Long-Term Care Ombudsman

Program Code

The Older Americans Act (OAA) Title III B and Title VII Ombudsman program code is 3900200.

Program Description

The OAA seeks to enable older individuals to maintain their well-being through locally developed community-based systems of services. The OAA Title III B and Title VII Ombudsman Program identifies, investigates, and resolves complaints made by or on behalf of residents of long-term care (LTC) facilities that impact the residents’ health, safety, welfare or rights. The Program also receives and investigates reports of suspected elder and dependent adult abuse occurring in various types of LTC facilities, including residential care facilities (also known as board and care homes and assisted living facilities) and skilled nursing facilities. Local staff and volunteers witness advance health care directives and certain property transfers for residents in nursing facilities to ensure these transactions are entered into without undue influence. The Program also provides community education to inform the public about LTC services and issues that affect residents.

The Office of the State LTC Ombudsman has oversight responsibility for 35 local Ombudsman programs throughout California. The local paid staff train and manage over 700 certified volunteer LTC Ombudsman representatives throughout the State.

Program Benefits

The LTC Ombudsman Program provides residents of LTC facilities with access to Ombudsman representatives who will advocate for their quality of care and quality of life. Ombudsman representatives strive to maintain a presence in the LTC facilities so that residents can build a relationship of trust with Ombudsman representatives and receive regular and timely access to Ombudsman services. The Program also benefits LTC facility residents by providing training to facility staff on topics like obligations under State and federal law for mandated reporting of suspected abuse and neglect and the requirement to provide resident-centered care. Information and consultation to facility staff and other individuals on questions or concerns that may not rise to the level of complaints prevent issues from turning into larger problems.

The State LTC Ombudsman and representatives of the Office advocate to influence public policy related to long-term care. State Office staff meet with licensing and regulatory agencies to bring resident concerns to their attention. The Office maintains a 24-hour, seven days a week CRISISline to receive complaints made by, and on behalf of, LTC residents.

Program Eligibility

Eligibility Criteria Eligibility Requirement

No requirement


No requirement


All residents of LTC facilities, regardless of age

Program Funding

Funding Type Funding Information
  • OAA federal funds – Title III B, via Administration for Community Living (ACL)
  • OAA federal funds – Title VII A, via ACL
  • State General Fund (GF)
  • State Health Facilities Citation Penalties Account
  • Skilled Nursing Facility Quality and Accountability Fund
  • Public Health Licensing and Certification Program Fund
  • Local funds
Allocation Formula

Ombudsman Funding Formula

Match Requirements

No requirement; however, there is a minimum funding requirement for the program


Not applicable


July 1 – June 30

Program Fact Sheets - Statewide

Available Content:

Program Fact Sheets - Local Level