55 Pa. Code § 6210.114
If the facility’s failure to comply with the requirements that the physician certify and recertify the need for care as described under § § 6210.42 and 6210.43 (relating to certification of initial need for care; and recertification of continued need for care) results in a penalty being imposed by the United States Department of Health and Human Services on the Department, the penalty will be imposed on the facility.