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What is an Ombudsman?

   "Ombudsman" is a Swedish word meaning citizen representative, or advocate.
   A Long-Term Care Ombudsman serves as a mediator who seeks to resolve complaints made by or on behalf of people living in long-term care facilities. An Ombudsman is an advocate for resident's rights and is responsible for investigating complaints made by, or on behalf of, nursing and adult care home residents. The Ombudsman works with residents, family members, concerned citizens, facilities, as well as public and private agencies to enhance the quality of life for residents in long term care facilities.
   The Ombudsman also provides information and education regarding long-term care.


Who Uses Ombudsman?
Residents of Long Term Care Facilities (Nursing and Adult Care Homes) Families and Friends of Residents in Long Term Care Facilities
Long-Term Care Facility Staff Government Agencies and Community Groups
Anyone seeking information regarding long-term care
What does the Ombudsman Program do for
residents of long-term care facilities?

RECEIVES, Investigates, and seeks to resolve concerns/complaints on their behalf ENSURES understanding and implementation of rights
ENCOURAGES self-resolution PROTECTS privacy and confidentiality
PROVIDES information and referral regarding long-term care programs and services IDENTIFIES and seeks to remedy gaps in facility, government, or community services
ADVOCATES for improvement in relevant legislation, policy, and regulations PROMOTES the highest quality of life and care for long-term care consumers
Ombudsman Services are Confidential and Free
What kinds of complaints are handled?

PROBLEMS pertaining to residents' rights in Long-Term Care Facilities PROBLEMS with billing and charges, Medicare and Medicaid
CONCERNS about the quality of care or treatment from a long-term care service provider COMPLAINTS regarding transfers, discharges, discontinuance or changes in services, and appeal rights
What to do before calling the Ombudsman

Be prepared. Be organized and have your concerns in writing to be more effective in asking the necessary questions. Keep your own records. Take notes or keep a journal. Remember to record dates, times, and people you spoke with regarding your concerns.
Be pleasant. Getting angry or rude never helps to solve the problem. Utilize the facility complaint or grievance procedure system. If possible, try and resolve complaints through the facility.
Resident's Rights
Residents of Long-Term Care Facilities have basic and special rights under Federal and State Law. Some of these rights are listed below:

RIGHT To Be Treated With Respect, Consideration, and Dignity RIGHT To Know About and To Exercise Your Rights
RIGHT To Know About Services and Charges RIGHT To Be Consulted in Planning Your Medical Treatment
RIGHT To Confidentiality of Medical Records RIGHT To Privacy in Treatment and Care
RIGHT To Control Your Finances RIGHT To Freedom From Abuse, Neglect, and Exploitation
RIGHT To Freedom From Chemical and Physical Restraints RIGHT To Express Grievances Without Fear of Retaliation
RIGHTS Pertaining to Admission, Transfers and Discharges, Including the Right to Appeal in Certain Instances
To Contact the Ombudsman Program Call or write:

Alex Jernigan

Long-Term Care Ombudsman
Area Agency on Aging
High Country Council of Governments

Post Office Box 1820 -- Boone, NC 28607
(828) 265-5434 (phone) ext 126 -- (828) 265-5439 (fax)
E-Mail Address: ajernigan@regiond.org

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