Cms side rail assessment form 2026

1. Click ‘Get Form’ to open the cms side rail assessment form in the editor.
2. Begin by filling out the 'Resident Preference' section. Indicate whether the resident can state their preference about side rails and if they have requested them. Circle the type of side rail preferred.
3. Proceed to the 'Fall/Injury Risk Determination' section. Answer questions regarding the resident's history of falls and any injuries related to side rails. This information is crucial for assessing safety.
4. Next, complete the 'Mobility Assessment' section. Evaluate the resident's mobility status and their ability to safely get in and out of bed without assistance.
5. In the 'Evaluation of Alternatives' section, document any alternative measures that have been tried and their effectiveness in preventing falls.
6. Finally, provide any additional concerns in the 'Other Individual Concerns' section and check boxes for recommendations made by the Side Rail Prevention/Reduction Committee.

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