NYS LTC Ombudsman

Nursing Home Ombudsman Complaint Form

Instructions

The New York State Department of Health, Division of Nursing Home and ICF/IID Surveillance is responsible for investigating complaints about resident abuse, neglect, mistreatment and incidents occurring in nursing homes in New York State that are related to a State and/or Federal regulatory violation.

The compliant form is for use only by current NYS LTC Ombudsman. You must have a current Ombudsman ID to complete the Ombudsman Complaint Form.

An Ombudsman complaint can be filed Monday-Friday at phone number 518-417-6587. You will be required to provide you current Ombudsman ID number when filing a complaint utilizing this Ombudsman Hotline.

If you are not a current Ombudsman and want to file a complaint you may do so using the public Nursing Home Complaint Form: Nursing Home Complaint Form | New York State Department of Health (ny.gov)

In order to process your complaint in a timely manner, please:

  • Complete form in its entirety, including your contact information

All complaints received about nursing homes are reviewed by the Department through the Centralized Complaint Intake Unit and appropriate action is taken. You will receive a letter which will acknowledge receipt of your complaint and provide information regarding how your complaint will be handled.