Page 67 - Ombudsman Participant Manual Optimized_Neat

each facility on their

respective list. That form
is returned to the

appropriate field office

for their review prior to

survey. The fact that a

facility s soon to be
i
i
surveyed s STRICTLY
CONFIDENTIAL
information and CANNOT

be shared with anyone

o

outside f our program –
under any circumstances.

i

2) The DOH will alert the This s EXTREMELY CONFIDENTIAL.
state office of impending The local ombudsman must not alert

survey visits. The state anyone outside of our program that a

i

office will send an email survey s pending at any facility. There

to the local ombudsman are serious repercussions for violating

who will follow-up by this confidentiality requirement. The

completing the Pre- ombudsman should complete the

Survey Report form. The form using information gathered via

form, once completed, facility visits, casework, etc. However,
b
e

will sent back to their the information shared should NOT be
respective DOH field resident-specific but should alert DOH

office for their review. to trends or patterns of issues that

concern the residents and/or our

3) The DOH field office will office.

review the form and may

call the local ombudsman

for clarification of

additional information
4) The survey team should Again, the information exchanged s

i

B
call the Ombudsman EXTREMELY CONFIDENTIAL. y
program office as soon as sharing our knowledge of an

they are on site and impending survey with anyone outside

informs them of the of our program, we are violating the
date/time for the law and destroying our working

resident meeting. relationship with DOH.

5) The survey team alerts DOH meets with the

the ombudsman of the residents/resident council without

tentative date/time for facility staff. The ombudsman is

the exit meeting. The invited o attend this meeting – and

t

exit meeting is attended should. The volunteer ombudsman

by surveyors, facility can attend instead of the staff

o
admin staff, and ombudsman WITH the staff

r
I
f
residents. ombudsman. volunteer is involved

a

with the facility – they should ALWAYS

Office of the LTC Ombudsman
Office of the LTC Ombudsman
Version 1.0 September 2020 2020
September
1.0
Version
67
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