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We're stuck between two communities

The questions that break a tie once the tours all start blurring together.

Quick answer

The questions that break a tie once the tours all start blurring together.

Home›By Situation›We're stuck between two communities

By this point you have toured enough that the buildings have merged. These are the questions that still separate them.

Short answer

The questions that break a tie once the tours all start blurring together.

What to do, in order

  1. Compare the all-in numbers, not the base rents. Ask each community for the total monthly cost at your parent's assessed care level, in writing.
  2. Compare the rate increase histories. Three years of actual increases from each.
  3. Compare overnight staffing, not daytime. Daytime ratios look similar everywhere. Overnight is where they diverge.
  4. Pull both state inspection records. Read the surveyor narratives rather than counting citations.
  5. Ask the Medicaid waiver question of both. If private funds might run out, a community that does not hold a waiver provider agreement is a future forced move.
  6. Go back unannounced. Same building, evening on a weekday.

Questions families ask

What's the statewide hotline if I don't know who my local Long-Term Care Ombudsman is?

New York's statewide Long Term Care Ombudsman hotline is 1-855-582-6769. It connects callers to the Office of the State Long Term Care Ombudsman, an independent office housed within the NY State Office for the Aging, which supervises Regional Ombudsman Coordinators, including Suffolk's and Nassau's, across the state.

What kinds of problems should I bring to the Ombudsman versus reporting to Adult Protective Services?

The Long-Term Care Ombudsman Program handles advocacy and complaint resolution for residents already living in a licensed facility, such as a nursing home, assisted living residence, adult home, or family-type home, addressing issues like care quality concerns, rights violations, or disputes with facility staff. Adult Protective Services (APS), by contrast, investigates suspected abuse, neglect, or exploitation of impaired adults living in the community, including those who depend on others for basic needs, and is administered through the county Department of Social Services rather than the Office for the Aging.

Is the Long-Term Care Ombudsman program free, and does it cost anything to file a complaint?

Yes. The Long-Term Care Ombudsman Program is a free, independent advocacy service - there is no cost to contact Suffolk's coordinator (631-470-6755), Nassau's coordinator (516-466-9718), or the statewide hotline (1-855-582-6769). The program is publicly funded and administratively housed within the NY State Office for the Aging specifically so it can operate independently of the facilities it may be investigating.

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