F604 Part 3 reviews CMS guidance related to resident requests or refusals, the use of bed rails, and the risks associated with these devices. This post outlines the requirement for an individualized, person‑centered assessment when considering bed rails, including identifying a medical symptom, weighing risks versus benefits, and ensuring the resident can voluntarily release the rail. It also discusses when bed rails constitute a physical restraint, acceptable use of partial rails, considerations for position‑change alarms, and how these issues are commonly cited during survey.