Idaho State Long-Term Care Ombudsman Office Facility Visit Form - aaani 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the 'Date of Visit', 'Ombudsman', 'Travel Time', and 'Total Time in Facility' at the top of the form. These fields are essential for documenting your visit.
  3. Fill in the 'Facility Name', 'Type of Facility', and 'Facility Administrator or Manager on Duty'. This information helps identify the location and responsible personnel during your visit.
  4. Indicate how many residents you visited and the number of licensed beds available in the facility. Check if there is a secured unit by selecting ‘Yes’ or ‘No’.
  5. Proceed through each checklist item, marking ‘Yes’ or ‘No’ based on your observations regarding residents' conditions, facility safety, and staff interactions. Be thorough to ensure accurate reporting.
  6. In the comments section, provide explanations for any ‘No’ answers to highlight concerns that need addressing.

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How to Report a Concern or Complaint Reporting your concerns to the management staff of your facility. If you still feel your issues have not been adequately addressed, you have the option to contact your local Ombudsman. Residents also have the right to contact Idahos survey and licensing agency at (208) 334-6626.
A hospital ombudsman listens to any concerns you might have about the care youve received and helps resolve the situation. They work with individuals and families to manage issues with communication, quality of care, safety and more.
Under the federal Older Americans Act, every state is required to have an Ombudsman Program that addresses complaints and advocates for improvements in the long-term care system. The Ombudsman program is administered by the Administration on Aging (AoA)/Administration for Community Living (ACL).
An Ombudsman is essentially a patient advocate and can be referred to as a Social worker, patient representative, patient liaison, patient relations counselor, crisis resolution specialists, and other names or titles.
The Office of Ombudsman identifies and eliminates service deficiencies and continuously seeks to improve the delivery of state government services to the citizens of South Carolina.
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There are two types of ombudsman. Some cover the private sector - they handle financial and consumer complaints. Some cover the public sector - they mainly look into complaints about government organisations and public services. Most ombudsman schemes are members of the Ombudsman Association.

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