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US · guidance

CMS SOM App. J, Tag W287

§483.450(b)(3) for the convenience of staff

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

Guidance §483.450(b)(3)

Inadequate numbers of staff, inefficient deployment of staff, and insufficient training of staff

can lead to restrictive practices used for staff convenience.

Examples of techniques used to manage client behavior for staff convenience including, but are

not limited to:

• Clients allowed to discipline other clients;

• Clients restricted to one area of the home; and

• Unauthorized use of restraints (e.g., lap trays, bean bags, gait belt, and merry walkers

for the purpose of restricting movement)

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
00ca3b80820b7c03e507a479ab6c2e2d2142571977d7c79fd46c5b53916f4b3f
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