3138 Custer Drive, Suite 110
Lexington KY 40517
Contact Information
Address 3138 Custer Drive, Suite 110
Lexington, KY 40517
Phone (859) 277-9215
Fax 859 272-0060
Contact Name Denise Wells
Web and Social Media
Ombudsman Becky Hacker visits with a resident in the nursing home chapel.
At A Glance
Other ways to donate, support, or volunteer

  • Send checks and money orders payable to NHOA to 3138 Custer Drive, Suite 110, Lexington, Kentucky 40517.
  • Visit and click the DONATE button to make a secure gift online using Visa, Mastercard, or American Express.
  •  Ensure a secure future for NHOA by including the organization in your will or estate plans.  Other tax-wise options include gifts of annuities, real estate, bonds and securities, cash, and life insurance; all can have a huge impact on NHOA's ability to fulfill its mission while also easing the tax burden for both donors and heirs. NHOA recommends consulting with your tax advisor for detailed information about a planned gift's effect on your financial situation.
  • Pay tribute to a loved one or mark a special occasion with an honor or memorial gift.
  • In obituary notices, name NHOA as the recipient of charitable contributions.
  • Please contact Denise Wells at for more information.
  • Sixty percent of residents of long-term care facilities have no visitors.  To volunteer to visit one resident once a week,  please contact NHOA's Bluegrass District Ombudsman at 859-277-9215 or email for details and an application.  Information also available at

Financial Summary
Revenue vs Expenses - All Years
Expense Breakdown - Recent Year
Mission Statement The mission of the Nursing Home Ombudsman Agency is to improve the quality of care for residents of long-term care facilities.
Background Statement
In 1981, a group of citizens concerned about conditions in area nursing homes organized to provide advocacy services to frail, elderly seniors. Using the ombudsman program as the authorizing framework and model, they founded the Nursing Home Ombudsman Agency of the Bluegrass, Inc. (NHOA).  Today, NHOA is a nationally recognized program serving 5,600 long-term care residents in 17 counties in Central Kentucky.  A corps of 30 certified ombudsmen regularly visit residents to build trust and monitor quality of care. Charitable contributions made through benefit the 5,600 long-term care residents in NHOA's 17-county service area, also known as the Bluegrass District.
NHOA also operates the State Long-Term Care Ombudsman Program through a contract with the Kentucky Department for Aging and Independent Living in the Cabinet for Health and Family Services.  Sherry Culp, who serves as the Kentucky State Long-Term Care Ombudsman, provides technical assistance the 15 district ombudsmen coordinating advocacy services in the state's 15 area development districts.
Impact Statement

  A few weeks ago, a woman called our hotline to report that at bedtime, a staff member at an area nursing home routinely places call bells used to summon help beyond the reach of helpless residents. I notified the ombudsman assigned to the facility, and she immediately began working to resolve a potentially life-threatening situation.

Can you imagine the possible consequences of this practice? If allowed to continue, it could result in a loss of life similar to or worse than the Florida nursing home tragedy that ended in 14 deaths in September 2017.

