Ombudsmen work with residents, family members, concerned citizens,
facilities, as well as public and private agencies to enhance the
quality of care and of life for residents in long term care facilities.
WHAT DOES AN
Advocate for Residents
when their legal rights have been violated or they are not receiving
proper care or assistance.
from LTC residents, or from others on their behalf, as they relate
to residentís rights, services, and benefits. Complaints may be
against facilities, government agencies or programs, or other
Rights training to nursing home and adult care home facility staff.
Click here for Residents' Rights:
Assistance to residents, families, and staff in areas including:
care planning, family and resident councils, resident transfer and
discharge, long term care placement, etc.
Promote Elder Abuse
Awareness within the community.
Monitor long term care
facilities to ensure residentsí rights are not being violated.
Educate the public on
long term care issues and promotes increased community involvement
in long term care facilities.
Provide Training and
Technical Assistance to Community advisory
Committee volunteers appointed by County Commissioners.
WHAT TO DO
BEFORE CALLING THE OMBUDSMAN
Be prepared. Be
organized and have your concerns written down to help you be more
effective and ask the right 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 solve
complaints through the facility first.
COMMUNITY ADVISORY COMMITTEES?
The Ombudsman works in conjunction with Nursing Home and Adult Care Home
Community Advisory Committees in each county to serve residents in long
term care facilities. Community Advisory Committees are volunteers
appointed by the county commissioners who visit facilities, interact
with residents, and advocate for quality care in the homes. Members must
reside within the county that they serve and serve terms from 1-3 years.
Contact your County Commissioners to obtain an application to serve.
Advocate for residents
of long term care facilities and work on the local level to resolve
Visit facilities to
ensure that the Residentís Bill of Rights is being followed.
Promote elder abuse
Must reside within the
county they serve and cannot have an immediate family member in a
facility within the county.
Facilities in the Region
Adult Care Homes
Family Care Homes
What are the different levels
residence means "Any group
housing and services program for two or more unrelated
adults, by whatever name it is called." N.C. Division of
Facility Services, 1998
The assisted living program makes available at a minimum one
meal a day, housekeeping services, and provides personal
care services directly or through a formal written agreement
with one or more licensed home health agencies. Nursing
services provided to an individual in an assisted living
residence may not exceed those allowed under Medicare home
Continuing Care Retirement Communities
provides hands-on personal care services and nursing
services, which are arranged by housing management and are
provided by a licensed home care or hospice agency through
an individualized care plan. The N.C. Department of Health
and Human services maintains a registry of these facilities.
CCRCs are not licensed or monitored.
There are two types of assisted living residences that are
monitored by ombudsman:
Adult Care Home
is an assisted living residence in which the housing
management provides 24-hour scheduled and unscheduled
personal care services to two or more residents, either
directly or through formal written agreements with licensed
home care or hospice agencies. Formerly called Domiciliary
Homes, adult care homes are commonly called "Rest Homes" and
are licensed by the North Carolina Department of Health and
Human Services to provide assistance with activities of
daily living and are monitored by county Department of
Social Services for compliance with minimum regulatory
Family Care Home
is a small adult care home that cares for two to six
unrelated residents in a family-like setting. The homes are
often found in residential communities and have around the
clock or live-in staff that prepare meals, give medications
and provide help with activities of daily living. They are
licensed by the North Carolina Department of Health and
Human Services for compliance with minimum regulatory
provide extensive and professional health care, personal
care, food service, and activities to people of all ages.
For reimbursement purposes, residents in the nursing homes
are classified as needing skilled nursing care or
intermediate nursing care. Those receiving skilled care have
acute medical needs that require constant (24 hour)
professional nursing or licensed staff monitoring. Residents
in intermediate care have needs that require the
services of a professional nurse at least 8 hours a day.
Many nursing homes
have special units to care for:
The cost of nursing
home care often seems overwhelming, with most facilities charging
from $3,000 to $4,500 a month.
The cost covers
around-the-clock care, room and board. Some therapies require
additional charges. There may be fees for laundry, haircuts,
personal items and supplies.
not covered in the monthly charges.
How can I find out more about a facility?
Care Home Rating System
The North Carolina Star Rated Certificate program for
assisted living facilities, also called adult care homes and
family care homes, was established in response to requests
of North Carolina citizens for increased availability of
public information regarding the care provided in adult care
facilities. The rules are based on General Statute 131D-10 ,
and were created by the N.C. Medical Care Commission with
input from residents and families in adult care homes,
advocacy groups, providers, and others.
Click here to access the ACH Star Rating System.
Nursing Home Compare
The Nursing Home Compare Website features a rating system
that gives each nursing home a rating between 1 and 5.
Nursing Home Star Ratings compare nursing homes with one
another. The ratings are based on minimum standards.
Click here to access the Nursing Home Compare Website.
(Nursing Home Compare:
Link to Payment sources:
http://www.medicare.gov/Coverage/Home.asp for Medicare
Regional LTC Ombudsman