Long-Term Care Advocacy and Support

Long-Term Care Ombudsman (LTCO) is part of a national network of organizations that advocate for people who use long-term care services. This includes individuals receiving care in facilities such as nursing homes, assisted living and adult care homes. LTCO also helps clients living at home with concerns related to community-based, long-term care services such as home health care, home-delivered and congregate meals, and hospice care, as well as billing issues including those related to Medicare and Medicaid. Ombudsman are a voice for the client.

Long-Term Care Ombudsman Services:

Investigating concerns – Anyone can call LTCO with concerns or complaints related to long term-care services. Investigations are handled by trained and certified staff and volunteer ombudsmen. Ombudsman advocate on behalf of the client's desires. The investigations are confidential, and ombudsmen only speak about the concern to others with the client’s (or guardian’s) consent. Ombudsmen utilize negotiation, mediation, education, and advocacy to attempt to resolve the concern.

Assisting with choices – LTCO helps clients select long-term care facilities and community-based services that best suit their preferences, care needs and financial resources.

Advocating for quality of life – LTCO board, staff and volunteers participate in advocacy efforts to help promote a better quality of life for people receiving long-term care services. LTCO believes that by helping one person at a time understand and exercise his or her rights, all people in long-term care will benefit. LTCO ombudsman work closely with long-term care providers to inform, educate and encourage the delivery of person-centered care.


There are no fees for any of LTCO services. LTCO is funded and supported by:

  • Western Reserve Area Agency on Aging – Distributes long-term care ombudsman funds that come from the federal Older Americans Act and the Ohio Department of Aging.
  • Nursing Home Bed Fees – All licensed long-term care facilities pay fees each year which are then distributed to area ombudsman programs based on the number of institutional beds in each area. LTCO’s area has approximately 32,300 beds.
  • Foundations – LTCO has benefited from the Ombudsman Support Grant awarded by the Center for Medicare and Medicaid Services.
  • Individuals & Corporations – Generous contributions help LTCO continue to provide our critical services for the community.

Additional information is available on the LTCO website. You can also call 800-365-3112 or 216-696-2719 or e-mail for assistance.