Nursing Home Complaint Form
The New York State Department of Health, Division of Residential Services, reviews complaints related to resident care and services that are provided in a Nursing Home which directly or indirectly affected the resident. To file a complaint about services provided, please complete this form.
Complaints will be accepted if the occurrence is within the past year of the submission of your complaint to the NYS Department of Health.
In order to process your complaint in a timely manner, please:
- Complete this form in its entirety, including your contact information
- Include any names and phone numbers with whom you have already filed a complaint
The Department of Health has authority from the Centers for Medicare and Medicaid to investigate Nursing Home complaints and occurrences which have, or may result in a negative outcome to residents. It is the role of DOH to ensure that facilities are in compliance with regulatory requirements, and to investigate occurrences of abuse, neglect or mistreatment.
The most common types of complaints include: accidents, changes in medical condition that were not addressed in a timely manner, admission and discharge issues, and housekeeping and maintenance issues.
Professional staff will review your concerns and determine how the department will proceed.
Should you have questions, please contact the Centralized Complaint Intake Program at 1-888-201-4563, Monday through Friday 8:30am- 4:45 pm, excluding holidays.