CMS regulations do not specify that bed rails must be removed when not in use. Response: CMS recognizes that there are many different types of beds, some with bed rails installed, or bed rails with the call button and lights incorporated into the rail, and others without bed rails, for which a separate rail could be installed. Question: You go on to ask if disabling them in some way to ensure they are not used by the resident currently utilizing the bed would be an acceptable alternative to removing the rails how does this impact the entire process? Response: The CMS guidance at F700 does not specify what acceptable alternatives are, however, we would encourage facilities to refer to published information from recognized authorities such as the FDA, which has identified the following alternatives: “Alternatives include: roll guards, foam bumpers, lowering the bed and using concave mattresses that can help reduce rolling off the bed.” This and more information may be found at – This webpage was last updated in December, 2017. Question: “…are there acceptable alternatives to removing the rails for example disabling them in some way to ensure they are not used by the resident currently utilizing the bed?” You have sent several questions, which we will address separately. We appreciate the opportunity to clarify our guidance related to bed or side rails. Clarification from CMS about Requirements of Participation related to use of bed rails
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