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hello Texas Ombudsman my name is Patty Duke ia and I am your state long-term care Ombudsman thank you for your advocacy efforts and nursing homes and assisted livings your tenacity to uphold resident rights and to protect the health and safety of residents is absolutely critical to giving residents the care and quality of life they deserve your presence in their lives and in long-term care facilities means so much as a certified Ombudsman you know that the older Americans Act authorizes the Ombudsman program and requires each state to ensure an ombudsman has access to residents and facilities in Texas we accomplish this access by laws and rules that require facilities to allow our entry and private visitation with residents not only do we need access to residents we also need access to information about them this information whether shared orally by a caregiver the resident or physician or documented in the residents clinical record is all confidential remember an ombudsman is require