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The Local Ombudsman and Filing Complaints

Two different systems: the free, independent long-term care ombudsman, and the state health department complaint line. Here is when to use each.

HomeState RulesThe Local Ombudsman and Filing Complaints

The local long-term care ombudsman

Region 8 of Indiana's Long Term Care Ombudsman Program, operated by Indiana Legal Services, covers every county this site serves — Marion, Hamilton, Hendricks, Johnson, Boone and Hancock — plus Morgan and Shelby. Reach the regional office at 317-631-9424 (1200 S. Madison Ave, Suite 300, Indianapolis, IN 46225) or the statewide information and complaint line at 800-622-4484.

An ombudsman advocates for a resident free of charge, and only with the resident's (or their legal representative's) consent. They can attend a care conference with a family but do not license, inspect or fine a facility — that is the Indiana Department of Health's role, not the ombudsman's.

Reporting abuse or neglect

Indiana's Adult Protective Services is statewide, not county-run — five regional field teams under FSSA's Division of Disability, Aging and Rehabilitative Services handle every report, so there is no separate Marion County (or any other county) APS number to look up. Call the statewide line at 1-800-992-6978, or file online.

Indiana is a mandatory-reporting state for suspected neglect, battery, or exploitation of an “endangered adult” (18+, incapacitated, and harmed or threatened) — anyone who suspects it, not only healthcare or facility staff, is required to report.

A facility-specific licensing complaint (about conditions, staffing, or care quality broadly, rather than an individual's abuse or neglect) goes to the Indiana Department of Health separately, at 1-800-246-8909 or through its online complaint form.

Call 911 if someone is in immediate danger. APS is not an emergency responder.

Which one to call

The long-term care ombudsman and the state health regulator do different jobs, and using one does not preclude the other. The ombudsman advocates for a resident and can attend a care conference with you, but does not license, inspect or fine a facility. The state regulator investigates regulatory complaints and can take enforcement action, but is not an advocate for an individual resident's preferences the way an ombudsman is.

The consent rule

An ombudsman acts only with the consent of the resident or their legal representative. This surprises adult children. If a parent has capacity and does not want a complaint pursued, that decision stands, even where family disagrees with it.

Questions families ask

What should I do right after a dementia diagnosis?

Slow down -- very little has to be decided the first month. Get the specific diagnosis type, since Alzheimer's, vascular dementia, Lewy body and frontotemporal dementia progress differently, and put power of attorney and medical power of attorney paperwork in place now, while capacity is clear.

I live out of state. How do I manage my parent's care from a distance?

Build a plan that survives a bad-weather week when you cannot fly in. Recruit local eyes such as a Meals on Wheels driver or trusted neighbor, get medical power of attorney and HIPAA authorization in place, and establish one local point of contact, such as CICOA or a geriatric care manager.

Which Area Agency on Aging covers Marion County?

CICOA Aging & In-Home Solutions, Indiana's Planning & Service Area 8, covers Marion County and all five surrounding collar counties this site serves. Reach CICOA at 317-254-5465 or its Resource Center at 317-803-6131.

Does Hamilton County have its own Area Agency on Aging?

No -- Hamilton County is covered by the same agency as Indianapolis, CICOA Aging & In-Home Solutions, so Carmel, Fishers and Noblesville families use the same regional resources as Marion County families.

What senior care options exist in Hendricks County?

Hendricks County, covering Avon and Plainfield, has verified assisted living, memory care, and skilled nursing options, plus Hendricks Regional Health as the main hospital for discharge planning. CICOA is the Area Agency on Aging serving the county.

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