{"id":355771,"date":"2016-04-04T10:45:23","date_gmt":"2016-04-04T15:45:23","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/elder\/elder-care-law\/what-is-the-long-term-care-ombudsman-program.html"},"modified":"2024-01-14T00:39:50","modified_gmt":"2024-01-14T05:39:50","slug":"what-is-the-long-term-care-ombudsman-program","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/elder\/elder-care-law\/what-is-the-long-term-care-ombudsman-program.html","title":{"rendered":"What Is the Long-Term Care Ombudsman Program?"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n    \n    <div class=\"fl-page-articles fl-section-main fl-section-main-full-width\">\n        <h1 class=\"fl-no-margin-top\">What Is the Long-Term Care Ombudsman Program?<\/h1>\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw Staff<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/melissa-bender-esq\/\">Melissa Bender, Esq.<\/a>\n                | Last updated\n        <time>\n                            January 14, 2024\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n    <div class=\"fl-callout-text article-blockquote\">\n        <p>The Long-Term Care Ombudsman Program (LTCOP) is federally funded. An amendment to the&nbsp;<a href=\"https:\/\/www.findlaw.com\/elder\/what-is-elder-law\/what-is-the-older-americans-act.html\">Older Americans Act<\/a>&nbsp;(OOA) created it.<\/p>\n\n    <\/div>\n\n<figure class=\"wp-block-image fl-no-margin\"><img decoding=\"async\" src=\"https://www.findlaw.com/static/c/images\/image\/upload\/ability-law\/wp-prod\/voting-older-adult-images-GettyImages-1160185814.jpg\" alt=\"\" \/><\/figure><p>Each state has an office of the state long-term care ombudsman program. They are tasked with preserving the well-being and rights of residents statewide. This includes investigating and resolving complaints on behalf of residents of:<br>\r\n<\/p>\r\n<ul>\r\n<li>Nursing facilities<\/li>\r\n<li>Assisted living facilities<\/li>\r\n<li>Board and care facilities<\/li>\r\n<li>Other adult care homes<\/li>\r\n<\/ul>\r\n<p>An LTC ombudsman serves as an advocate for adult care residents. They work with law enforcement and other area agencies to ensure your loved one receives good care.<\/p>\r\n<h2>The Purpose of the Long-Term Care Ombudsman Program<\/h2>\r\n<p>In 1972, the federal government funded ombudsperson programs in five states. In 1978, the federal government&nbsp;<a href=\"https:\/\/ltcombudsman.org\/uploads\/files\/support\/history-and-role-updated.pdf\" target=\"_blank\" rel=\"noopener\">required all states to implement ombudsman programs.<\/a><\/p>\r\n<p>Ombudsman services include:<\/p>\r\n<ul>\r\n<li>Resolving complaints made by residents against long-term care providers and facility staff<\/li>\r\n<li>Informing nursing home residents on whether they qualify for Medicaid or Medicare services<\/li>\r\n<li>Investigating quality of care for residents of long-term care facilities<\/li>\r\n<li>Helping create family council and citizen advocacy groups to combat elder abuse<\/li>\r\n<li>Representing the interests of residents before government agencies and other organizations<\/li>\r\n<li>Seeking administrative, legal, and other remedies to protect residents&#8217; health, safety, and welfare<\/li>\r\n<li>Providing information on laws that affect the health and safety of adult care residents<\/li>\r\n<li>Holding caregivers responsible for elder abuse and neglect<\/li>\r\n<\/ul>\r\n<p>Ombudsman services do not include:<\/p>\r\n<ul>\r\n<li>Participating in investigations or formal resolution processes<\/li>\r\n<li>Overturning any decisions of existing dispute resolution or appellate bodies<\/li>\r\n<li>Compromising the neutrality of the Ombudsman&#8217;s Office<\/li>\r\n<li>Mandating residential health care facility policies<\/li>\r\n<\/ul>\r\n<h2>Ombudspeople Investigations of Complaints<\/h2>\r\n<p>The&nbsp;<a href=\"https:\/\/acl.gov\/about-acl\/administration-aging\" target=\"_blank\" rel=\"noopener\">Administration on Aging<\/a>&nbsp;is an agency of the&nbsp;<a href=\"https:\/\/www.hhs.gov\/\" target=\"_blank\" rel=\"noopener\">U.S. Department of Health and Human Services<\/a>. This administration works to carry out the OOA&#8217;s laws and requirements.<\/p>\r\n<p>They keep track of ombudsperson investigations and complaints. Complaints are usually filed by adult care residents or their family members. Ombudsperson program staff and volunteers also visit long-term care facilities.<\/p>\r\n<p>In 2017, ombudsman programs visited&nbsp;<a href=\"https:\/\/acl.gov\/programs\/Protecting-Rights-and-Preventing-Abuse\/Long-term-Care-Ombudsman-Program\" target=\"_blank\" rel=\"noopener\">68% of all U.S. nursing homes and 30% of all board and care facilities<\/a>. Ombudsman programs worked to resolve about&nbsp;201,460 complaints&nbsp;in 2017. About 73% of these complaints were resolved to the satisfaction of the resident or complainant.<\/p>\r\n<p>The most common resident complaints involve:<\/p>\r\n<ul>\r\n<li>Wrongful eviction<\/li>\r\n<li>Unanswered requests for assistance<\/li>\r\n<li>Lack of respect shown to residents<\/li>\r\n<li>Poor quality of life in a care facility<\/li>\r\n<li>Issues with medication<\/li>\r\n<\/ul>\r\n<h2>Ombudspeople as Advocates<\/h2>\r\n<p>The OOA requires ombudspersons&nbsp;<a href=\"https:\/\/ltcombudsman.org\/omb_support\/advocacy\" target=\"_blank\" rel=\"noopener\">to act as advocates<\/a>&nbsp;for long-term care residents.