If not for our ombudsmen, 60 percent of the 5,600 residents of long-term care facilities in our service area would have no visitors from outside the facility, no one looking out for them.  In addition to recognizing the signs of physical, emotional, sexual, and financial abuse that residents may be unable to report, ombudsmen investigate residents' complaints and work to resolve them.  Some of the most common complaints include:  
  • going for a week or longer without a shower or bath
  • waiting four hours after hitting the call bell for assistance going to the bathroom
  • waiting for an hour for food that's cold and has no flavor
  • sitting and sleeping for hours in soiled clothes and bed linens 
  • missing medical appointments because no staff available to transport
  • contracting infections, which can be lethal to the elderly, due to staff failure to wash hands  
  • allowing open wounds to go untreated
Ombudsmen understand the special rights of long-term care residents and strive to ensure they're upheld.  They are the voice of the voiceless.  
Needs Statement
Gifts are used to meet our top needs:
1. Keeping an Ombudsman at the bedside of each resident to investigate complaints
2. Providing non-biased, Kentucky-specific placement counseling to the public
3. Educating residents and the public about Residents' Rights
4. Advocating for legislative actions that protect residents
5. Providing Elder Abuse training to nursing home staff
It costs approximately $100 per resident to provide ombudsman (advocacy) services to approximately 5,600 long-term care residents for a year.  Your gift will help us to continue to be a familiar face for long-term care residents and decrease the isolation as we monitor their quality of care, resolve complaints, and put steps in place for prevention in the future and SAFEGUARD QUALITY CARE!
Very few of us are prepared for the long-term care experience. The system is complex; urgency forces decisions and confusion is common. To address this, NHOA provides families and individuals placement counseling. When someone needs to find a long-term care facility we provide non-biased, Kentucky-specific written materials and lists of local facilities and counsel them on how to determine what type of facility is needed, how long-term care is paid for, what types of things to be cautious of when signing an admissions contract, and countless other important details they can't get anywhere else.
Gifts are used to meet our top needs:
1. Keeping an Ombudsman at the bedside of each resident to investigate complaints
2. Providing non-biased, Kentucky-specific placement counseling to the public
3. Educating residents and the public about Residents' Rights
4. Advocating for legislative actions that protect residents
5. Providing Elder Abuse training to nursing home staff
CEO/Executive Director Statement The Nursing Home Ombudsman Agency of the Bluegrass, Inc. is the only organization that advocates for elderly, disabled seniors living in long-term care facilities.  We also provide accurate,  unbiased information about residents' rights and other long-term care matters to anyone who requests it.  Our services are free, thanks to compassionate individuals and organizations who share our commitment to improving the quality of life for individuals living in long-term care facilities.  Caring for the "Greatest Generation" of people who built this nation is an honor and privilege.  
Board Chair Statement
The Nursing Home Ombudsman Agency of the Bluegrass has a terrific staff and team of ombudsmen.  They give their all every day to serve and protect Kentucky's most vulnerable older citizens.  It's an honor to support such a passionate group!
Service Categories
Secondary Organization Category Civil Rights, Social Action, Advocacy / Seniors' Rights
Tertiary Organization Category Health Care / Patient & Family Support
Geographic Areas Served
Anderson County
Bourbon County
Boyle County
Clark County
Estill County
Fayette County
Franklin County
Garrard County
Harrison County
Jessamine County
Madison County
Lincoln County
Mercer County
Nicholas County
Powell County
Scott County
Through the Bluegrass District Ombudsman Program, NHOA provides an ombudsman, free of charge, to residents of long-term care facilities within the 17-county service area of the Bluegrass District. Through the State Long-Term Care Ombudsman Program, NHOA coordinates and monitors services for residents of long-term care facilities throughout the state.
Impact Questions
GoalsHelpWhat is the organization aiming to accomplish? This is the organization's ultimate goal for intended impact.
NHOA's goals are as follows:
(1) protect the rights of long-term care residents
(2) identify, investigate, and resolve problems
(3) provide regular, friendly visitors to residents
(4) provide assistance and education to individuals and families
(5) monitor government actions affecting residents 
NHOA serves the public by responding to questions, concerns, and complaints about long-term care.  All services are free of charge.
StrategiesHelpWhat are the organization's strategies for its stated long-term goals?
NHOA ombudsmen make regular, unannounced visits to all 5,600 residents of the 17-county service area.  In the course of their visits at nursing homes, personal care homes, and family homes, ombudsmen develop relationships with residents to ease their loneliness, monitor their care, and make them comfortable sharing any problems they may have with their care.  With the resident's permission, ombudsmen investigate and resolve complaints through a specific problem-solving process. This includes educating the staff, reporting abuses to state investigative agencies, and holding the facility accountable for providing quality care. Often, quality care for residents begins with meeting their most basic needs--hydration, toileting, dental care, medical care, personal hygiene, dietary and nutritional care, property protection, privacy, and more. For example, when the devoted daughter of Ms. Simms noticed that her normally cheerful mother, who was in the early stages if Alzheimer's disease, had become lethargic and confused, alarm bells went off in her head. The daughter also noticed the same full and untouched glass of water on her mother's bedside each time she visited. Could her mom reach the water or even remember to drink it? 
