Pennsylvania Code & Bulletin

• No statutes or acts will be found at this website.

The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 7346 (November 25, 2023).

28 Pa. Code § 101.31. Hospital requirements.


§ 101.31. Hospital requirements.

 A hospital shall have all of the following:

   (1)  An organized governing body.

   (2)  A chief executive officer.

   (3)  An organized medical staff.

   (4)  An organized nursing staff.

   (5)  Medical services, continuous.

   (6)  Nursing services, continuous.

   (7)  Permanent on-site facilities for the care of patients 24 hours a day.

   (8)  A hospital-wide infection control program.

   (9)  Minimum on-site clinical provisions as follows:

     (i)   Inpatient care areas equipped with hospital furnishings.

     (ii)   Nursing care units.

     (iii)   Diagnostic and treatment areas.

     (iv)   Supplies and equipment to meet the medical and nursing needs of the patients within the scope of the services provided.

     (v)   Pharmaceutical services in compliance with Chapter 113 (relating to pharmacy services).

     (vi)   Facilities for the sterilization of equipment and supplies.

     (vii)   Treatment equipment for drug, blood, and parenteral fluid administration and for performance of medical or surgical nursing procedures.

     (viii)   Treatment equipment for the management of common medical or surgical, or both, emergencies, including facilities for cardio-pulmonary resuscitation.

     (ix)   Medical records services.

     (x)   Provision for medical social work services in compliance with Chapter 121 (relating to social work services).

     (xi)   Professional library services in compliance with Chapter 145 (relating to professional library services).

     (xii)   Provision for therapeutic diets.

   (10)  Minimum supportive capabilities or facilities as follows:

     (i)   A safe, structurally sound, habitable, sanitary, fire-resistant physical plant designed and equipped specifically for the delivery of contemporary forms of hospital care.

     (ii)   Facilities to provide adequate heat, light, ventilation, potable water, sewage disposal, electrical power, internal and external communications, and emergency utility services.

     (iii)   Sanitary garbage, trash, and waste disposal.

     (iv)   Internal and external environmental sanitation services.

     (v)   Sanitary laundry services for hospital garments and linens.

     (vi)   Sanitary hospital dietary services.

     (vii)   An internal fire and disaster plan, fire alarm system and evacuation plan.

     (viii)   Scheduled general and preventive maintenance services for building, services and biomedical equipment.

     (ix)   Participation with community agencies in the establishment of the role of the hospital in event of external disasters.

     (x)   Capability for obtaining police and fire protection, emergency transportation, grounds-keeping and snow removal.

     (xi)   Personnel recruitment, training and continuing education.

     (xii)   Business management capability.

     (xiii)   Short- and long-range planning capability.

     (xiv)   Fiscal services to assure continuity of operation under both normal and emergency conditions.

     (xv)   Comprehensive policies and standards for assuring the safety of patients, employes and visitors and for protection against malpractice and negligence.


   The provisions of this §  101.31 issued under section 2102(g) of The Administrative Code of 1929 (71 P. S. §  532(g)); and section 803 of the Health Care Facilities Act (35 P. S. §  448.803).


   The provisions of this §  101.31 amended through December 3, 1982, effective December 4, 1982, 12 Pa.B. 4129. Immediately preceding text appears at serial page (66822).

Cross References

   This section cited in 55 Pa. Code §  1181.2 (relating to definitions); and 55 Pa. Code §  1187.2 (relating to definitions).

No part of the information on this site may be reproduced for profit or sold for profit.

This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.