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PA Bulletin, Doc. No. 23-1410

NOTICES

DEPARTMENT OF HEALTH

Decisions on Requests for Exceptions to Health Care Facility Regulations

[53 Pa.B. 6533]
[Saturday, October 14, 2023]

 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) 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 September 1, 2023, through September 30, 2023. Future 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. Inquiries regarding Home Health agencies should be directed to Linda Chamberlain, Director, Division of Home Health, Forum Place, Suite 701, 555 Walnut Street, Harrisburg, PA 17101, (717) 783-1379.

Ambulatory Surgical Facilities

Facility Name 28 Pa. Code Regulation Dec. Date Decision
Azura Vascular Care Northeast Philadelphia § 567.53(1) (relating to sterilization control) 9/12/2023 Granted w/Conditions
Center for the Surgical Arts, LLC § 569.35(7) (relating to general safety precautions) 8/30/2023 Granted w/Conditions
Children's Hospital of Philadelphia Brandywine Valley Specialty Care and Surgery § 551.3 (relating to definitions) 9/12/2023 Granted w/Conditions
§ 559.2(1)—(5) (relating to director of nursing) 9/12/2023 Granted w/Conditions
§ 559.3(c) (relating to nursing personnel) 9/12/2023 Granted w/Conditions
Chop Bucks Specialty Care And Ambulatory Surgery Center § 551.3 9/12/2023 Granted w/Conditions
§ 559.2(1)—(5) 9/12/2023 Granted w/Conditions
§ 559.3(c) 9/12/2023 Granted w/Conditions
GSH Outpatient Surgery Center § 551.3 9/12/2023 Granted w/Conditions
§ 559.2(1)—(5) 9/12/2023 Granted w/Conditions
§ 559.3(c) 9/12/2023 Granted w/Conditions
Jefferson Surgery Center—Langhorne § 551.3 9/12/2023 Granted w/Conditions
§ 555.31(a) (relating to principle) 9/12/2023 Granted w/Conditions
Regional Hospital Surgery Center § 551.3 9/12/2023 Granted w/Conditions
§ 559.2(1)—(5) 9/12/2023 Granted w/Conditions
§ 559.3(c) 9/12/2023 Granted w/Conditions
Temple University Hospital Northeastern Campus Endoscopy Center § 567.53(1) 9/12/2023 Granted w/Conditions
Wellspan Chambersburg Endoscopy Center, LLC § 551.3 9/12/2023 Granted w/Conditions
§ 559.2(1)—(5) 9/12/2023 Granted w/Conditions
§ 559.3(c) 9/12/2023 Granted w/Conditions
Wellspan Dr. Roy A. Himelfarb Surgery Center § 551.3 9/12/2023 Granted w/Conditions
§ 559.2(1)—(5) 9/12/2023 Granted w/Conditions
§ 559.3(c) 9/12/2023 Granted w/Conditions
Wellspan Surgical Center § 551.3 9/12/2023 Granted w/Conditions
§ 559.2(1)—(5) 9/12/2023 Granted w/Conditions
§ 559.3(c) 9/12/2023 Granted w/Conditions
Wellspan Surgery Center—Hanover § 551.3 9/12/2023 Granted w/Conditions
§ 559.2(1)—(5) 9/12/2023 Granted w/Conditions
§ 559.3(c) 9/12/2023 Granted w/Conditions