<\/p>\r\n<p>Common forms of advocacy include:<\/p>\r\n<ul>\r\n<li>Procedural advocacy:&nbsp;<a href=\"http:\/\/www.ltcombudsman.org\/about\" target=\"_blank\" rel=\"noopener\">Coordinating with each other<\/a>&nbsp;and with other government agencies to better respond to residents&#8217; needs<\/li>\r\n<li>Issue Advocacy:&nbsp;Identifying complaint trends to notify government agencies, care facilities, and the public of these trending concerns<\/li>\r\n<li>Legislative advocacy:&nbsp;Analyzing state and federal laws and regulations on behalf of adult care residents<\/li>\r\n<\/ul>\r\n<h2>Ombudsperson Independence and Controversies<\/h2>\r\n<p>Long-term care ombudsperson programs are independent. They can act on behalf of adult care residents without interference.<\/p>\r\n<p>Most ombudsperson programs exist within a state&#8217;s&nbsp;Department of Aging. There have been many controversies around ombudsman programs in recent years.<\/p>\r\n<p>In 2011, Florida&#8217;s governor allegedly&nbsp;<a href=\"https:\/\/www.cbsnews.com\/miami\/news\/feds-probing-ombudsman-resignation\/\" target=\"_blank\" rel=\"noopener\">forced the resignation of the state&#8217;s long-term care ombudsman<\/a>. This was due to a contentious relationship between the two. This led to a state Senate hearing and a federal investigation.<\/p>\r\n<p>In 2012, California passed a law strengthening the independence of the state&#8217;s ombudspersons. This law was due to complaints of an inability to disagree with other state officials&#8217; views.<\/p>\r\n<p>The change in the law requires California&#8217;s ombudsperson program to:<\/p>\r\n<ul>\r\n<li>Develop an annual advocacy report<\/li>\r\n<li>Reestablish an inactive advocacy council<\/li>\r\n<li>Maintain an updated website for adult care residents<\/li>\r\n<\/ul>\r\n<h2>Getting Help<\/h2>\r\n<p><a href=\"https:\/\/theconsumervoice.org\/get_help\" target=\"_blank\" rel=\"noopener\">Find contact information for your state&#8217;s ombudsperson program<\/a>&nbsp;to learn more. Signs are usually posted at adult care facilities. These signs should provide the contact information for your local ombudsman.<\/p>\r\n<p>If you have questions about your rights under the Older Americans Act, consult an&nbsp;<a href=\"https:\/\/lawyers.findlaw.com\/elder-law\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">older adult law attorney<\/a>.<\/p>\r\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-up\" clip-path=\"url(#clip0_604_3418)\">\n                        <path id=\"Vector\"\n                              d=\"M6 21H3C2.46957 21 1.96086 20.7893 1.58579 20.4142C1.21071 20.0391 1 19.5304 1 19V12C1 11.4696 1.21071 10.9609 1.58579 10.5858C1.96086 10.2107 2.46957 10 3 10H6M13 8V4C13 3.20435 12.6839 2.44129 12.1213 1.87868C11.5587 1.31607 10.7956 1 10 1L6 10V21H17.28C17.7623 21.0055 18.2304 20.8364 18.5979 20.524C18.9654 20.2116 19.2077 19.7769 19.28 19.3L20.66 10.3C20.7035 10.0134 20.6842 9.72068 20.6033 9.44225C20.5225 9.16382 20.3821 8.90629 20.1919 8.68751C20.0016 8.46873 19.7661 8.29393 19.5016 8.17522C19.2371 8.0565 18.9499 7.99672 18.66 8H13Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\"\n                              stroke-linejoin=\"round\"><\/path>\n                    <\/g>\n                    <defs>\n                        <clipPath id=\"clip0_604_3418\">\n                            <rect width=\"22\" height=\"22\" fill=\"white\"><\/rect>\n                        <\/clipPath>\n                    <\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"No\"\n                value=\"no\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">No<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-down\" clip-path=\"url(#clip0_604_3423)\">\n                        <path id=\"Vector\"\n                              d=\"M16 0.999995H18.67C19.236 0.989986 19.7859 1.18813 20.2154 1.55681C20.645 1.9255 20.9242 2.43905 21 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class=\"was-this-helpful__taken-action fl-text-sm-bold\"><\/span>\n    <div class=\"was-this-helpful__feedback-container\">\n        <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n            <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n        <\/div>\n        <form class=\"was-this-helpful__feedback-form\">\n            <div class=\"was-this-helpful__feedback was-this-helpful__feedback--positive\">\n                <fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this helpful?<\/legend>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--understandable\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Easy to understand\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--understandable\"\n                        >Easy to understand<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--solved-problem\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Solved my problem\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--solved-problem\"\n                        >Solved my problem<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--other\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--other\"\n                        >Other<\/label>\n                 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for=\"was-this-helpful__radio-button--complicated\"\n                        >Too complicated \/ too many steps<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--dated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Out of date\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--dated\"\n                        >Out of date<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex 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