US · guidance
CMS SOM App. J, Tag W299
§483.450(d)(2)(ii) Obtained as soon as the client is restrained or stable
Guidance §483.450(d)(2)(ii)
There may be instances where the maladaptive behaviors of a client or clients escalate into a
serious and immediate event that must be de-escalated quickly in order to prevent harm to
clients, staff, other clients, or by standers when incidents occur in the community. In these
instances, the staff should contact the appropriate person to obtain authorization for the use of
physical restraint as soon as the situation is stable. Retrospective documentation of the incident
should confirm the need for authorization after application.
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
943e348eaff9aa7fcbc28b920db59edb9c69698776818d23e49e566be5513bf7
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