US · guidance
CMS SOM App. N, Tag N0129
§483.356(a)(3)(i) To ensure the safety of the resident or others during an emergency
safety situation; and
Interpretive Guidelines§ 483.356(a)(3)(i)
Emergency safety situation (ESS) means unanticipated resident behavior that places the
resident or others at serious threat of violence or injury if no intervention occurs and that
requires an emergency safety intervention as defined in this section.
Emergency safety intervention (ESI) means the use of restraint or seclusion as an
immediate response to an emergency safety situation.
An ESI is to be used only in response to an emergency safety situation. It is not a
preventative measure, but is a reaction to an emergency safety situation that cannot be
contained with any less restrictive measures. The emergency safety intervention is the
most restrictive measure and is used as the last resort to ensure the safety of the resident
and others.
History
Rev. 131; Issued: 01-16-15, Effective: 01-16-15, Implementation: 01-16-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
fbc935b6b5a8e8ce9f76cd3520e556dd53c6f06509be03c4c9cd51e4ed73f88a
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.