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Long-Term Care Ombudsmen
Educating, Empowering and Advocating for Long-Term Care Residents
Overview
The Ombudsman Program is an advocacy resource for older adults and people with disabilities who live in nursing homes, assisted living, and other licensed adult care homes. Ombudsmen help residents understand and exercise their rights to quality care in an environment that promotes and protects their dignity and quality of life.
The Long-Term Care Ombudsman Program operates under the authority of Older Americans Act (Title VII, Chapter 2, Sections 711/712). Ombudsman is a Scandinavian term that means “Resident Advocate”.
Ombudsman Program
- Investigates and works to resolve residents’ problems and complaints.
- Educates and provides information, referral and consultation to residents, families, facility staff, and community about issues in long-term care.
- Provides information to the public on nursing homes, assisted living facilities, residents’ rights, and policy issues.
- Protects the identity of residents and of individuals who make complaints.
Quick Links
- Additional Information About the Ombudsman Program (PDF)
- Nursing Home Facility List for Calvert County (PDF)
- Assisted Living Facility List for Calvert County (PDF)
Contact the Calvert County Ombudsman Program
- 410-535-4606
- ooamailbox@calvertcountymd.gov
Click on the resources below to open and close the information for each topic:
What is a nursing home?
Nursing homes provide what is called custodial care, providing help getting in and out of bed, and assistance with feeding, bathing, and dressing. Skilled nursing care is available on site, 24 hours a day.
A nursing home is normally the highest level of care for older adults outside of a hospital. However, nursing homes differ from other senior housing facilities in that they also provide a high level of medical care. A licensed physician supervises each patient’s care and a nurse or other medical professional is always on the premises.
How do I choose a nursing facility?
- Toolkit for choosing nursing home (PDF)
- Attorney General “Nursing Homes What You Need to Know” (PDF)
- Long Term Care Planning Document (PDF)
How do I find/compare nursing homes?
- Nursing Home Facility List for Calvert County (PDF)
- Medicare Nursing Home Compare Tool
- Health Care Commission Compare Tool
What is the nursing home admissions process?
Each facility operates slightly different. For this reason, it is recommended that a person contact the facility to speak with the admissions staff to understand if there is a bed available and what the process looks like for that specific facility.
How do I pay for nursing home?
For specific questions about Medicaid eligibility, contact Calvert County Department of Social Service Long-Term Care & Foster Care Medicaid Coordinator at 443-550-6900 or visit their website.
How do I make a complaint if something isn’t going well at the facility?
You can make a complaint about a facility in a few ways. You can make a complaint to the facility directly, reach out to your local Ombudsman, or you can make a complaint directly to the Office of Health Care Quality.
- Calvert County Ombudsman Program: 410-535-4606
- OHCQ Online Complaint
- 25 Nursing Home Problems and How to Solve Them (PDF)
What if the facility tries to discharge me?
- Contact your local Ombudsman at 410-535-4606
- Involuntary Transfer and Discharge (PDF)
- Legal Aid Brochure (PDF)
- Legal Aid Website
What are the rights of residents in nursing homes?
The 1987 Federal Nursing Home Reform Law required nursing homes to “promote and protect the rights of each resident.” Every nursing home resident should have a dignified existence, and the resident rights are written to help ensure that they do. To see the specific rights, please refer to the following websites:
What is a care plan meeting?
A care planning conference is a meeting where staff and residents/families talk about life in the facility-- meals, activities, therapies, personal schedule, medical and nursing care, and emotional needs. Residents/families can bring up problems, ask questions, or offer information to help staff provide care. All staff who work with a resident should be involved--nursing assistants, nurse, physician, social worker, activities staff, dietician, occupational and physical therapists.
Care planning meetings must occur every three months, and whenever there is a big change in a resident's physical or mental health that might require a change in care.
What are Family and Resident Councils?
The 1987 Nursing Home Reform Act guarantees nursing home residents and their families important rights that enhance the nursing home experience and improve family services and conditions.
According to section 483.10(f)(5) of the Code of Federal Regulations, residents and family members have the right to hold private meetings as a group, known as Family or Resident Councils. Federal law references families of residents may participate in a Family Council, but this can also include sponsors such as close friends of residents.
Family Council- A Family Council is a self-led, self-determining group of consumers - families and friends of nursing home residents that:
- Works to improve the quality of care and quality of life of the facility’s residents.
- Provides families with a voice in decision-making that affects them and their loved ones.
Resident Council- Resident Councils are organized, self-governing, decision-making groups of long-term care residents meeting regularly to voice their needs and concerns and to have input into the activities, policies, and issues affecting their lives in the facility.
Find more information on Family and Resident Councils (PDF)
What is the survey process for nursing homes?
A survey is a compilation of deficiencies (violations of the regulations) completed by Maryland State surveyors on an annual basis. The survey can be used as a measuring tool for quality care, but should not be relied on without additional information. A smart consumer will look at the deficiency reports and ask questions about how those issues have been corrected. Deficiencies are ranked in severity from "no harm" to "actual harm". Do not just look at the number of deficiencies - always consider the severity.
You can view results from recent surveys by searching for a facility and looking at the start ratings as well as broken down sections about staffing, resident satisfaction etc.
What is assisted living?
Assisted living facilities provide services in a less-institutional or home-like setting to meet the needs of adults who require assistance with daily living activities. The following are examples of activities of daily living:
- Bathing
- Dressing
- Grooming
- Mobility
- Taking Medications
- Eating
Some assisted living facilities also assist residents with laundry, errands, appointment scheduling, and transportation. The services and the fees for all services should be clearly documented in the contract. Find more information about Assisted Living Programs from the Office of Health Care Quality.
How do I choose an assisted living facility?
- “Tips for Choosing an Assisted Living Facility” (PDF)
- Assisted Living in Maryland: What You Need to Know (PDF)
What is the admissions process for assisted living?
Each facility operates slightly different. For this reason, it is recommended that a person contact the facility to speak with the Manager to understand if there is a bed available and what the process looks like for that facility.
Can I have a list of assisted living facilities?
- Search for facilities by zip code
- Assisted Living Facilities in Calvert County
- Office of Health Care Quality Licensee Directory
How do I pay for assisted living?
Assisted living services are largely paid by the resident or other private source. Financial help is accessible through the Medicaid Community Options Waiver. Residents must be financially and medically eligible and the provider must accept Medicaid reimbursement. Currently, there is a significant waiting list for this program. For more information about the Community Options Waiver, call 410-535-4606 and ask to speak with Maryland Access Point staff.
Cost of care varies depending on the level of care a person needs. View the different levels of care.
How do I make a complaint if something isn’t going well at the facility?
You can make a complaint about a facility in a few ways. You can make a complaint to the facility directly, reach out to your local Ombudsman, or you can make a complaint directly to the Office of Health Care Quality.
- Calvert County Ombudsman Program: 410-535-4606
- OHCQ Online Complaint
- OHCQ assisted living oversight information
What is the survey process for assisted living?
Facilities are evaluated yearly for license renewal and complaint investigations are conducted as needed. Additional monitoring and investigations are conducted to ensure regulatory compliance. Statements of survey and complaint deficiencies are available at each facility. You may also request a copy of the survey directly through the Office of Health Care Quality or search for a facility with more than 10 beds.
View resources for long-term care consumers
Ways to make a complaint about a long-term care facility:
You can make a complaint about a facility in a few ways. You can make a complaint to the facility directly, reach out to your Ombudsman in the county the facility is located, or you can make a complaint directly to the Office of Health Care Quality.