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PA Bulletin, Doc. No. 05-66

NOTICES

Decisions on Requests for Exceptions to Health Care Facility Regulations

[35 Pa.B. 298]

   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 1, 2004, through September 30, 2004. 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, Sandra Knoble, Director, P. O. Box 90, Harrisburg, PA 17108. Inquiries regarding long-term care facilities shall be addressed to the Division of Nursing Care Facilities, William Bordner, Chief, P. O. Box 90, Harrisburg, PA 17108. 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).

Exception Requests--Hospitals

Facility Name Regulation          Relating to Request
Published
Decision
York Hospital 28 Pa. Code § 51.6(b) staff identification 8/21/2004 granted
St. Mary's Medical 28 Pa. Code § 51.22 cardiac catheterization 3/13/2004granted
Warren General Hospital 28 Pa. Code § 51.23 PET scan services 11/8/2004 granted
Chambersburg Hospital 28 Pa. Code § 51.23 mobile PET scanning 7/17/2004 granted
Jennersville Regional Hosp 28 Pa. Code § 51.23 mobile PET scanning 8/14/2004 granted
Adler Institute for
   Advanced Imaging, LLC
28 Pa. Code § 51.23 PET scanning services 8/14/2004 denied
Lehigh Valley Hospital 28 Pa. Code § 101.4 definition of practitioner 9/11/2004 denied
Lehigh Valley Hospital--
   Muhlenberg
28 Pa. Code § 101.4 definition of practitioner 9/11/2004 denied
Bryn Mawr 28 Pa. Code § 107.2 medical staff 7/31/2004 granted
   Rehabilitation Hospital membership--podiatrists
Troy Community Hospital 28 Pa. Code § 107.2 medical staff 7/31/2004 granted
membership--podiatrists
UPMC Passavant 28 Pa. Code § 107.2 medical staff membership 8/21/2004 granted
UPMC McKeesport 28 Pa. Code § 107.2 medical staff membership 9/4/2004 granted
Suburban General 28 Pa. Code § 107.2 medical staff 9/18/2004 granted
   Hospital membership--podiatrists
Sunbury Community 28 Pa. Code § 107.2 medical staff 9/11/2004 granted
   Hospital membership--podiatrists
Kindred Hospital at 28 Pa. Code § 107.2 medical staff 9/18/2004 granted
   Heritage Valley membership--podiatrists
Western Pennsylvania 28 Pa. Code § 107.2 medical staff 9/18/2004 granted
   Hospitalmembership--podiatrists
UPMC South Side 28 Pa. Code § 107.2 medical staff 9/18/2004 granted
membership--podiatrists
UPMC Horizon28 Pa. Code § 107.2 medical staff 9/18/2004 granted
membership--podiatrists
St. Vincent Health 28 Pa. Code § 107.2 medical staff 10/16/2004 granted
membership--podiatrists
Westmoreland Health 28 Pa. Code § 107.26(b)(2) tissue committee 12/20/2004 withdrawn
   System for Frick Hospital
   and Westmoreland Regional
   Hospital
Nason Hospital 28 Pa. Code § 107.26(b) tissue committee 8/14/2004 granted
Mount Nittany Medical 28 Pa. Code § 107.26(b)(2) tissue committee 8/14/2004 granted
   Centermeetings
Sacred Heart Hospital 28 Pa. Code § 107.31 medical staff meetings 7/31/2004 denied
Select Specialty Hospital28 Pa. Code § 107.32 medical staff meetings 8/9/2004 withdrawn
   Camp Hill and York
Sacred Heart Hospital28 Pa. Code § 107.32 meetings and attendance 7/31/2004 denied
Nason Hospital 28 Pa. Code § 107.32 meetings and attendance 8/14/2004 granted
Wyoming Valley Health 28 Pa. Code § 107.61 written orders--PA's 6/21/2004 not necessary
   Care System Hospitaland CRNP's
UPMC Passavant 28 Pa. Code § 107.62 oral orders--radiology 8/14/2004granted in part,
techs, occupationaldenied in part
therapists, speech
