50-10.1 Long-Term Care Ombudsmen
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or agent of a long-term care facility, or by a public agency, which affects the
provision of services to a resident of a long-term care facility.2."Department" means the department of human services.3."Long-term care facility" means any skilled nursing facility, basic care facility, nursing
home as defined in subsection 3 of section 43-34-01, assisted living facility, or
swing-bed hospital approved to furnish long-term care services; provided, that a
facility, as defined by subsection 2 of section 25-01.2-01, providing services to
developmentally disabled persons is not a long-term care facility.4."Resident" means a person residing in and receiving personal care from a long-term
care facility.50-10.1-02. Appointment of state and regional long-term care ombudsmen. Theexecutive director of the department shall appoint a state long-term care ombudsman and such
regional long-term care ombudsmen as the executive director deems necessary within the limits
of legislative appropriations.50-10.1-03. Duties of state long-term care ombudsman. The state long-term careombudsman shall:1.Investigate and resolve complaints about administrative actions that may adversely
affect or may have adversely affected the health, safety, welfare, or personal or civil
rights of persons in long-term care facilities or persons who have been discharged
from long-term care facilities within nine months of the complaint against the facility.2.Monitor the development and implementation of federal, state, and local laws,
regulations, and policies that relate to long-term care facilities in the state.3.Gather and disseminate information to public agencies about the problems of
persons in long-term care facilities.4.Train volunteers and assist in the development of citizen organizations to participate
in the ombudsman programs.5.Report to any state agency those factors found by the state long-term care
ombudsman to relate to those duties of that agency which impact on the care given
to residents of a long-term care facility in this state.6.Act as an advocate for residents of long-term care facilities.7.Carry out any activities consistent with the requirements of this chapter, including the
delegation to regional or volunteer community long-term care ombudsmen of any
duties imposed by this chapter, which the executive director of the department
deems appropriate.8.Adopt rules in accordance with chapter 28-32 consistent with and necessary for the
implementation and enforcement of this chapter.Page No. 150-10.1-04. Access to facilities and records. To carry out the powers and duties ofthis chapter, the state long-term care ombudsman and the ombudsman's authorized agents
shall:1.Have reasonable access to all long-term care facilities within the state and shall
have private access to any resident within any long-term care facility within the state.
Reasonable access is defined as access by an ombudsman during normal working
hours or by appointment and upon notification to the administrator or person in
charge of the facility.2.Have access to all personal and medical records of any resident of a long-term care
facility who has sought ombudsman services, or on whose behalf such services
have been sought, except that no record may be obtained without the written
consent of a resident or a legal representative of a resident, or unless a court orders
the disclosure.50-10.1-05. Chapter to be posted - Retaliation prohibited. A copy of this chaptermust be posted in a conspicuous place in each long-term care facility, along with a statement of
the right to file a complaint concerning administrative actions which affect any resident and the
address where a complaint may be filed. Each resident, the spouse of each resident having a
spouse, and any designated representative of a resident must be provided with copies of the
posted documents at the time the resident is admitted to the long-term care facility. A long-term
care facility, and its agents, may not take or threaten retaliatory action against a resident,
employee, or any other person on account of the filing of a complaint by or on behalf of that
resident, or on account of the providing of information to a long-term care ombudsman
constituting or relating to a complaint.50-10.1-06.Establishment of reporting system - Recognition of reports byombudsmen. The department shall establish a statewide uniform reporting system to collect
and analyze information on complaints and conditions in long-term care facilities for the purpose
of identifying and resolving significant problems. The department shall submit this information to
the appropriate state agency which is responsible for the licensing or certification of the long-term
care facility involved and to the appropriate federal agency. Each state agency responsible for
licensing or certification of long-term care facilities shall coordinate its activities with the statewide
uniform reporting system by submitting to the department in a timely manner all complaints and
information it receives on conditions that adversely affect the health, safety, welfare, or personal
or civil rights of residents; provided, that the information is not privileged under the law. The
ombudsman program may recognize investigative reports conducted by an appropriate agency
or organization.50-10.1-07. Confidentiality and disclosure of records and files. Those records andfiles of the state and regional ombudsman, and their authorized agents, which relate to, or
identify any resident of a long-term care facility or a complainant, are confidential and may not be
disclosed unless:1.A resident, or a legal guardian or attorney in fact, consents in writing to the release
of the information and designates to whom the information must be disclosed;2.The ombudsman authorizes a disclosure which does not reveal the identity of any
complainant or resident; or3.A court of competent jurisdiction orders the disclosure.Page No. 2Document Outlinechapter 50-10.1 long-term care ombudsmen