New Hampshire Code of Administrative Rules
Omb - Office of the Ombudsman in the Department of Health and Human Services
Chapter Omb 400 - OFFICE OF THE LONG-TERM CARE OMBUDSMAN
Part Omb 403 - COMPLAINT PROCESS
Section Omb 403.02 - Complaint Intake Information

Universal Citation: NH Admin Rules Omb 403.02

Current through Register No. 40, October 3, 2024

(a) During the complaint intake process the OLTCO shall request the following information:

(1) The complainant's identifying information, including:
a.The name of the complainant or the entity; and

b.The address and telephone number of the complainant or the entity;

(2) The resident's identifying information, including:
a.The resident's name;

b.The resident's date of birth; and

c.The resident's address, including room number or current location if known;

(3) The name and contact information for the resident's legal representative, or personal patient representative, if applicable; and

(4) Informed consent if the complainant or resident wishes to provide informed consent.

(5) Information related to the complaint(s) including but not limited to:
a.The date and time that the incident or the subject of the complaint occurred;

b.A description of what occurred;

c.If the complaint is being made by a healthcare facility representative, the name of the person who originally made the report to the facility;

d.Contact information for any staff member involved in the incident or situation described by the complaint; and

e.Any action the facility has taken or plans to take to respond to the incident or situation described by the complaint.

(b) When a complaint is received, the LTCO or LTCOR shall open a case.

Disclaimer: These regulations may not be the most recent version. New Hampshire may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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