Who does what

What is a long-term care ombudsman?

A long-term care ombudsman is a free, government-backed advocate who investigates complaints about nursing homes, assisted living and similar facilities on behalf of residents.

By Emmanuel Akyeam · Updated

Every state has an ombudsman programme, funded under the Older Americans Act. They visit facilities, take complaints from residents and families, and work to resolve them; they can also explain residents' rights before a problem arises.

They do not oversee in-home care agencies, but they are the right call if a parent is in a facility and something is wrong.

Why it matters

It is free, independent of the facility, and most families have never heard of it.

Questions people ask

What is a long-term care ombudsman?

A long-term care ombudsman is an advocate for residents of nursing homes, assisted living and similar care facilities. The National Long-Term Care Ombudsman Resource Center says the Long-Term Care Ombudsman Program is the only federal program required to advocate with and for these residents, and that every state, plus Washington DC, Puerto Rico and Guam, must have an Office of the State Long-Term Care Ombudsman.

What does a long-term care ombudsman do?

An ombudsman investigates and resolves complaints about residents' rights, quality of life and quality of care. According to the National Long-Term Care Ombudsman Resource Center, common complaints include improper discharges, medication errors, slow call bell responses, privacy and dignity violations, and alleged abuse. The program also educates residents, families and staff about residents' rights, supports resident and family councils, and pushes for better policies.

What role does a long-term care ombudsman play for families?

For families, an ombudsman is a free place to take concerns about a relative's care in a facility and to learn about residents' rights. Anyone can contact the program, but the National Long-Term Care Ombudsman Resource Center explains that when a family member raises a complaint, the ombudsman must find out what the resident wants and follow the resident's direction where possible. It also helps family councils develop.

Does the ombudsman charge a fee?

No. All services from the Long-Term Care Ombudsman Program are free and confidential, according to the National Long-Term Care Ombudsman Resource Center. That includes help with complaints about care in a nursing home or assisted living, information about residents' rights, and guidance for families. Amendments to the Older Americans Act in 1978 required every state to have an ombudsman program, so help exists nationwide.

Who is my long-term care ombudsman?

Start with the ombudsman program in the state where the care facility is. Every state, plus Washington DC, Puerto Rico and Guam, has an Office of the State Long-Term Care Ombudsman, headed by a full-time State Ombudsman who directs the program statewide. The National Long-Term Care Ombudsman Resource Center offers a tool to locate an ombudsman program near you, and anyone can contact the program with concerns.

Sources

Where to check this, and where to read more. All external and all authoritative.

Long-term care ombudsman where you live

The local guide on this, for each city we cover.

Related terms

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What it costs

$20 to $42 an hour across the 23 cities we serve

The rate depends on the city and the care needed. Matching and caregiver video profiles are free, and the rate, the hours and anything extra are set out in writing before the first visit.

20 hours a week
$1,732 to $3,637 a month
40 hours a week
$3,464 to $7,274 a month

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