This letter outlines the requirements for nursing homes and other healthcare facilities when installing and using bed rails. Facilities must assess the resident for entrapment risk prior to installation and obtain informed consent from the resident or their representative. The letter also provides guidance on assessing the resident, including medical diagnosis, size and weight, sleep habits, medication, etc. Facilities must also attempt to use appropriate alternatives prior to installing bed rails and document the attempts and why they failed. The letter also provides recommendations for installation and maintenance of bed rails, such as checking with the manufacturer to ensure compatibility of the bed rails, mattress and bed frame. Nursing homes and other healthcare facilities must follow these requirements to ensure the safety of their residents.

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