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The federal government and the states should enact laws that establish the right of residents in nursing facilities and residential care settings—or their legally recognized decision-makers—to use
Agencies that refer individuals to nursing facilities and residential care settings should be required to inform the facility when an applicant poses a potential threat to the safety of other resid
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.