| 6400.207(5)(III) | On 12/4/25 at 1030 AM, Individual #1's bed contained full bed rails that restricted the movement or function of the individual's body. The agency obtained a prescription for the bedrails on 12/3/25. Although the bedrails are prescribed by the medical practitioner, the most current assessment does not address if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Individual #1's individual plan that was last updated on 11/21/25 does not include periodic relief of the device to allow freedom of movement. On 12/4/25 at 10:32 AM, Individual #2's bed contained full bed rails that restricted the movement or function of the individual's body. The agency obtained a prescription for the bedrails on 12/3/25. Although the bedrails are prescribed by the medical practitioner, the most current assessment does not address if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Individual #2's individual plan that was last updated on 10/24/25 does not include periodic relief of the device to allow freedom of movement. | A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement. | On 12-29-25 The Residential Supervisor contacted Individuals #1 and #2 Primary Care Physician and asked if there was any concern with the individuals using bed wedges instead of Bed Rails. She obtained the orders to have the Wedges replace the bed rails. On 01-04-2026 The wedges were ordered. for both Individual #1 and #2. On 01-05-2026 Residential Director Notified Program Specialist and Supports Coordinator to make the changes to the ISP and Assessment for the bed rails until the Wedges arrive. We will have their ISP's and assessments changed to include the bed rails stating that They are receiving periodic relief from the Bed rails from 6am-8pm Daily unless napping or ill. It will also include that They are checked on every 2 hours during the night, and it will include checking to see if they are indicating that they want relief from the bed rails.
On 01-06-2026 there is a mandatory training at the home This training will include all staff working the homes that utilize bed rails. The training will include safety concerns and how to use wedges and relief from them when indicated. |
01/05/2026
| Implemented |