So our mom has been in this NH for 3 years. She was not expected survive (post stroke, broken hip repair, Vascular dementia, apahsia) 3 years later... All is good and mom is thriving. The problem is communication from the facility, and especially communication from the outside service providers (audio, podiatry, dentist and most important psych). Recently, psych service decreased mom's meds and no one told us. Looking back, SIL saw behavioral changes the next day. But there is no feedback loop. So, how do I get the NH to take this seiously? I've already been in touch with the Ombudsman who says that the service has no obligation to be in touch with us, it's the facility's job. As much as I push, facility doesn't appear to have a clear chain of communication. And yes, we have mom on waiting lists or a different facility.