55 Pa. Code § 2800.203 – Bedside rails.

(a) Bedside rails may not be used unless the resident can raise and lower the rails on his own. Bedside rails may not be used to keep a resident in bed. Use of any length rail longer than half the length of the bed is considered a restraint and is prohibited. Use of more than one rail on the same side of the bed is not permitted.
(b) Half-length rails are permitted only if the following conditions are met:
1. (1) The resident’s assessment or support plan, or both, addresses the medical symptoms necessitating the use of half-length rails and the health and safety protection necessary in order to safely use half-length rails.
2. (2) The residence has attempted to use less restrictive alternatives.
3. (3) The resident or legal representative consented to the use of half-length rails after the risk, benefits and alternatives were explained.