States should guarantee and protect the rights of residents.
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.
States should extend the purview of their existing ombudsman programs to include long-term services and supports delivered in homes.
States should require agencies to establish grievance and appeals procedures and provide consumers with written notice of their right to voice grievances.
States must demonstrate to CMS that their methods to ensure backup workers are available to all individuals who receive Medicaid-funded home- and community-based services are effective.
Federal and state governments should ensure that people with dementia and other mental disorders receive necessary treatment and LTSS in the most appropriate and integrated setting of their choice.
PASRR rules must recognize that people with serious mental illness may not show significant change but still may have unmet mental health needs.
LTSS consumers should have access to a full range of mental health services.