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Visit Tip Sheet
        Facility




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        Definition:     facility  visit      visit by  a n       licensed  long-term  care  facility  for the purpose of connecting  with
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                                          ombudsman












        the   consumers served by this Office.    Visits are ALWAYS unannounced and do not follow any type of predictable schedule.









        The   visits  are purposeful  and resident-directed.  Ombudsmen  are interviewing residents  confidentially and gathering















        information   regarding the resident’s perception of the quality of life and the quality of care they experience.    Ombudsmen










        are   NOT regulators; we do not inspect facilities.  We are not  checking temperatures of water.    We are not observing a





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        medication  pass.    The  ombudsman’s  sole  purpose      engage  the  residents      dialogue  that  focuses  on  their  rights,  their
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        level     f satisfaction, and exchanging information that would empower the residents to approach and resolve concerns on









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        their  own.    However,  casework  and  advocacy  can    offered  based    the  direction    the  resident  and  their  ability/interest
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            in self-resolution.    Resident -specific information obtained by an ombudsman during a facility visit is confidential and cannot









        be   shared with anyone outside of our Office.



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        One     f the primary goals when conducting facility visits is to establish a “visible presence”.    Connecting with an objective

















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        advocate   outside of the facility can be very difficult for the people we serve.      y visiting often and interacting with staff and





        residents,   the awareness of our   Office and the residents’ right to quality care, dignity, and respect increases.      becomes

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        easier   for  residents     o connect  with     s  when assistance     s  needed  and quality     f  care has been  proven     o  increase


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        exponentially   when ombudsman presence increases.


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        It     s important to remember that facility visits often have “embedded” activities.      n other words, while conduct ing a facility





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        visit, ombudsmen    may also attend a  resident  council meeting or provide consultations     o facility staff or residents













        families.    Ombudsmen should be alert to those other activities performed and be certain to document them separately and




            in accordance with Office protocol.








        Provided   to:    Residents residing in nursing homes, assisted living facilities, personal care homes, older adult daily living







        centers  (OADLC)  and domiciliary  care  homes









        When/How:    Local ombudsmen are required to conduct an unannounced visit at every licensed assisted living, personal

















        care   home, and nursing home in their coverage area at least once each federal fiscal quarter.    Domiciliary care homes and

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        Older  adult  daily  living  centers  must  be  visited    least  once  each  federal  fiscal  year.    The  quarterly  visits  are  the  minimum
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        acceptable   level of visitation.    Many local ombudsmen will opt for monthly visits and will sometimes increase frequency of




        visitation    response      high-profile  situation  like  licensing  actions    bankruptcy  cases.    Visits  should  always    conducted
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        at     time convenient  for the residents.  While an ombudsman can technically enter     building  at any time, we must











        remember   the true purpose of our visits – capturing the resident perspective.    So, to visit in the middle of the night when



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        residents  are  sleeping  would  make    sense.      facility  visits  does  need      thorough.   An  effort  should    made    connect
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        with  residents    each  unit    floor  and  residents    different  ages,  races,  genders,  etc.       properly  conducted  facility  visit
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           is one that allows for significant dialogue and, therefore, requires time.    Ombudsmen should never “rush in / rush out” but










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        should  plan    have  available  ample  time      down  and  have  meaningful  conversation  with  the  residents.    Not  only
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        an   opportunity for ombudsmen to learn from the residents, but it is an opportunity for the residents – and staff – to become







        more    familiar with  our  Office  and our  role     n  long-term care.  While  our  primary focus     s  on  resident  perspective,



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        ombudsmen   are  asked    make  some  targeted  observations  and  record  those  observations  during  each  visit.    For  specifics,
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        please   refer to the Facility Visit Form.



        Documentation   Expectations:    For   each   facility   visit,     Facility   Visit   Form   should  be  completed   and  entered   into

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        Well Sky Ombudsman
                             as an attachment to a program activity entry.  Documentation is required.  A local entities’
        compliance
                                                                                       Office of the LTC Ombudsman
                                                                                       Office of the LTC Ombudsman
                                                                                         Version 1.0 September 2020
                                                                                         Version 1.0 September 2020
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