilitation and Nursing Center § 211.9(g) Pharmacy services 05/07/2016 granted
Huntingdon Hills Rehabilitation and Nursing Center § 211.9(g) Pharmacy services 04/23/2016 granted
ManorCare Health Services—
Lancaster
§ 211.9(g) Pharmacy services 04/23/2016 granted
ManorCare Health Services—
Northside
§ 211.9(g) Pharmacy services 03/19/2016 granted
Mountain Top Healthcare and Rehabilitation Center § 211.9(g) Pharmacy services 06/11/2016 granted
Regina Community Nursing Center § 211.9(g) Pharmacy services 04/16/2016 granted
Scottdale Healthcare and Rehabilitation Center § 211.9(g) Pharmacy services 04/23/2016 granted
St. Martha Center for Rehabilitation & Healthcare § 211.9(g) Pharmacy services 06/11/2016 granted
The Wesley Village § 211.9(g) Pharmacy services 05/07/2016 granted
Woodland Rehabilitation and Nursing Center § 211.9(g) Pharmacy services 04/23/2016 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. 16-1498. Filed for public inspection August 26, 2016, 9:00 a.m.]



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