therapist, nuclear medicine
tech, diagnostic medical
Philipsburg Area 28 Pa. Code § 107.62 oral orders--registered 8/14/2004granted
dietitians
Sharon Regional Health 28 Pa. Code § 107.62(b) oral orders--dietitians 9/11/2004 granted
   System and radiology
Wyoming Valley Health 28 Pa. Code § 109.61 medication/treatment 6/21/2004 not necessary
   Care System Hospital
Tyrone Hospital 28 Pa. Code § 137.21(b)(5) criteria for oxytocic 9/11/2004 granted
agents
St. Mary's Medical 28 Pa. Code § 138.1 principle--cardiac 3/13/2004 granted
catheterization
Mount Nittany Medical 28 Pa. Code §§ 138.2, cardiac catheterization 2/14/2004 denied
   Center 138.15, 138.17services
UPMC Lee Regional 28 Pa. Code § 138.15 high-risk cardiac 8/14/2004 denied
catheterization
Meadville Medical 28 Pa. Code § 138.15 high-risk cardiac 9/4/2004 denied
catheterization
Indiana Regional 28 Pa. Code § 138.15 high risk cardiac 10/16/2004 denied
   Medical Centercatheterization
Indiana Regional 28 Pa. Code § 138.18(b) therapeutic 10/16/2004 denied
   Medical Center
Ephrata Community 28 Pa. Code § 153.1(c) minimum standards 10/19/2004 not necessary
   Hospital NFPA life safety code
St. Joseph Medical 28 Pa. Code § 153.1 7.2.B10 6/26/2004 granted in part
   Center examination/treatment not necessary
room(s); 7.2.B19in part
showers and bathtubs;
7.2.A6 storage of
personal effects; 7.4.A7
workroom(s) in nurseries
UPMC S. Margaret28 Pa. Code § 153.1 7.2.A4 handwashing7/17/2004 granted
Washington Hospital 28 Pa. Code § 153.1 construction standards-- 8/14/2004 granted
7.9.D24 secured
holding room
Lancaster General 28 Pa. Code § 153.1 construction standards-- 8/21/2004 granted
   Hospital 7.10.H2 cardiac
UPMC Passavant 28 Pa. Code § 153.1 9.5.F2c minimum 9/11/2004 granted
dimension of OR 15`
Mount Nittany Medical 28 Pa. Code § 153.1 7.2.A4 handwashing 9/11/2004 granted
   Centerstations electrophysiologic
Hospital of the University 28 Pa. Code § 153.1 7.4.c sq feet per bassinet 10/30/2004 granted
   of Pennsylvania catheterization procedure room
Exception Requests--Ambulatory Surgical Facilities
Gettysburg Hospital 28 Pa. Code § 553.31(a) full time administrator 8/14/2004 granted
   Minor Procedure Suite
Gastroenterologists 28 Pa. Code § 569.2(a) Life Safety Code 7/17/2004 denied
   Ambulatory Surgical
   Center at Bucks County
   Surgery Center
Wyomissing Hills 28 Pa. Code § 571.1 Minimum standards-- 12/20/2004 granted in part
   Podiatric Surgical Center9.2.A8 General storage,
9.2.B7 Clean storage,
9.5.D8 General storage
facilities, 9.5.E1 Soiled
workroom, 9.5.E2 Clean
assembly workroom
Wyomissing Hills 28 Pa. Code § 571.1 Minimum standards-- 12/20/2004 granted in part
   Podiatric Surgical Center9.5.F2 Ambulatory
operating room size,
9.5.F5(b) Drug
distribution, 9.5.F5(d)
Soiled workroom,
9.5.F5(f) Provisions for
anesthesia equipment,
9.5.F5(g) Medical gas
storage
Wyomissing Hills 28 Pa. Code § 571.1 Minimum standards-- 12/20/2004 granted in part
   Podiatric Surgical Center 9.5.F5(h) Equipment
storage, 9.5.F5(i) Staff
clothing change areas,
9.5.F5(k) Stretcher
storage area, 9.5.F5(m)
Housekeeping room,
9.5.H1(a) Minimum
public corridor
Gastroenterologists 28 Pa. Code § 571.1 Table 4.5 Square 7/17/2004 denied
   Ambulatory SurgicalFootage Program
   Center at Bucks County Endoscopy Office
   Surgery CenterAdministration areas
Main consultation room
Audio Visual Library
Office/conference;
Procedure areas; Service
