This letter explains that nursing homes and other healthcare facilities must not discourage residents from communicating with federal, state, or local officials, including surveyors and representatives of the Office of the State Long-Term Care Ombudsman, regarding any matter. Facilities must ensure that residents are able to communicate freely with these representatives. If there are any concerns regarding being provided contact information, facilities should refer to the guidance in 42 CFR §483.10(j)(4)(i), F585, Grievances. This letter will impact nursing homes and healthcare facilities by requiring them to provide residents with the contact information for representatives of these entities, and to ensure that residents are able to communicate freely with them.

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