Bindinglaw

US · guidance

CMS SOM App. J, Tag W315

§483.450(e)(4) for desired responses and adverse consequences by facility staff; and

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

Guidance §483.450(e)(4)

Direct support staff members are the people who most closely and most frequently observe and

record client behaviors. There should be evidence that the direct support staff receive

information via the IPP as to the behaviors to be observed, the side effects associated with the

medication, the amount and types of documentation required and the communication with

clinical staff which is indicated. See 483.430 (e)(1) for training on observations, documentation

and communication related to behavior management.

§483.450(e)(4)(ii) Gradually withdrawn

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
5251f5d04207d8e28baf0ee1e158c8fb4f4fa6c5379882e4e72976c2f464a99c
View the official source →

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.

Coverage · API docs

Bindinglaw

Point-in-time US law with the receipt attached. Source URL, retrieval time, content hash, and validity dates on every answer.

curl api.binding.law/v1/law/coverage

© 2026 binding.law · a Jubal, Inc. productAttorneys and firms never pay. Ever.