areas; Storage
Spinal Care Management 28 Pa. Code § 571.2(d) elevators 8/9/2004 granted
and (e)
UPMC Monroeville 28 Pa. Code § 571.2(d) elevators 8/21/2004 granted
   Surgery Center
Exception Requests--Nursing Care Facilities
Bloomsburg Health Care28 Pa. Code § 201.2 requirements 8/21/2004 granted
   Center
Broad Mountain Nursing28 Pa. Code § 201.3 definitions 8/21/2004 granted
   & Rehab
Friendship Ridge 28 Pa. Code § 201.3 definitions 6/26/2004 granted
West Haven Nsng. Home 28 Pa. Code § 201.3 definitions 6/26/2004 granted
Hickory House Nsng. Home 28 Pa. Code § 201.3 definitions 6/26/2004 granted
Abington Crest Nursing 28 Pa. Code § 201.3 definitions 6/26/2004 granted
   and Rehab Center
The Caring Place 28 Pa. Code § 201.3 definitions6/26/2004 granted
Elk Haven Nsng. Home 28 Pa. Code § 201.3 definitions 6/26/2004 granted
Grove Manor 28 Pa. Code § 201.3definitions 6/26/2004 granted
Rouse-Warren Ctry. Home 28 Pa. Code § 201.3 definitions 6/26/2004 granted
Fairways @ Brookline 28 Pa. Code § 201.3 definitions 7/10/2004 granted
Valley Manor Nursing 28 Pa. Code § 201.3 definitions 7/10/2004 granted
   & Rehab Ctr.
Havencrest Nursing Ctr. 28 Pa. Code § 201.3 definitions7/10/2004 granted
Lafayette Manor, Inc. 28 Pa. Code § 201.3 definitions 7/10/2004 granted
Sugar Creek Rest 28 Pa. Code § 201.3 definitions7/10/2004 granted
Countryside Convalescent 28 Pa. Code § 201.3 definitions 7/10/2004 granted
   Home Limited Partnership
Chicora Medical Center28 Pa. Code § 201.3 definitions 7/10/2004 granted
Westmoreland Manor 28 Pa. Code § 201.3definitions7/10/2004 granted
Garvey Manor 28 Pa. Code § 201.3 definitions 7/17/2004 granted
Lackawanna Cty. Health 28 Pa. Code § 201.3 definitions 7/17/2004 granted
   Care Center
Immaculate Mary Home 28 Pa. Code § 201.3 definitions7/17/2004 granted
Meadowood 28 Pa. Code § 201.3 definitions 7/17/2004 granted
Meadowcrest Nursing Center 28 Pa. Code § 201.3 definitions 7/31/2004 granted
Beaver Valley Nursing 28 Pa. Code § 201.3 definitions 7/31/2004 granted
   & Rehab Ctr.
Belair Health & Rehab Ctr. 28 Pa. Code § 201.3 definitions 7/31/2004 granted
Eldercrest Nursing Center 28 Pa. Code § 201.3 definitions 7/31/2004 granted
Heritage Nursing Home, Inc. 28 Pa. Code § 201.3 definitions 7/31/2004 granted
Sugar Creek Station28 Pa. Code § 201.3 definitions 7/31/2004 granted
   Skilled Nsng. & Rehab
   Complex
Heatherbank 28 Pa. Code § 201.3 definitions 7/31/2004 granted
Deer Meadows 28 Pa. Code § 201.3 definitions 8/14/2004 granted
York County Nursing Home 28 Pa. Code § 201.3 definitions10/2/2004granted
Ohesson Manor 28 Pa. Code § 201.3 definitions10/2/2004 granted
Centre Crest 28 Pa. Code § 201.3 definitions 10/2/2004 granted
Pennswood Village 28 Pa. Code § 201.3 definitions 10/2/2004 granted
Buffalo Valley Lutheran 28 Pa. Code § 201.3 definitions10/2/2004 granted
   Village
The Williamsport Home 28 Pa. Code § 201.3 definitions 10/2/2004 granted
Broad Acres Health & 28 Pa. Code § 201.3 definitions 10/9/2004 granted
   Rehab Ctr.
Spring Creek Rehab & 28 Pa. Code § 201.3 definitions10/9/2004granted
   Health Care Center
St. Joseph's Manor 28 Pa. Code § 201.18(e) management7/10/2004 denied
HRH Transitional Care Unit 28 Pa. Code § 201.18(e) management 7/10/2004 denied
Latrobe Area Hosp 28 Pa. Code § 201.18(e) management 9/18/2004 temp grant
   Transitional Care Center
Frick Hospital Skilled 28 Pa. Code § 201.18(e) management9/18/2004 granted
   Nursing Unit
