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US · guidance

CMS SOM App. A, Tag A-0184

§482.13(e)(16) - When restraint or seclusion is used, there must be documentation in the patient's

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

medical record of the following:

(i) The 1-hour face-to-face medical and behavioral evaluation if restraint or seclusion is

used to manage violent or self-destructive behavior;

Interpretive Guidelines §482.13(e)(16)(i)

When restraint or seclusion is used to manage violent or self-destructive behavior, the 1 hour face-to-face medical and behavioral evaluation must be documented in the patient’s medical record.

Survey Procedures §482.13(e)(16)(i)

Does the patient’s medical record include documentation of the1 hour face-to-face medical and

behavioral evaluation when restraint or seclusion is used to manage violent or self-destructive behavior?

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
fa42d52884dbc04ed39a7b834dfe9625e2302b5589af91230953d597fea8a2a1
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