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Based on record review and interview, the Medical Director and the Nursing Director failed to ensure that all clinical staff responsible for following facility seclusion/restraint policy and procedure compliance received retraining in this area by July 21, 2011 as previously stated by the facility's administrative staff. The facility also failed to report on injury to the patient from the hold and failed to ensure that procedures for the proper use of seclusion/restraint were in place for 1 of 1 active sample patient E12 who was placed in a physical hold on 8/21/11 at 2:15p.m. The facility also failed to evaluate whether the patient had sustained any physical harm from the hold. The use of restraints by untrained staff, lack of ongoing monitoring of staff involved in initiating restraints and lack of adequate documentation and justification for a restraint in a patient's medical record is a violation of a patient's right to be free of restriction of movement. These failures are also unsafe clinical practices which can lead to serious physical harm to patients. (Refer to B144 for failures related to the Medical Director and to B148 for failures related to the Nursing Director).