Wednesday, August 29, 2007

Resident Council Rights

Nursing Home Resident Council Has Resident Council Rights

The nursing home resident council unlike the family council is an organization within the nursing home whose members usually are residents of the home. All residents of the home can participate just by the fact that they reside within the home. The resident council has powerful rights in nursing homes, these resident council rights protect the rights of residents.

The resident council is not governed by nursing homes, the long term care ombudsman is mandated to protect the rights of resident councils in nursing homes. The long term care ombudsman also protects residents' rights, quality of life and care in nursing homes.

The resident council provides a vehicle for residents to participate in decision-making and for residents to voice grievances and resolve differences. Usually residents, who are able, take on the role of speaking up for those who cannot. Every nursing home resident council is different, due to differences in both the residents who participate and in the level of support and responsiveness from the facility.

The Nursing Home Reform Law and federal regulations require nursing homes to assist in the establishment of resident councils. The nursing home resident council movement has grown into a vital part, in the health, safety, and welfare of residents in nursing homes. The Resident Councils of Washington can provide you more information about how to form or develop a nursing home resident council.

Resident council Rights

(1) Each facility shall have resident council consisting of representatives elected by facility residents. Elections shall be held annually.

(2) The council shall annually elect a chair from among its members. The chair shall call and preside at council meetings.

(3) The resident council shall serve in an advisory capacity to the respective superintendents and to the director in all matters related to policy and operational decisions affecting resident care and life in the facility, to include, but not be limited to, input into the biennial budget making process and facility supplementary policies and procedures. The superintendent shall give due and proper consideration to such input.

(4) Each resident council shall:

(a) Actively participate in development of choices regarding activities, food, living arrangements, personal care and other aspects of resident life; and

(b) When so requested by a resident, serve as an advocate in resolving grievances and ensuring resident rights are observed.

Protect Residents' Rights

Long Term Care Ombudsman - Protect Residents' Rights

The long term care ombudsman advocates for
residents' rights, quality of life and care in long term care facilities (nursing homes, boarding homes, adult family homes and veterans' homes). The long term care ombudsman has the power, based on federal and state law, to protect residents' rights. Ombudsmen can investigate complaints and work with long term care facilities to respond to any concerns on residents behalf.

Residents have rights, nursing home rights and they are vital to all residents, without rights in nursing homes there would be resident abuse, neglect and poor care. Under the bill of rights every person is entitled to certain rights, whether the person is living in a nursing home or living at home. The
residents’ bills of rights
are just as powerful and important as the bill of rights; rights of residents protect the health, safety, and welfare for all residents in long term care facilities.

The long term care ombudsman was mandated to protect residents' rights, family rights, resident council rights and family council rights.
Resident council rights protect the well being of residents living in long term care facilities. Family council rights
protect the rights of family in long term care facilities.

The ombudsman offers free nursing home rights information that can assist families in how to choose a long term care facility. The more information you have about a long term care facility, the better chance you have to choose a facility that will protect residents' rights, family rights and provide
residents quality care
.

Ombudsman responsibilities outlined in the Older Americans Act included:

(a) Identify, investigate and resolve complaints made by or on behalf of residents;
(b) Provide information to residents about long-term care services;
(c) Represent the interests of residents before governmental agencies and seek administrative, legal and other remedies to protect residents;
(d) Analyze, comment on and recommend changes in laws and regulations pertaining to the health, safety, welfare and rights of residents;
(e) Educate and inform consumers and the general public regarding issues and concerns related to long-term care and facilitate public comment on laws, regulations, policies and actions;
(f) Promote the development of citizen organizations to participate in the program;
(g) Provide technical support for the development of resident and family councils to protect the well-being and rights of residents; and
(h) Advocate for changes to improve residents’ quality of life and care.

Volunteer Ombudsmen can help residents and their families and friends understand and exercise rights that are guaranteed by law, both at the federal and state level.

The
volunteer ombudsman program is looking for volunteer ombudsmen nationwide to protect residents' rights in long term care facilities. If you would like to volunteer your time to help others, contact your state ombudsman. Our grandparents, mothers and fathers, uncles and aunts, and brothers and sisters need your help.

Rights of Residents

Long Term Care Residents' Rights

Residents have rights and the rights of residents, are just as powerful as human rights or the bill of rights. Federal law governs long term care residents' rights sometimes referred to as residents' bill of rights. Federal law governs residents' rights in all long term care facilities (nursing homes, adult family homes, boarding homes and veterans' homes). Federal law mandated the
long term care ombudsman to protect residents' rights or residents' bill of rights in all long term care facilities.

The institutional setting and the residents' disability often results in a loss of dignity, loss of rights, and the absence of quality care. Long term care residents' rights are no lesser rights than anyone else's whether living in a long term care facility or living at home. Residents have the right to be free of unnecessary physical or chemical restraints, the right to get up and go to bed when they choose, the right to eat or not, and the right to take medication or not.

The residents' bill of rights protects the residents’ quality of life and care.Residents have rights in all long term care facilities, and the rights of residents' are guaranteed. Long term care residents' rights are vital to all residents, without residents' rights in long term care facilities there would much more abuse, neglect and poor care. Residents' rights in nursing homes, adult family homes, boarding homes and veterans' homes protect the residents’ health, safety, and welfare.

