County of Marin Health and Human Services

Long-Term Care Ombudsman Program

About Us:

Photo of older adult receiving care

The Marin County Long-Term Care Ombudsman monitors the care of people in long-term residential care homes and skilled nursing facilities.

Ombudsman staff members are trained advocates authorized by state and federal laws to visit skilled nursing facilities, residential board and care homes and assisted living facilities to ensure that quality care is given to residents and that they are being treated with dignity and respect.  We promote the rights, issues and needs of long-term care facility residents and are knowledgeable about the state and federal regulations which govern those facilities.

How We Help:


  • Investigate and attempt to resolve any concerns or problems expressed by residents or on their behalf.  No question or problem is too small to be important, whether it’s a complaint of cold food, unanswered call bells or outright neglect/abuse.
  • Work to improve conditions in facilities that are brought to light by resident complaints or identified by Ombudsmen during their visits.
  • Provide speakers to groups and organizations to assist in community education.
  • Assist family members with information on availability and the cost of appropriate placement.
  • Provide information to the public about skilled nursing facilities and board and care facilities. Choices for Living 2019.
  • Witness Advanced Health Care Directives (AHCD) for residents of skilled nursing facilities.
  • Provide a Checklist for Evaluating Skilled Nursing Facilities and a Checklist for evaluating Residential Care Homes.