US · guidance
CMS SOM App. M, Tag L855
§418.110(n)(15) - When restraint or seclusion is used, there must be documentation
in the patient’s clinical record of the following:
i. The 1-hour face-to-face medical and behavioral evaluation if restraint or
seclusion is used to manage violent or self-destructive behavior;
ii. A description of the patient’s behavior and the intervention used;
iii. Alternatives or other less restrictive interventions attempted (as applicable);
iv. The patient’s condition or symptom(s) that warranted the use of the restraint
or seclusion; and the patient’s response to the intervention(s) used, including
the rationale for continued use of the intervention.
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
b408318c0c9c759ae7dff5230062cbc23d448fc284f0bdb22d7cdf8c5536f002
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