The
resident council and family council also play an important part in promoting and protecting residents' right in long term care facilities. Far too often the rights of residents in nursing homes, adult family homes, boarding homes, and veteran's homes are violated. The residents' rights bill protects residents' rights in long term care facilities.

For more help see our
choosing long term care and resource link directory
to help you choose a long term care facility that protects residents' rights and that provides quality care.

In 1987 Congress enacted the Nursing Home Reform Law that has since been incorporated into the Medicare and Medicaid regulations. Long term care residents' rights in its broadest terms, requires that every long term care resident be given whatever services are necessary to function at the highest level possible. The law gives residents a number of specific rights:

Residents have rights, the rights of residents are to be free of unnecessary physical or chemical restraints. Vests, hand mitts, seat belts and other physical restraints, and antipsychotic drugs, sedatives, and other chemical restraints are impermissible, except when authorized by a physician, in writing, for a specified and limited period of time.

To assist residents, facilities must inform them of the name, specialty, and means of contacting the physician responsible for the resident's care. Residents' rights provide the resident the right to participate in care planning meetings

When a resident experiences any deterioration in health, or when a physician wishes to change the resident's treatment, the facility must inform the resident, and the resident's physician, legal representative or interested family member.

The residents have rights the right to gain access to all his or her records within one business day, and a right to copies of those records at a cost that is reasonable in that community. The facility must explain how to examine these records, or how to transfer the authority to obtain records to another person.

The facility must provide a written description of legal rights, explaining state laws regarding living wills, durable powers of attorney for health care and other advance directives, along with the facility's policy on carrying out these directives.

At the time of admission and during the stay, nursing homes must fully inform residents of the services available in the facility, and of related charges. Nursing homes may charge for services and items in addition to the basic daily rate, but only if they already have disclosed which services and items will incur an additional charge, and how much that charge will be.

The resident has a right to privacy, which is a right that extends to all aspects of care, including care for personal needs, visits with family and friends, and communication with others through telephone and mail. Residents thus must have areas for receiving private calls or visitors so that no one may intrude and to preserve the privacy of their roommates.

Residents have the right to share a room with a spouse, gather with other residents without staff present, and meet state and local nursing home ombudsperson or any other agency representatives. They may leave the nursing home, or belong to any church or social group. Within the home, residents have a right to manage their own financial affairs, free of any requirement that they deposit personal funds with the facility.

Residents also can get up and go to bed when they choose, eat a variety of snacks outside meal times, decide what to wear, choose activities, and decide how to spend their time. The nursing home must offer a choice at main meals, because individual tastes and needs vary. Residents, not staff, determine their hours of sleep and visits to the bathroom. Residents may self-administer medication.

Residents may bring personal possessions to the nursing home such as clothing, furnishings and jewelry. Residents may expect staff to take responsibility for assisting in the protection of items or locating lost items, and should inquire about facility policies for replacing missing items. Residents should expect kind, courteous, and professional behavior from staff. Staff should treat residents like adults.

Nursing home residents may not be moved to a different room, a different nursing home, a hospital, back home or anywhere else without advance notice, an opportunity for appeal and a showing that such a move is in the best interest of the resident or necessary for the health of other nursing home residents.

The resident has a right to be free of interference, coercion, discrimination, and reprisal in exercising his or her rights. Being assertive and identifying problems usually brings good results, and nursing homes have a responsibility not only to assist residents in raising individual concerns, but also to respond promptly to those concerns.

Volunteer Ombudsman

Volunteer Ombudsman Program - Ombudsman Volunteer

What is a Long Term Care Volunteer Ombudsman Program?

The volunteer ombudsman program, also known as the ombudsman volunteer program is mandated by the Federal Older Americans Act. The volunteer ombudsman program is looking for volunteers to visit residents in nursing homes, adult family homes, boarding homes and in some veteran's homes.

The purpose of the volunteer ombudsman program is to promote and protect residents rights, improve the quality of life and care for residents and to assist in empowering residents to become self-advocates. This work can not be done without the ombudsman volunteer program. In short, the ombudsman volunteer program is the safety net for all residents in long term care facilities.


What Does a Volunteer Ombudsman do?

The volunteer ombudsman listens to concerns and questions and works with residents, families, staff, local, and state agencies and other organizations or resolve problems or answer questions. Your volunteer ombudsman will:

(a) Advocate for the rights of residents in long-term care facilities
(b) Provide an effective means for the resolution of concerns about the quality of life in long-term care facilities
(c) Work with residents, families, operators, and staff of facilities to meet the needs and concerns of those who live there
(d) Monitor laws, regulations, and policies which affect those who live in long-term care facilities
(e) Provide public education to promote a better understanding about the use of long-term care facilities
(f) Help residents, family, staff, and operators of facilities establish a resident council and family council

Who can use the Volunteer Ombudsman Program?

