Long-Term Care Ombudsman
Every Resident Deserves a Voice
Nursing home residents are among our most vulnerable neighbors. Sometimes facing challenges they can’t resolve on their own, and frequently unsure who to trust when something goes wrong. The Long-Term Care Ombudsman Program exists to be that voice, an independent advocate who stands up for residents’ rights, helps resolve complaints, and ensures every person in long-term care is treated with dignity and respect.
Operating since 1975 under a federally mandated program, Crosslines’ Ombudsman team serves 21 counties across Southwest Missouri—from Humansville and Urbana to the Arkansas border, and west to Joplin. Through trained staff and dedicated volunteers, we make regular visits to long-term care and residential care facilities, building relationships with residents so they feel safe speaking up when they need help. We’re not state inspectors. We’re not facility employees. We’re independent advocates, and our services are completely free.
Impact
21 Counties
Served across Southwest Missouri
Since 1975
50 years of advocacy
Trained Experts
Dedicated volunteer advocates
2-4 Yearly Visits
Per facility
Free Services
No cost to residents or families
Independent
Not employed by facilities
Testimonials
When a young family first came to Crosslines during the COVID-19 pandemic, they were facing housing instability, financial hardship, and the stress of caring for multiple family members with disabilities. After a dispute with a landlord left them struggling to catch up on rent, Crosslines helped connect them with grant funding that allowed them to settle their housing situation and move into a safer home.
When a mother came to Crosslines Food Pantry for the first time, she expected to leave with groceries. What she didn’t expect was to also find diapers for her baby, coats for her children, and even a birthday bag for her daughter, whose birthday was that very day. She left not only with food, but with tears of gratitude — a reminder that dignity and hope are just as essential as bread and milk.
When K.W. came to Crosslines, she was a single mother caring for an infant while working to rebuild her life. After overcoming homelessness, addiction and significant personal challenges, she had committed herself to creating a different future for herself and her daughter. Determined to continue moving forward, K.W. enrolled in a rigorous high school completion program through MERS Goodwill. While balancing the demands of parenting, she successfully earned her diploma and was accepted into CoxHealth’s Phlebotomy Program.
At 79 years old, Great-Grandma B. is raising two great-grandchildren, one in elementary school and one in high school. Like many kinship caregivers, she has faced the challenges of meeting the needs of growing children while living on a limited income. Over the years, she has turned to Crosslines for support through programs such as Wish I May, Holiday Assistance, Coats for Kids and resource referrals. Whether she needed help finding services, winter clothing or assistance celebrating special occasions, she knew where to turn for guidance and encouragement.
After a serious injury and ongoing legal challenges disrupted their lives, a young couple came to Crosslines seeking food assistance. Through case management, they set goals and began addressing the many challenges they faced, including food insecurity, employment concerns, disability applications and mental health needs. Crosslines helped connect the couple with community resources, including SNAP benefits, utility assistance and other support services.
The Need
Experts believe that for every case of adult abuse or neglect reported in Missouri, as many as 23 cases go unreported. This silent crisis affects some of our community’s most vulnerable individuals — seniors in nursing homes who may have outlived their families, whose loved ones live far away, or who simply don’t know where to turn when they face mistreatment.
Residents face issues ranging from lost personal belongings and medication errors to more serious concerns about neglect, abuse, and violations of their basic rights. Many are afraid to speak up for fear of retaliation from staff. The ombudsman program was established in the 1970s after well-publicized reports of abuse, neglect, and substandard conditions in nursing homes prompted Congressional hearings.
Today, that mission remains as critical as ever. Residents need someone who will listen without judgment, investigate their concerns thoroughly, and advocate tirelessly on their behalf — someone whose only interest is ensuring they can freely exercise their rights and live with dignity.
Our Approach
Our volunteers and staff build trusted relationships with residents through regular visits, creating a safe space for concerns to surface. We work directly with residents, families, guardians, public administrators, and even legislators to resolve complaints and protect residents’ rights.
Regular Facility Visits
Our trained volunteers visit assigned facilities 2-4 times per year, getting to know residents and staff. They check in with new residents first, address ongoing concerns, and spend time with as many residents as possible during each visit.
Resident Advocacy
When a resident has a complaint or concern, whether it’s lost clothing, medication errors, dietary issues, problems with guardians, or more serious violations, we investigate and advocate on their behalf. We’re not there for the facility; we’re there for the resident. Our reports go directly to Jefferson City, maintaining our independence.
Discharge Appeals
One of our most important services is appealing discharge notices. When a nursing home attempts to move a resident, we can intervene to help them stay in their current home if that’s what they want, keeping them near family and in familiar surroundings rather than being relocated across the state.
Family Support
We provide information and resources to families searching for quality nursing homes, answer questions about residents’ rights and regulations, and offer guidance when concerns arise. We’re a free resource available to anyone navigating the complexities of long-term care.
Support This Critical Work
Your financial support helps us advocate for the rights of our seniors.
Become a Volunteer Advocate
Volunteering as a Long-Term Care Ombudsman is one of the most rewarding commitments you can make. Our volunteers consistently say it’s the most meaningful work they’ve ever done.
The training is extensive because the work is important: 26 hours of initial training via Zoom with the Jefferson City office, 10 hours of shadowing experienced ombudsmen, and 18 hours of continuing education annually. But volunteers who complete this training tend to stay long-term, building deep relationships with residents and become trusted advocates within their assigned facilities.
If you have a heart for seniors and a passion for justice, we’d love to talk with you about joining our team.