US · guidance
CMS SOM App. J, Tag W280
§483.450(b)(1)(iv)(B) The use of physical restraints;
Guidance §483.450(b)(1)(iv)(B)
"Physical restraint" is defined as any manual hold or mechanical device that the client cannot
remove easily, and which restricts the free movement of, normal functioning of, or normal
access to a portion or portions of a client's body. Examples of mechanical devices may include
arm splints and mittens.
Policies and Procedures must address:
• the types of physical restraint that are allowed in the facility;
• the persons who apply such restraints;
• the parameters for duration of application;
• the methods that assure the health and safety of clients while in restraints; and
• the specific training required for staff allowed to apply such restraints.
History
Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
efe93bdf79919794fbd5e52e34da404232798b15c2919b11430bbe327b61c0df
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