Specialized Information for:

Nursing HomesAssisted Living/Board & Care Home and Community Based Services

Resources & Reference Documents


Long-Term Care Ombudsman Programs

2016 Consumer Voice Annual Conference

Long-Term Care Ombudsman Program Fact Sheet (ACL and AOA 2015)

Ombudsman Compendium on Recruitment, Training and Retention

The Long-Term Care Ombudsman Program: Milestones 1972-2016

State LTC Ombudsman Program: A Primer For State Unit Directors and Executive Staff (2011) - Prepared by the National Association of State Unit Directors of Aging and Disabilities


Nursing Homes

Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2016 (April 2018)
This report provides information on recent trends in nursing facilities in the United States, drawing on data from the federal On-line Survey, Certification, and Reporting system (OSCAR) and Certification and Survey Provider Enhanced Reports (CASPER), to provide information on nursing facility characteristics, resident characteristics, facility staffing, and deficiencies by state from 2009 through 2016. Additional detail on the survey and methods underlying the data in this report are provided in the Appendix at the end of the report. This data enables policymakers and the public to monitor and understand recent changes in nursing facility care in the United States and help highlight areas of ongoing concern for current and future policymaking.

Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2016 - Supplemental Tables (April 2018) 

Nursing Homes: Who Owns Them (2001)

Staffing section of the Consumer Voice website

Bedhold for Nursing Home Residents: Know the Facts (September 2012)

Improving the Quality of Care in Nursing Homes (IoM, 1986)

Nursing Home Staffing Standards in State Statutes and Regulations (Charlene Harrington, 2010)


Medicaid and Medicare

Information from CMS

CMS Memo: Revision of Civil Money Penalty (CMP) Policies and CMP Analytic Tool (July 2017)

CMP Analytic Tool User's Guide (July 2017)

Summary of State Use of CMP Funds (2012 - 2016)

Civil Monetary Penalty Funds update from CMS (December 2011)

Additional Information

Medicaid and Long-Term Care (Bradley Gellar 2011)

Fact Sheet: Medicaid Therapeutic Leave (March 2011)

Medicare Interactive - Created by the Medicare Rights Center, Medicare Interactive can help find answers about Medicare benefits.

Medicare Prospective Payment in SNFs and its Impact on Nursing Home Residents: Questions for Ombudsmen Considering the Care of Medicare Patients in Nursing Homes (2001)

Medicaid Bed Hold Policies by State (October 2012)


Administration on Aging’s Annual Report to Congress

Administration on Aging's Annual Report to Congress (FY 2015) - The section related to the Long-Term Care Ombudsman Program begins on page 42.

View past reports to Congress here.


Information to Share with Consumers

Piecing Together Quality Long-Term Care - A Consumer's Guide to Choices and Advocacy 
This guide from the National Consumer Voice for Quality Long-Term Care (the Consumer Voice) and accompanying fact sheets are designed for advocates and consumers who are currently receiving or who may in the future receive long-term services and supports in the community.  The purpose of these materials is to inform advocates and consumers about options for long-term services and supports, and to empower consumers - through education - to effectively advocate on their own behalf.


Additional Resources and Reference Documents

National Spending for Long Term Services and Supports (LTSS) (Carol O'Shaughnessy 2011)
Long-term services and supports (LTSS) for the elderly and younger populations with disabilities are a significant component of national health care spending. In 2011, spending for these services was $210.9 billion (9.3 percent of all U.S. personal health care spending), almost two-thirds paid by the federal-state Medicaid program. This publication presents data on LTSS spending by major public and private sources.


View Archive Here

Strategy Brief: The Ombudsman Program and Caregiver Support
The information presented in this document is based on promising practices identified by state ombudsmen in response to an email sent to all programs in May, 2006 and information provided during the National Dialogue Forum. The National Dialogue Forum consisted of two teleconferences held on May 16 and 18, 2006.

Strategy Brief: Ombudsman Program Advocacy in Guardianship (May 2006) 
This report presents promising practices and strategies used by ombudsmen concerning guardianship and alternatives to guardianship for nursing home residents with limited decision-making capacity and no surrogate decision-maker. Included are discussion highlights from National Dialogue Forum #4 convened by the National Association of State Units on Aging (NASUA) on the topic in June 2005. This was the fourth in a series of Forums NASUA convened on challenging issues facing State Long-term Care Ombudsmen. Also included is information gathered from an email solicitation to all programs in May 2005 in preparation for two conference calls. (This is a large file - 800 KB. It may take a few moments to download.)

Strategy Brief: Ombudsman Program Responses to Diversity (September 2005)
This report presents promising practices and strategies used by ombudsmen serving diverse resident populations. Included are discussion highlights from National Dialogue Forum #3 convened by the National Association of State Units on Aging (NASUA) on the topic. This is the third in a series of Forums NASUA has convened on challenging issues facing State Long-Term Care Ombudsmen.

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