Hospitals

Facility Name 28 Pa. Code Regulation Dec. Date Decision
AHN Hempfield Neighborhood Hospital § 101.4 (relating to definitions) 8/28/2023 Granted w/Conditions
§ 109.7 (relating to nursing staff qualifications) 8/28/2023 Granted w/Conditions
Allegheny General Hospital § 153.1(a) (relating to minimum standards) 2.2-3.4.5.9 support areas for staff 9/12/2023 Granted
Allegheny Valley Hospital § 153.1(a) 2.1-3.5.2.1(2) general 9/12/2023 Granted
§ 153.1(a) 2.1-3.5.2.3(2)(a) handwashing station or hand scrub facilities 9/12/2023 Granted w/Conditions
The Children's Hospital of Philadelphia § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Conemaugh Memorial Medical Center § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Conemaugh Meyersdale Medical Center § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Conemaugh Miners Medical Center § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Conemaugh Nason Medical Center § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Crozer-Chester Medical Center § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Geisinger Medical Center Muncy § 153.1(a) 2.2-2.2.10.4 place for meditation and prayer 9/12/2023 Granted
§ 153.1(a) 2.2-3.3.6.14(1) and (2) environmental services room 9/12/2023 Granted
Geisinger Wyoming Valley Medical Center § 51.3(b)—(d) (relating to notification) 8/28/2023 Granted w/Conditions
§ 101.31(5) and (6) (relating to hospital requirements) 8/28/2023 Granted w/Conditions
§ 105.15 (relating to patient identification) 8/28/2023 Granted w/Conditions
§ 107.64 (relating to administration of drugs) 8/28/2023 Granted w/Conditions
§ 117.30(3) and (4) (relating to emergency paramedic services) 8/28/2023 Granted w/Conditions
§ 153.1(a) and (c) 8/28/2023 Granted w/Conditions
Grove City Hospital § 103.31 (relating to the chief executive officer) 9/21/2023 Granted w/Conditions
Heritage Valley Beaver § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Heritage Valley Sewickley § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Holy Redeemer Hospital § 51.3(a)—(d) 8/28/2023 Granted w/Conditions
§ 101.31 (5) and (6) 8/28/2023 Granted w/Conditions
§ 105.15 8/28/2023 Granted w/Conditions
§ 107.64 8/28/2023 Granted w/Conditions
§ 117.30(3) and (4) 8/28/2023 Granted w/Conditions
§ 153.1(a) and (c) 8/28/2023 Granted w/Conditions
Lecom Health Corry Memorial Hospital § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
The Milton S. Hershey Medical Center § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Penn Highlands Brookville § 109.2(b) (relating to director of nursing services) 9/18/2023 Granted w/Conditions
Penn Highlands Elk § 109.2(b) 9/18/2023 Granted w/Conditions
Penn Highlands Huntingdon § 103.31 9/18/2023 Granted w/Conditions
Penn Highlands Tyrone § 103.31 9/18/2023 Granted w/Conditions
§ 153.1(a) 2.12-3.2.2.1(2)(a) individual therapy room 9/18/2023 Granted
Penn State Health Hampden Medical Center § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Penn State Health Holy Spirit Medical Center § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Penn State Health Lancaster Medical Center § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Penn State Health Saint Joseph § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Regional Hospital of Scranton § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
The Robert Packer Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Saint Vincent Hospital § 103.31 9/21/2023 Granted w/Conditions
Select Specialty Hospital—Central Pennsylvania Harrisburg § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Troy Community Hospital, Inc. § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Uniontown Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
§ 153.1(a) 2.2-2.2.2.2(1)(a) space requirements 9/12/2023 Granted
§ 153.1(a) 2.2-2.10.3.2(2)(a) and (b) and (3) space requirements 9/12/2023 Granted
§ 153.1(a) 2.2-2.11.3.2(2)(a) and (b)(ii) and (iv) continuing care nursery 9/12/2023 Granted
UPMC Kane § 107.62(a) and (b) (relating to oral orders) 8/29/2023 Granted w/Conditions
Wayne Memorial Hospital § 101.4 8/28/2023 Granted w/Conditions
§ 109.7 8/28/2023 Granted w/Conditions
Wellspan Chambersburg Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Wellspan Ephrata Community Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Wellspan Gettysburg Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Wellspan Good Samaritan Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Wellspan Surgery and Rehabilitation Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Wellspan Waynesboro Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Wellspan York Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions
Wilkes-Barre General Hospital § 101.4 9/12/2023 Granted w/Conditions
§ 109.7 9/12/2023 Granted w/Conditions

Nursing Care Facilities

Facility Name 28 Pa. Code Regulation Dec. Date Decision
Cole Place § 201.3 (relating to definitions) 9/11/2023 Granted
Gina J. Merli Veterans Center § 205.7 (relating to basement or cellar) 9/5/2023 Granted
Green Home, Inc. § 201.3 9/11/2023 Granted
Hollidays Veteran's Home § 205.7 9/11/2023 Granted
Mid-Valley Health Care Center § 211.12(f.1)(4) (relating to nursing services) 9/25/2023 Denied
Misericordia Nursing and Rehabilitation Center § 201.3 9/25/2023 Granted
Northampton County Home—Gracedale § 205.7 9/30/2023 Granted
Saint Anne's Retirement Community § 205.7 9/11/2023 Granted
Saint Ignatius Nursing and Rehab Center § 204.19 (relating to plumbing, heating ventilation, air conditioning and electrical) 9/30/2023 Granted
Seton Manor Nursing and Rehabilitation Center § 205.7 9/11/2023 Granted
Spring Hill Rehabilitation and Nursing Center § 205.7 9/11/2023 Granted

Home Health Agencies

Facility Name 28 Pa. Code Regulation Dec. Date Decision
365 Health Services, LLC § 601.31 (relating to acceptance of patients, plan of treatment and medical supervision) 9/25/2023 Granted
§ 601.6 (relating to definitions); regarding the definitions of licensed practical nurse and registered nurse 9/25/2023 Granted
Arsens Home Care, Inc., d/b/a CareGivers America, LLC Jenkintown § 611.51(a)(1) (relating to hiring or rostering of direct care workers) 9/26/2023 Granted
Care Finders Total Care, LLC § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Allentown) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Altoona) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Berwick) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Clarks Summit) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Clearfield) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Harrisburg) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Johnstown) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Lancaster) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Lebanon) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Lehighton) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Lewistown) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Milford) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Montrose) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Pittsburgh) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Plains) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Pottsville) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Sayre) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Selinsgrove) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Tannersville) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Wellsboro) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Williamsport) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (Wyomissing) § 611.51(a)(1) 9/26/2023 Granted
CareGivers America, LLC (York) § 611.51(a)(1 9/26/2023 Granted
Helping Hand Home Care Agency, Inc. § 611.51(a)(1) 9/26/2023 Granted
Maxim Healthcare § 611.51(a)(1) 9/26/2023 Granted
Penn Home Palliative Care § 601.6, regarding the definitions of licensed practical nurse and registered nurse 9/25/2023 Granted
§ 601.31 9/25/2023 Granted
Penn Medicine Home Health § 601.6, regarding the definitions of licensed practical nurse and registered nurse 9/25/2023 Granted
§ 601.31 9/25/2023 Granted
Philadelphia Home Care Agency, Inc. § 611.51(a)(1) 9/26/2023 Granted
TruCare Home Care § 611.51(a)(1) 9/26/2023 Granted
Union Home Care LLC § 611.51(a)(1) 9/26/2023 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 telephone number, or for speech and/or hearing-impaired persons, call the Pennsylvania Hamilton Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

DR. DEBRA L. BOGEN, 
Acting Secretary

[Pa.B. Doc. No. 23-1410. Filed for public inspection October 13, 2023, 9:00 a.m.]



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