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Maine Hearing on Bed Rails Highlights Tension Between Resident Safety and Federal Restraint Rules
Summary
Sen. Craig Hickman's bill would allow long‑term care facilities to install side rails at a resident or guardian request to reduce falls; federal regulation and ombudsman witnesses warned that bed rails are treated as restraints under CMS rules and require assessment and documentation.
Senator Craig Hickman presented LD 759, a proposal to let long‑term care facilities install bed side rails when a resident or legal guardian requests them or when they are otherwise necessary for safety. The sponsor framed the bill as a narrow, patient‑safety measure intended to let staff use an available fall‑prevention tool for residents who cannot otherwise protect themselves from falling out of bed.
Supporters’ testimony: Karen Dotsi Bordi, a registered nurse and family caregiver, described repeated falls by her mother after a hospitalization and said staff told the family full side rails were not allowed under current Maine rules. She asked the legislature to create a pathway that would allow clinicians and families to use side rails judiciously to reduce harm. Other testifiers said they had observed residents…
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