US · guidance
CMS SOM App. J, Tag W300
§483.450(d)(3) The facility must not issue orders for restraint on a standing or as needed basis
Guidance §483.450(d)(3)
All instances of physical restraint must be ordered on a case by case basis with individual
assessment of the situation and authorization based upon the individual client. Authorizations
should include the rationale for the use of the physical restraint versus other less restrictive
measures.
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
4310a5485248bfeacf88ab0ad8ab6d7225c75100d500cd5165780bffdcc5f2ef
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.