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It is recommended that you take the time to document any complaints by simply taking notes.'
Guidelines for Reporting a Complaint
Please include the information in these two
columns when reporting a complaint:
1) Name of the facility
2) City where the facility is located
Try to recall the date (if a specific date is
applicable) of the occurrence you will be
addressing. If there is no specific date,
attempt to address the time period (e.g.,
weekdays, weekends, within the last week,
within the last month, etc.) relative to when
the concern was observed.
Address the time of day (or shift) during
which your concern was observed or is most
prevalent (e.g., 7 a.m., day shift, evening shift,
night shift, etc.).
Address individuals (or departments)
involved in the concern you are reporting
(e.g., nursing staff, certified nurse aides,
dietary staff, etc.).
Specifics of the Occurrence:
Keep in mind a concern is much more
likely to be confirmed if you are specific in
your reporting. For example, if you believe
the care to be poor, examples of the behavior
you have observed that define what you are
referring to as "poor care" should be reported.
Example:If you are dissatisfied with meal
service, it is best to describe with what aspect
you are dissatisfied with (e.g., food
temperature, presentation, taste, etc.).
Example: If you don't think the facility is
sanitary, specifically state what makes it
unsanitary (e.g., dust, debris, soiled floors,
It is imperative that we be notified of your
concerns in a timely manner. It is difficult to
effectively gather information surrounding an
incident that has occurred months before. To
assist in accurate and thorough investigations,
we ask that you report a concern as soon as
possible following its initial occurrence or
Within 7-10 days after you call, you will receive a letter from the Long Term Care Complaint Department verifying that we have received your complaint and we are going to investigate. Complaints are investigated in order of severity. For example, complaints involving
immediate threats to a resident's health care and safety receive top priority.
During the investigation, surveyors will attempt to contact you to gather additional information.
After the investigation has been completed, we will inform you in writing of the results of the investigation.
If you want to be contacted, please include your name, address, and phone number
when writing or e-mailing.
If you have any questions about this process, please feel free to call our toll free complaint number, 1-800-246-8909.
In an effort to gather information necessary to effectively investigate a complaint, this information has been designed to provide you with guidance prior to placing a call to the Indiana State Department of Health.
Although it is not mandatory to provide all of the listed information, it is helpful for the investigative process.
Please include your name, address, and phone number when writing or e-mailing.
As you commit the time and effort to report concerns in an accurate and timely manner, we at the Indiana State Department of Health commit to you that those concerns will be reviewed and investigated to ensure that the best care possible be provided to each resident of long term care facilities in Indiana.