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US · guidance

CMS SOM App. A, Tag A-0173

[Unless superseded by State law that is more restrictive --]

activein force · 2026-07-22 – presentas-observed

§482.13(e)(8)(iii) - Each order for restraint used to ensure the physical safety of the non-violent or

non-self-destructive patient may be renewed as authorized by hospital policy.

Interpretive Guidelines §482.13(e)(8)(iii)

Hospitals have the flexibility to determine time frames for the renewal of orders for restraint of the non-violent, non-self-destructive patient. These time frames should be addressed in hospital policies and

procedures.

Survey Procedures §482.13(e)(8)(iii)

• Review the hospital policy on renewal of restraint orders for the management of non-violent,

non-self-destructive patient behavior.

• Interview staff and review the medical record documentation to ensure that practice is consistent

with the hospital policy.

History

Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
656a4120d7e013d8b1a10971fa95587b9b51838755d9541877f89ca88baaaaf3
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