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State of ConnecticutAnnual Report of Longer Care Facility Cost Year 2016 Name of Facility (as licensed) Westfield Care & Rehab Address (No. & Street, City, State, Zip Code) 65 Westfield Rd Meriden

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How to fill out long term care ombudsman

01

Contact your local long term care ombudsman office

02

Request a copy of the complaint form or ask for assistance in filling it out

03

Provide detailed information about the issue or concern you are experiencing

04

Include any relevant documentation or evidence to support your complaint

05

Submit the completed complaint form to the ombudsman office for review and resolution

Who needs long term care ombudsman?

01

Individuals residing in long term care facilities such as nursing homes or assisted living facilities

02

Family members or loved ones of individuals in long term care facilities

03

Advocates or representatives of residents in long term care facilities

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What is long term care ombudsman?

Long term care ombudsmen are advocates who work on behalf of residents in long-term care facilities to ensure their rights are protected and quality of care is maintained.

Who is required to file long term care ombudsman?

Long term care facilities are required to file long term care ombudsman reports.

How to fill out long term care ombudsman?

To fill out the long term care ombudsman report, facilities must provide detailed information about the care and services provided to residents.

What is the purpose of long term care ombudsman?

The purpose of the long term care ombudsman program is to advocate for residents' rights and ensure quality care in long-term care facilities.

What information must be reported on long term care ombudsman?

Information such as resident complaints, incidents, and facility responses must be reported on the long term care ombudsman report.

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