| 6400.207(5)(III) | On 6/11/2025 at 11:08am, Individual #1's hospital bed was observed with full length, bilateral bedrails. Individual #1 has a diagnosis of spastic diplegia and requires bedrails to prevent them from falling out of bed. The agency obtained a prescription order for the bedrails on 7/9/2024. Although the bed rails are prescribed by a medical practitioner, Individual #1's most current assessment dated 12/10/2024 and support plan last updated 5/21/2025 do 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 support plan last updated 5/21/2025 does not include periodic relief of the device to allow freedom of movement. According to House Supervisor #1, Individual #1 can indicate that they want the bedrails removed by cooing and by pushing themselves up on their elbows while in bed. | 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. | An addendum was added to the assessment including the Pathway of determining the use of a restraint and the manner in which staff are aware of Individual #1's desire to get out of the bed. Staff are trained annually on this Pathway.
Attachment - Assessment, and Pathway training |
07/25/2025
| Implemented |