Initial Comments:
This report is the result of a special monitoring survey completed on May 21, 2025, at Berkshire Eye Surgery Center. It was determined the facility was not in compliance with the requirements of the Pennsylvania Department of Health's Rules and Regulations for Ambulatory Care Facilities, Annex A, Title 28, Part IV, Subparts A and F, Chapters 551-573, November 1999.
Plan of Correction:
51.4 (a) LICENSURE
Change in Ownership/Management
Name - Component - 00
51.4. Change in ownership; change in management.
(a) A health care facility shall notify the Department in writing at least 30 days prior to transfer
involving 5% or more stock or equity of the health care facility.
Observations:
Based on review of facility documents and email correspondence, it was determined the facility failed to provide at least a 30-day notice to the Department of Health (Department) prior to a change of ownership.
Findings include:
Review of a license renewal application sent to the Department from the facility revealed a change in ownership occurred on July 15, 2024 at 10%.
Review on May 16, 2025, of the Department's correspondence revealed the facility did not notify the Department in writing 30 days prior to the transfer of stock or equity of the health care facility.
Email correspondence from EMP1 dated May 20, 2025, confirmed the change in ownership occurred and a 30-day notice was not provided until ten months later.
Plan of Correction:In order to ensure all changes in ownership are accounted for appropriately according to DOH, Berkshire Eye Surgery Center will complete and adhere to the following:
1. Formal notification letter was sent on May 16, 2025 to Division Chief Gladfelter with all information requested for July 2024 change in ownership.
2. Each month the partnership roster will be reviewed for any changes in ownership.
3. If a change in ownership occurs, DOH will be notified 30 days prior to transactions of equity over 5% according to regulation.
|