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US · guidance

CMS SOM App. M, Tag L855

§418.110(n)(15) - When restraint or seclusion is used, there must be documentation

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

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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