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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 553LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES
SUBCHAPTER ESTANDARDS FOR LICENSURE
RULE §553.261Coordination of Care

    (B) a resident because someone on behalf of the resident files a complaint, presents a grievance, or otherwise provides in good faith information relating to the misuse of restraint or seclusion at the facility.

(h) Wheelchair self-release seat belts.

  (1) For the purposes of this section, a "self-release seat belt" is a seat belt on a resident's wheelchair that the resident demonstrates the ability to fasten and release without assistance. A self-release seat belt is not a restraint.

  (2) Except as provided in paragraph (3) of this subsection, a facility must allow a resident to use a self-release seat belt if:

    (A) the resident or the resident's legal guardian requests that the resident use a self-release seat belt;

    (B) the resident consistently demonstrates the ability to fasten and release the self-release seat belt without assistance;

    (C) the use of the self-release seat belt is documented in and complies with the resident's individual service plan; and

    (D) the facility receives written authorization, signed by the resident or the resident's legal guardian, for the resident to use the self-release seat belt.

  (3) A facility that advertises as a restraint-free facility is not required to allow a resident to use a self-release seat belt if the facility:

    (A) provides a written statement to all residents that the facility is restraint-free and is not required to allow a resident to use a self-release seat belt; and

    (B) makes reasonable efforts to accommodate the concerns of a resident who requests a self-release seat belt in accordance with paragraph (2) of this subsection.

  (4) A facility is not required to continue to allow a resident to use a self-release seat belt in accordance with paragraph (2) of this subsection if:

    (A) the resident cannot consistently demonstrate the ability to fasten and release the seat belt without assistance;

    (B) the use of the self-release seat belt does not comply with the resident's individual service plan; or

    (C) the resident or the resident's legal guardian revokes in writing the authorization for the resident to use the self-release seat belt.


Source Note: The provisions of this §533.261 adopted to be effective August 31, 2021, 46 TexReg 5017

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