This section governs the use of seclusion and restraints in Long-Term Structured Residences (LTSRs). It prohibits seclusion entirely and bans restraints used for behavior management, while permitting restraints for body alignment, positioning, and physical functioning only under specific conditions tied to involuntary movement due to organic causes and applicable facility occupancy standards. Operators of LTSRs must ensure compliance with these restrictions and the referenced cross-regulatory requirements.
View official source55 Pa. Code § 5320.54 - Seclusion and restraints State Regulations Compare (a) The use of seclusion is prohibited in LTSRs. (b) The use of restraints for behavior management is prohibited in LTSRs. (c) The use of restraints to promote body alignment, positioning and physical functioning is allowable in an LTSR only when the following conditions are met: (1) The requirements of § 13.4 (relating to use of restraints to control involuntary movement due to organic causes or conditions). (2) State or local standards for hospital, nursing home and residential care occupancy governing these facilities when a resident's mobility is compromised by the use of this type of restraint. See, for example, 28 Pa. Code Part IV (relating to health facilities); 34 Pa. Code Chapters 49-59, National Fire Protection Agency related to institutional occupancy (current applicable standards of Life Safety Code) and equivalent standards of cities with 1st class status; and Chapter 5300 (relating to private psychiatric hospitals). Notes 55 Pa. Code § 5320.54 State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare. No prior version found. State Regulations Toolbox