Postural Support

• Based on preadmission appraisal and subsequent changes to that appraisal, postural supports may be used under the following conditions: § 87608(a).
• Postural supports shall be limited to devices such as braces, spring release trays, or soft ties, used for position and balance, to improve mobility and independent functioning. § 87608(a)(1).
• Physician-prescribed orthopedic devices (braces, casts) are considered postural supports. § 87608(a)(1)(A).
• Postural supports shall be fastened or tied in a manner that permits quick release by the resident. § 87608(a)(2).
• There must be a written physician order indicating the need for postural support in resident’s record. CCL may require additional documentation to verify the order. § 87608(a)(3).
• Prior to use, there must be appropriate fire clearance changing resident status from ambulatory to non-ambulatory. See § 87202, § 87608(a)(4).
• Under no circumstances shall postural supports include tying, depriving, or limiting the use of resident’s hands or feet. § 87608(a)(5).
• A bed rail that extends from the head half of the length of the bed and used only for assistance with mobility shall be allowed. § 87608(a)(5)(A).
• Bed rails that extend the entire length of the bed are prohibited except for hospice care residents and have a care plan that specifies the need for the full bed rails. § 87608(a)(5)(B).