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States should provide adequate funding to enable state LTSS ombudsmen to visit all facilities.
States should have a full range of sanctions available, including (but not limited to) civil money penalties, a ban on all new admissions, monitoring of directed plans of correction, denial of Medi
States should encourage facilities to involve family members and the local community in facility activities and help residents develop and maintain relationships in the broader community.
States should establish a resident’s right to alternative forms of dispute resolution, such as mediation, provided the states do not inhibit or discourage residents or their families from resolving
Policymakers should enact and strictly enforce antidiscrimination and civil rights laws.
Federal regulations should promote home-care quality assurance standards guided by flexible consumer-oriented principles.
Higher levels of government should provide adequate resources when mandating functions to lower levels of government.
States should be required to conduct annual scheduled surveys assessing clients’ experience and involvement in care plans and outcomes.