HRH Transitional Care Unit 28 Pa. Code § 201.22(k) prevention, control and 8/21/2004 denied
surveillance of TB
ManorCare Health 28 Pa. Code § 205.6(a) function of building 6/26/2004 granted
   Services--Pottsville
Trinity Living Center 28 Pa. Code § 205.6(a) function of building 6/26/2004 granted
Wesbury United Methodist 28 Pa. Code § 205.6(a) function of building 6/26/2004 granted
   Comm.
ManorCare Health Svcs.-- 28 Pa. Code § 205.6(a) function of building 7/31/2004 reapplied
   Bethel Park
ManorCare Health Svcs.-- 28 Pa. Code § 205.6(a) function of building7/31/2004 granted
   McMurray
Manchester Presby Lodge 28 Pa. Code § 205.6(a) function of building 7/31/2004 granted
Presbyterian Lodge 28 Pa. Code § 205.6(a) function of building 7/31/2004 granted
Rouse-Warren County 28 Pa. Code § 205.6(a) function of building 8/14/2004 granted
   Home
Saint Mary's East 28 Pa. Code § 205.6(a) function of building 8/21/2004 granted
The Health Center at 28 Pa. Code § 205.6(a) function of building 9/18/2004 granted
   The Hill at Whitemarsh
Friendship Ridge 28 Pa. Code § 205.6(a) function of building 9/18/2004 granted
The Communities at Indian 28 Pa. Code § 205.6(a) function of building 10/9/2004 granted
   Haven
Meda Nipple Conv. Home 28 Pa. Code § 205.20(f)resident bedrooms 7/31/2004 granted
Bethany Village Retirement 28 Pa. Code § 205.21 special care room 8/21/2004 not necessary
   Center
Meda Nipple Conv. Home 28 Pa. Code § 205.23 location of bedrooms 5/22/2004 granted
Highlands Care Center 28 Pa. Code § 205.25(b) kitchen7/17/2004 granted
Meda Nipple Conv. Home 28 Pa. Code § 205.25(b) kitchen 5/22/2004 granted
Meda Nipple Conv. Home 28 Pa. Code § 205.26(e) laundry 5/22/2004 granted
William Hood Dunwoody 28 Pa. Code § 205.26(e) laundry 6/26/2004 granted
   Care Center
Naamans Creek Ctry. Manor 28 Pa. Code § 205.26(e) laundry 6/26/2004 granted
Woodland Place 28 Pa. Code § 205.28(b)nurses' station 6/26/2004 granted
Highlands Care Center 28 Pa. Code § 205.32(a) janitor closet 7/17/2004 temp grant
Meda Nipple Conv. Home 28 Pa. Code § 205.33(c) utility room 5/22/2004 granted
Colonial Manor Nursing 28 Pa. Code § 205.36 bathing facilities 8/14/2004 granted
   Home
Meda Nipple Conv. Home 28 Pa. Code § 205.36
(c)(g)(h)
bathing 5/22/2004granted
The Jewish Home of Eastern 28 Pa. Code § 205.36(h) bathing facilities 8/21/2004 granted
   Pennsylvania
Bethany Village Retirement 28 Pa. Code § 205.36(h) bathing facilities8/21/2004 ganted
   Center
Meda Nipple Conv. Home 28 Pa. Code § 205.37(d) equipment for bathrooms 5/22/2004 granted
Bethany Village Retirement 28 Pa. Code § 205.38 toilet facilities 8/21/2004 granted
   Center
Brookline Manor & 28 Pa. Code § 205.38(b) toilet facilities 10/2/2004 granted
   Retirement
Woodland Place 28 Pa. Code § 205.38(e)toilet facilities 6/26/2004 granted
Meda Nipple Conv. Home 28 Pa. Code § 205.38(e)(f) toilet facilities 5/22/2004 granted
Meda Nipple Conv. Home 28 Pa. Code § 205.39(b) toilet room equipment 5/22/2004 not necessary
Brookline Manor & 28 Pa. Code § 205.39(b) toilet room equipment 10/2/2004 granted
   Retirement
Crawford Country Care Ctr. 28 Pa. Code § 211.12(b) nursing services 6/26/2004 temp grant
The Zendt Home 28 Pa. Code § 211.12(f)(1) nursing services 12/7/2004 not necessary

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

[Pa.B. Doc. No. 05-66. Filed for public inspection January 7, 2005, 9:00 a.m.]



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