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US · guidance

CMS SOM App. J, Tag W307

§483.450(d)(6) and a record of such activity must be kept

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

§483.450(d)(7) Barred enclosures

Guidance §483.450(d)(7)

A bed or play equipment with bars that prevent the client from leaving the bed or voluntarily

climbing out of the bed are barred enclosures. The use of such enclosures must be a part of the

written IPP and behavioral assessments must clearly state why such an enclosure is necessary,

the risks of using the enclosure versus not using it and what less restrictive measures have been

tried prior to the implementation of the barred enclosures.

Such devices may not be used in lieu of adequate staffing.

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
d6d2ebc2d6c5b4a333d5e6ef1f2f6e349b9cae989c9cdfae9b6aed1fdd34ed1c
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