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We're stuck between two communities

The questions that break a tie once the tours all start blurring together.

Quick answer

The questions that break a tie once the tours all start blurring together.

HomeBy SituationWe're stuck between two communities

By this point you have toured enough that the buildings have merged. These are the questions that still separate them.

Short answer

The questions that break a tie once the tours all start blurring together.

What to do, in order

  1. Compare the all-in numbers, not the base rents. Ask each community for the total monthly cost at your parent's assessed care level, in writing.
  2. Compare the rate increase histories. Three years of actual increases from each.
  3. Compare overnight staffing, not daytime. Daytime ratios look similar everywhere. Overnight is where they diverge.
  4. Pull both state inspection records. Read the surveyor narratives rather than counting citations.
  5. Ask the Medicaid waiver question of both. If private funds might run out, a community that does not hold a waiver provider agreement is a future forced move.
  6. Go back unannounced. Same building, evening on a weekday.

Questions families ask

Is the Long-Term Care Ombudsman Program the same as filing a complaint with the state about a facility's license?

No, these are two different processes. The Ombudsman Program is a resident-advocacy service that works directly with residents to resolve individual concerns and does not have regulatory enforcement authority, while a facility licensing or safety complaint goes to NC DHSR's Complaint Intake Unit at 1-800-624-3004 (or 919-855-4500), which can investigate and take regulatory action against a facility's license.

Does the Ombudsman Program help residents in independent living or only licensed nursing homes and adult care homes?

The Ombudsman Program's statutory advocacy role covers residents of nursing homes, adult care homes, and family care homes -- the licensed long-term care settings regulated under NC Chapter 131D and federal nursing home law. Independent living communities, which are unlicensed housing arrangements without the same level of regulated personal care, generally fall outside the program's core advocacy scope.

Who oversees the Ombudsman Program at the state level in North Carolina?

The Office of the State Long-Term Care Ombudsman is run by the NC Division of Aging and Adult Services within NCDHHS, which oversees the statewide program and its 16 regional Offices of the Long-Term Care Ombudsman housed within regional Area Agencies on Aging, including the Central Pines Regional Council office serving most of the Triangle.

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