When a loved one lives in a nursing home or other long-term care setting, the ombudsman program can be one of the most effective (and most overlooked) ways to get help. It is a free, confidential advocacy service that helps residents understand their rights, raise concerns, and resolve problems with the facility without families having to “fight alone.” The Arkansas Association of Area Agencies on Aging can help you find the program to support your needs today.
Key Takeaways:
- The ombudsman program protects the rights, dignity, and safety of people in long-term care.
- Ombudsmen help residents in nursing homes, assisted living, and other long-term care settings.
- Services are free, confidential, and available to residents, families, and staff.
- Common complaints include poor care, disrespect, unsafe conditions, meal problems, and mistreatment.
- You can report concerns for someone else, and you may be able to report without sharing your name.
- Residents are protected from retaliation for voicing concerns.
- Ombudsmen work by listening, visiting, gathering facts, and seeking resolution based on the resident’s wishes.
- The program is required under the Older Americans Act and exists in every state.
What is the ombudsman program in long-term care?
The ombudsman program is a resident-advocacy service that helps people living in long-term care facilities address problems related to care, safety, quality of life, and rights.
It is designed for situations where a resident feels unheard or where a family needs guidance on what to do next.
If you’re in Arkansas and need a starting point, 5A’s program can help.
Who does the ombudsman program help?
This program helps:
- Residents living in nursing homes
- Residents in assisted living and other long-term care settings
- Short-term residents (rehab stays) and long-term residents
- Families, friends, and even staff members who want to report concerns (while keeping the resident’s wishes central)
If you’re unsure whether your loved one’s setting qualifies, contact your local office and ask. In Arkansas, you can start with 5A’s resources.
What does the ombudsman program do?
The ombudsman program typically helps by:
- Listening to the concern and clarifying what the resident wants
- Explaining resident rights and facility responsibilities
- Visiting the facility and talking with involved parties (as appropriate)
- Working with the facility toward a practical resolution
- Referring serious or unresolved issues to the correct oversight channels when needed
What the Ombudsman Program Does Not Do
The program generally does not:
- Replace emergency response (call 911 for immediate danger)
- Provide direct medical care
- Act as a private attorney for the family
- Guarantee a specific outcome (but it can significantly improve follow-through and accountability)
| What the Ombudsman Program Can Do | What the Ombudsman Program Does Not Do |
|---|---|
| Listen to resident and family concerns | Respond to emergencies (call 911 instead) |
| Explain resident rights and facility responsibilities | Provide medical treatment or nursing care |
| Visit the facility and speak with staff or management | Act as a private attorney for families |
| Advocate for the resident’s wishes | Force a specific outcome |
| Help resolve care, safety, or quality-of-life issues | Replace regulatory agencies or law enforcement |
| Refer unresolved or serious concerns to oversight agencies | Guarantee immediate change |
What types of complaints can the ombudsman program address?
The ombudsman program can help with a wide range of quality-of-care and quality-of-life concerns, including:
- Poor or delayed care (missed assistance, unanswered call lights)
- Medication, hygiene, or mobility concerns
- Unsafe or unsanitary conditions
- Problems with meals, hydration, or nutrition
- Mistreatment, rough handling, disrespect, or intimidation
- Roommate conflicts or lack of privacy
- Concerns about discharge, transfers, or communication barriers
If something “feels off,” you do not need perfect proof to ask for help. You need a clear description of what you observed.
Can you file a complaint anonymously or for someone else?
You may report complaints anonymously through ombudsman programs, as well as on behalf of a resident. Many reports are made by a family member, friend, or staff member. You can ask about the options available to keep your identity private.
What matters most is the resident’s safety and preferences. If the resident can communicate, the ombudsman will typically prioritize what the resident wants to happen next.
Are residents protected from retaliation?
Residents have protections related to voicing concerns and making complaints. If your loved one fears retaliation, say that immediately when you contact the ombudsman program so the office can take the concern seriously and handle communication carefully.
How does the ombudsman program investigate and resolve problems?
In plain terms, the program works like this:
- Receive the concern (from the resident or someone else)
- Clarify facts (what happened, when, who was involved)
- Identify the resident’s goal (what “fixing it” looks like to them)
- Visit or communicate with the facility and involved parties
- Work toward resolution (often through problem-solving with staff/management)
- Follow up to confirm whether the issue improved

How to Contact the Ombudsman Program in Arkansas
If you want the quickest, most actionable process, use this checklist:
Step 1: Find Your Local Ombudsman
You can start here with 5A’s ombudsman program resources.
Step 2: Prepare the Key Details
Have ready (if possible):
- Facility name and address
- Resident name (and room number if you know it)
- What happened (brief timeline)
- Dates/times and names (if known)
- What outcome the resident wants (or what you’re worried about)
Step 3: Make the Report
Explain the concern clearly and state whether you are worried about retaliation or urgency.
Why This Matters for Elder Care Planning in Arkansas
In elder care planning, families often focus on housing choices, finances, and legal documents, but they don’t plan for the moment when care quality drops or communication breaks down.
Adding the ombudsman program to your care plan gives your family a practical “next step” when:
- A facility stops responding to concerns
- You suspect neglect or mistreatment
- Your loved one is afraid to speak up
- You need guidance on rights and complaint options.
For broader support in Arkansas (beyond facility advocacy), 5A’s Information & Assistance hub is a helpful starting point.
Ombudsman Program FAQs
What is the purpose of the ombudsman program?
The ombudsman program exists to protect long-term care residents’ rights and help resolve complaints related to care, safety, and quality of life.
Who can contact the ombudsman program?
Residents, family members, friends, and staff can contact the ombudsman program to report concerns or request guidance.
What issues should I report?
Report anything affecting safety, dignity, care quality, nutrition, cleanliness, or respectful treatment, including patterns that seem “small” but keep happening.
How do I find my local ombudsman in Arkansas?
Use A5’s locator page to find a program near you.
Supporting Families in Arkansas
If you’re looking for support, answers, or advocacy for a loved one in a nursing home, assisted living, or other long-term care setting, don’t navigate it alone. The Arkansas Association of Area Agencies on Aging connects families with local resources, including the Ombudsman Program, and can help guide you through your rights and options. Their Information & Assistance team can connect you with the right regional Area Agency on Aging, answer questions, and help you get the support you need.
Contact us to speak with someone today and take the first step toward peace of mind for you and your loved one.

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