Relevant Survey & Certification Information

S&C-088-23 [Info] (PDF)  05/30/2008: SOM Chapter 5/Release of Person-Identifiable Data Related to Restraint/Seclusion Deaths to PA and As  {Section 5140 of Publication 100-07, the SOM, concerning deaths in Hospitals associated with the use of restraint or seclusion, has been revised to correspond to the regulatory requirements at 42 CFR 482.13(g) and to reflect operational procedures implemented since the revised regulation took effect in January, 2007. An advance copy of the revised SOM section 5140 is attached. The final version will be released as a Publications Manual transmittal later this year and may differ slightly from this advance copy.}

S&C -8-18 [Info] (PDF)  (04/11/2008) Restraint/Seclusion Interpretive Guidelines & Updated SOM Appendix A  {The on-line SOM Hospital Appendix A requires revision to reflect changes in regulatory text adopted through rulemaking by CMS, established interpretive guidance issued via previous Survey and Certification memoranda, new interpretive guidance for the patients' rights rule at 42 CFR 482.13(e), (f) and (g), governing hospital use of restraint and seclusion, some minor technical corrections, and revision of the Tag numbers to correspond to Tag numbers currently found in ASPEN and also to make further refinements that will be captured in the next ASPEN release.}

S&C -07-22  [Info] (PDF)   (06/22/2007) Clarification of 'Physical Restraints' as Applied to the Requirements for LTC Facilities  {Clarifies the phrases 'remove easily' and 'freedom of movement' as related to the physical restraints definition. Further clarifies the meaning 'medical symptom.'}

S&C-06-31 [Info] (PDF)   (09/29/2006) Hospital Death Reporting Requirements Related to Behavior Management Restraint and Seclusion  {This memo summarizes and emphasizes the responsibilities of hospitals, State Agencies, Regional Offices and Central Office as they relate to behavior management restraint and seclusion deaths. Hospitals, States, and the Centers for Medicare & Medicaid Services have clear responsibilities and timeframes for reporting and investigating deaths related to behavior management restraint and seclusion.}