OF FACILITY LICENSURE AND CERTIFICATION
The Bureau of Facility Licensure and Certification licenses
and verifies compliance with state and federal health and safety standards in
healthcare facilities as mandated by law, including hospitals, nursing homes,
and ambulatory surgical facilities. The Bureau conducts regular on-site surveys
to assure health, safety, sanitation, fire, and quality of care requirements
and to identify deficiencies that may affect state licensure or eligibility for
federal reimbursements under the Medicaid and Medicare programs. It also
manages a multi-year contract for the operation of the federally-mandated nurse
aide registry and maintains a toll-free Complaint Hotline, where consumers can
register complaints about healthcare facilities.
of Safety Inspection
of Safety Inspection has the responsibility of surveying health
care facilities to determine compliance with the Life Safety Code, NFPA 101, 2012
Edition for federal certification and state licensure. The Division provides sophisticated building
analysis in accordance with the federal and state mandated Life Safety
Code. This analysis constitutes a review
of the structural design and fireproofing.
Within that framework, the electrical systems, plumbing, heating,
ventilation, fire alarm, sprinkler system and smoke-detection systems must be
In addition to the survey process, the Division also has
the responsibility of reviewing and approving construction drawings for all
health care facilities in the Commonwealth.
The Division's plan review staff meet daily with architects and
engineers in the Harrisburg central office to determine the acceptability of
designs for health care facilities. The
Division's central office controls and coordinates the activities of five
regional offices. The Division surveys
more than 1,350 facilities with over 3,000 individual buildings.
of Nursing Care Facilities
of Nursing Care Facilities is responsible for the licensing and
oversight of Pennsylvania's approximately 700 nursing care facilities. The Division conducts licensure and
certification surveys, follow-up surveys and complaint investigations. The
Division also operates and maintains the federally mandated nurse aide registry
which contains information on more than 229,000 nurse aides in Pennsylvania,
and maintains a toll-free complaint hotline where consumers can register
complaints about healthcare facilities.
The Division of Nursing Care Facilities operates through its central office
and nine field offices.
of Acute and Ambulatory Care
of Acute and Ambulatory Care is responsible for the
licensing and oversight of Pennsylvania's hospitals and ambulatory
surgical facilities which total approximately 600 facilities in
the Commonwealth. The Division conducts
licensure and certification surveys, follow-up surveys and complaint
investigations. The Division of Acute and Ambulatory Care operates a central office
that directs the operation of nine field offices.