Mental HealthQuestion 136 of 200

Under federal regulations, physical restraints in a nursing facility may be used only when:

a.Any staff member feels the resident is being annoying
b.There is a medical symptom requiring it, a physician's written order specifying type and duration, and the least restrictive alternative has been tried
c.The resident has wandered out of the room more than twice
d.Family members request restraints for their own peace of mind

Explanation

42 CFR §483.10(e) and §483.12(a)(2) prohibit physical or chemical restraints imposed for discipline or staff convenience. Restraints are permitted only to treat a documented medical symptom, with a physician's written order specifying type, location, and duration, after less restrictive interventions have failed, and with informed consent. Convenience (a), wandering frequency (c), and family preference (d) are not legal justifications. Unauthorized restraint is false imprisonment and abuse, reportable to CDPH and law enforcement, and can result in license revocation.

Law Reference: 42 CFR §483.10(e); 42 CFR §483.12(a)(2)

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