(a) Residents of nursing homes, boarding homes, adult family homes, and veteran's homes
(b) Relatives and friends of residents in long-term care facilities
(c) Administrators and employees of long-term care facilities
(d) Any group or individual concerned about the welfare of residents of long-term care facilities
(e) The community at large

Why do residents and their families need an Volunteer Ombudsman?

(a) Many frail and vulnerable residents cannot speak up for their needs and desires
(b) Some residents are alone and have no close relatives or regular visitors
(c) Long-distance caregivers appreciate knowing someone is looking out for their loved ones

Volunteer Ombudsman educate residents of their rights

A facility should care for its residents in a manner and in an environment that promotes maintenance or enhancement of each resident's quality of life. A resident should have a safe, clean, comfortable, and homelike environment.

Resident’s rights in a long term care facility are, in brief:

To be informed of your rights, the rules and policies of the facility, and to be told of all services available and all costs, including those charges covered or not included in the basic rate

To be informed of your health condition, to participate in planning care and treatment or refuse any treatment, and to have your personal and medical records treated as confidential

To be transferred or discharged only after written notice is given and only for increased medical needs, safety, or non-payment To be encouraged to exercise your rights as a resident and citizen, to complain and suggest without fear of coercion or retaliation

To manage your financial affairs, or if this is delegated, to receive regular accounting

To be free of mental and physical abuse and of chemical and physical restraints

To participate in social, religious, and community activities, as possible

To have your own clothing and possessions and be allowed to use them as space permits

To have privacy for visits and telephone calls, and to send and receive personal mail unopened


Contact us about the Volunteer Ombudsman Program we personally introduce you to your state ombudsman.

Nursing Home Family Council

Nursing Home Family Council Rights - Protect Famliy Rights

Nursing home family council rights are powerful rights in nursing homes, these family council rights protect family rights. The nursing home family council unlike the resident council is an organization within the nursing home whose members are usually family and friends of resident living in the nursing home. Any family member can participate in the family council.

Family rights in nursing homes are not governed by nursing homes, federal law governs family rights. The long term care ombudsman is mandated to protect family council rights and family rights in nursing homes and all other long term care facilities. Protecting family rights in nursing homes play an important part in the care of residents.

The family council is an advocate for residents' rights and quality care, the family council provides a vehicle for family members and/or friends to voice their concerns and request improvements for all residents.

The 1987 Nursing Home Reform Act guarantees the families of nursing home residents a number of important family rights to enhance a loved one's nursing home experience and improve facility- wide services and conditions.

Join and support the family council at your loved one's facility. If the nursing home doesn't have a family council, join with other family members to form one or contact your long term care ombudsman. Remember to join or form a family council is your right and the long term care ombudsman is there to protect family rights as well as residents' rights.

Facilities certified for Medicare and Medicaid must provide a meeting space, cooperate with the council's activities, and respond to the group's concerns. Nursing facilities must appoint a staff advisor or liaison to the family council, staff and administrators have access to council meetings only by invitation. While the federal law specifically references "families" of residents, close friends of residents can and should be encouraged to play an active role in family councils, too.

(a) A resident’s family has the right to meet in the facility with the families of other residents in the facility.
(b) The facility must provide a family group, if one exists, with private space.
(c) Staff or visitors may attend meetings at the group’s invitation.
(d) The facility must provide a designated staff person responsible for providing assistance and responding to written requests that result from group meetings.
(e) When a family group exists, the facility must listen to the views and act upon the grievances and recommendation of residents and families concerning proposed policy and operational decisions affecting resident care and life in the facility.

If you are interested in forming a family council and need more information, please contact CareWatchers at 206.418.6989. You can contact your local Long Term Care Ombudsman tel. 206-623-0816, or your State’s Ombudsman.

Nursing Home Fact Sheet

Nursing Home Fact Sheet - Facts About Nursing Homes

Providing long term care for people who are frail and disabled is not a new concept. From the colonial times, care for the elderly poor has been a responsibility of the government. Up until 1820 the government’s response to providing long term care was to auction off impoverished citizens to families who often provided poor living conditions in return for grueling work.

The expression “over the hill” comes from an 1871 ballad that depicts the plight of an old woman cast out by her children to live in a government-run workhouse. This “poor farm” image of long-term care still carries a very strong negative connotation with many elderly people receiving services today.

One of the initial inventories of the nursing home industry was done by the Bureau of Census in 1939. It counted 1,200 facilities with 25,000 beds. By 1960, there were 9,600 nursing homes with 330,000 beds. In 1970, there were 23,000 facilities with 1.1 million beds. Currently there are 17,000 nursing homes caring for about 1.6 million residents.

The nursing home industry with a projected $87 billion in revenues in 1999 is the fastest growing major segment of the health care field. The federal government paid for a projected $39 billion in 1999 through Medicare and Medicaid.

For-profit corporations own or control 80% of the nation’s nursing homes (which have 75% of the nation’s beds), while 87% of hospitals are non-profit organizations. There are more than three times as many nursing homes as hospitals.Far too often the nursing home industry is large on profits and short on care.

The only real safety net for our grandparents, mothers, fathers, aunts, uncles, sisters and brothers, are family members and the long term care ombudsman program.