US · guidance
CMS SOM App. M, Tag L847
§418.110(n)(7) - Unless superseded by State law that is more restrictive —
(i) Each order for restraint or seclusion used for the management of violent
or self-destructive behavior that jeopardizes the immediate physical
safety of the patient, a staff member, or others may only be renewed in
accordance with the following limits for up to a total of 24 hours:
(A) 4 hours for adults 18 years of age or older;
(B) 2 hours for children and adolescents 9 to 17 years of age; or
(C) 1 hour for children under 9 years of age; and
After 24 hours, before writing a new order for the use of restraint or
seclusion for the management of violent or self-destructive behavior, a
physician authorized to order restraint or seclusion by hospice policy in
accordance with State law must see and assess the patient.
(ii) Each order for restraint used to ensure the physical safety of the non-violent or non-self-destructive patient may be renewed as authorized by
hospice policy.
History
Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
822926347c02d7b1a0a26f3c80f6178ee5744aaf837b6da7b3afe415014c58ad
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