Page 66 - Ombudsman Participant Manual Optimized_Neat

Survey Tip Sheet
Facility

What a “survey”?
i
s
• A detailed visit conducted by the regulatory agency that licenses the facility

(
• Measures the facility’s compliance with state and federal f applicable) regulations
i

• Involves record review; observations, and resident interview
• Is always unannounced
• Is sometimes an annual licensing visit, but can also be triggered by a complaint reported to the regulatory field office

a

• Generates summary of the facility’s deficient practices (if any) that becomes public record, available to anyone for

review
How do surveys work?

Regulatory Agency Fa cility Type Time to complete Regulatory Office Contact Explanation & Our Response

survey with LTCOP

Department f Personal Usually one day; The surveyors are to call the The local ombudsman program office

o

Human Services Care Homes can be longer in local ombudsman program should have the name/contact

(DHS) (PCH) larger facilities office s soon as they arrive information for the volunteer
a

at the facility to begin the ombudsman who visits that facility.

survey. They provide an The volunteer should be invited to

approximate time for “exit”. attend with the ombudsman OR the

The ombudsman should be volunteer may be asked to attend on

t
present the exit meeting behalf f the ombudsman
o
a

to hear the summary of the

surveyor’s visit. The exit

i

meeting s attended by
facility admin staff,

surveyors, and ombudsman.

PCHs are not required to

include residents – but could
if they wanted to.

Department f Nursing 2 – 5 days; 1) The DOH field office calls

o

Health (DOH) Homes depending n the the office of the State

o

size f the facility Ombudsman o provide a
t

o

list f nursing homes that
o

are approaching survey.
The DOH does NOT

provide exact
dates/times, etc – but

does indicate that they

e
b
will entering a facility

“soon”. The state office

staff will contact each

local program with a list

of facilities in their

coverage area that are

approaching survey
sometime “soon”. The
local program will

complete the “Pre-

Survey Report” regarding
Office of the LTC OmbudsmanOmbudsman
Office of the LTC
Version 1.0 September 20202020
Version 1.0 September
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