Nursing Home Does Not Use Restraints - Should we be worried?

Like others have said, they aren't allowed to use restraints. Staff are supposed to call you every time LO falls even if not injured. They are also then supposed to tell you of the plan to prevent it from happening again.

I know that hearing about a fall after-the-fact doesnt ease worries about falls and injuries, but it does give you a way to monitor safety.

Ask about their falls and injury reports to get an idea of their safety record. You certainly don't want to see a high number of falls and injuries, but you also dont want to see absolute zero. If it's 0, most likely they are doctoring their stats, because unfortunately, falls arent 100% preventable without restraints.

My dad has fallen out of bed at most rehabs he's been in. Luckily, he never got hurt. He tends to fall more in placement than he does at home. THe plan to fix things for him is usually to put the bed down as low as it can go and put mats on the floor when in bed.

Usually the bed is lowered as low as it can possibly go and a mattress or other padding is placed on the floor to cushion.
Alarms are not considered a restraint but they are often not reliable as they go off very easily. What is used more is an alarm that is attached to the chair and the resident and when they try to get out of the chair the alarm will sound. Less likely to go off with just normal movement.
The use of restraints in Facilities have not been used in many years. (thank goodness)
Even the use of hand protectors to prevent scratching at wounds can be considered a restraint.
I would not be concerned about the lack of restraints, I would be concerned if they used them

Its against the law to use restraints. Has been for a long time. There are concaved mattresses. Mats they put on the floor. Alarms are used but have heard that these may stop to.

Restraints were not permitted by nursing home regulations when my mother was a resident in one. Bed alarms were used. My family was there a lot, my dad never missed a day, others of us were often there, and we never saw a resident fall. The key was good and vigilant care. I can’t say it never happened, but you’ll quickly learn of the quality of care in a place.

Yes, all licensed facilities are moving away from restraints. People have died in them unfortunately. Facilities can actually lose licensure for using them. There are many ways to get around them; have you discussed options with both hospice and the facility? To tell the truth, one place I know of has foam pads below the beds for frequent fall people. This is such a tough dilemma. Just occasionally, on very fragile patients, net beds are used. They have basically a zipped larger than mosquito net hole canopy with sides. They were what was most used in my nursing facility before my retirement. They were called either "vale" bed or "veil" bed, and I am uncertain whether they are still used or not. I retired about the time that restraints became an absolute no-no. Please update us if a solution is found that you can share with us.