This letter explains the regulations for the use of physical restraints in nursing homes and other healthcare facilities, including the definition of physical restraints, the risks and impacts associated with their use, and the required assessment and documentation. Facilities must use physical restraints only when medically necessary, and must use the least restrictive alternative for the least amount of time possible. The use of physical restraints must be individualized and based on the resident's condition and medical symptoms. Facilities must also provide ongoing re-evaluation of the need for restraints and document all assessments, care plans, and use of restraints. This letter requires nursing homes and healthcare facilities to ensure that physical restraints are used only when medically necessary and to provide ongoing re-evaluation of the need for restraints.

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