The daughter shared her concerns about dehydration and other issues with the ombudsman, who responded by attending the mother's plan-of-care meeting with facility staff. The ombudsman took the position that proper nutrition and hydration were basic needs.  In a follow-up visit, the daughter reported that she felt empowered to hold the facility accountable when it failed to meet her mother's needs. As a result of the ombudsman's work, Mrs. Simms has a steady supply of water within reach, and staff assist when necessary.  Although it seems unlikely that offering water to long-term care residents is being forgotten or ignored, residents report this is often the case.   
NHOA staff assist 2,000 individuals and families each year with the difficult task of choosing a long-term care facility.  Topics include benefits, payment options, levels of care, admissions contracts, evaluating a nursing home, and what to expect on move-in day.  Ombudsmen strive to visit new residents within two weeks of moving in to talk one-on-one about their rights and how to participate in assessments and care planning.  
The majority of new residents are unprepared for and overwhelmed by the process of nursing home placement. This is especially true for those younger than 65 (15 percent of the population) who live in long-term care facilities due to early onset of illness, accidents, and disabilities. 
CapabilitiesHelpWhat are the organization’s capabilities for doing this? What resources, capacities, and connections support its progress towards long-term goals?
A nationally recognized nursing home ombudsman organization, NHOA leads the way in developing and writing research-based training programs for use locally and throughout the U.S.  The agency partnered with Bluegrass Rape Crisis Center to create the nation's first sexual assault prevention in-service program for facility staff.  Sexual assault in long-term care facilities is a major problem in long-term care that often goes unreported. NHOA also completed a diversity care training curriculum in partnership with the Boulder County (Colorado) Area Agency on Aging and the National Resource Center on LGBT Aging. The most requested in-service training for providers are for Residents Rights and Abuse Prevention and Detection. 
NHOA's Friendly Visitor program pairs long-term care residents with community volunteers who make weekly visits. They  identify health care issues, such as fall risks, pressure ulcers, malnutrition, and dehydration, that can cause serious decline in a frail senior's health.  They also are trained to look for and report signs of abuse and neglect.
NHOA also creates helpful booklets for residents, families, and consumers.  "From Admission to Care: Everything You Need to Know" and "Residents Rights" provide accurate, unbiased information for anyone needing information about long-term care.  NHOA does not charge for the booklets.  
IndicatorsHelpHow will the organization know if it is making progress? What are the key qualitative and quantitative indicators against which the organization assesses its progress toward its intended impact?
There are approximately 5,600 licensed long-term care beds in NHOA's 17 county service area.  Due to residents moving out and new residents moving in, NHOA ombudsmen serve nearly 7,000 individuals who live in nursing homes, personal care homes, and family care homes and an additional 3,000 members of the community.  Specific activities are as follows:
  • consult with individuals and families about nursing facility placement, care planning, residents' rights, abuse, Medicare, and Medicaid
  • assist with hundreds of family council and resident council sessions
  • make more than 5,000 site visits to long-term care facilities to monitor care and advocate for residents
  • identified, investigated, and worked to resolve approximately 1,500 complaints each year
While NHOA strives to meet the needs of every resident, frequent turnover in long-term care facility ownership poses new challenges.  Research and our experience indicate that when corporations and nursing home conglomerates buy privately-owned facilities, quality of care declines. As a result, NHOA ombudsmen hear, investigate, and resolve more problems than ever, leaving less time to visit with residents as a whole.  We need more ombudsmen and money to pay them. 
ProgressHelpWhat has and hasn’t been accomplished so far? NHOA is a nationally-recognized, award-winning model program that serves 5,600 residents in 105 long-term care facilities in our 17-county service area.  NHOA's resident-to-ombudsman ratio of 200:1 exceeds the federally recommended ratio of 2,000:1  One reason is our ombudsmen are part-time employees of the organizations.  While many ombudsman programs strive to complete one facility visit per quarter, NHOA ombudsmen make thousands of visits a year to monitor care and advocate for residents.  
Board Chair
Board Chair Brian Dufresne
Company Affiliation Attorney
Term June 2018 to June 2017
Board Members
Heather BaberRector Hayden RealtorsVoting
Kathy CarterRetiredVoting
Brian DufresneLegal Aid of the BluegrassVoting
Joe GravissGraviss McDonald's RestaurantsVoting
Stephanie HumesVOCA Coordinator for the Kentucky Association of Sexual Assault Programs.Voting
Don PasleyblahVoting
Donna SmithSKW CPAs & AdvisorsVoting
Dr. Karen WilliamsDoctorVoting
Board Demographics - Ethnicity. Add number
Asian American/Pacific Islander 0
Caucasian 8
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 3
Female 5
Unspecified 0
Board Term Lengths 2
Board Term Limits 3
Board Meeting Attendance % 59%
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 80%
Percentage Making In-Kind Contributions 100%
Constituency Includes Client Representation Yes
Number of Full Board Meetings Annually 6
Standing Committees
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
CEO Comments NHOA's board of directors is committed to safeguarding the quality of care for long-term care residents by providing responsible and knowledgeable oversight of the agency.  Our mission is to ensure ombudsman services are continuously available to residents at no cost.  
CEO/Executive Director
Executive Director Denise Wells
Term Start Oct 2014
Denise Wells was recently chosen to lead the Nursing Home Ombudsman Agency as the new Executive Director.  Denise has 10 years of experience in long-term care, including 5 years at NHOA.
Denise began as a regional ombudsman in the State Ombudsman Program in 2014, where she provided technical support to 9 District Ombudsmen in Kentucky.  In 2015, Denise became the Bluegrass District Ombudsman.  As District Ombudsman, Denise recruited, trained, and managed 30 certified ombudsman staff and numerous volunteers while leading the local program.  She was promoted to president in 2019. 
Denise has a BA in Psychology and Sociology from McKendree University. She was an officer of the National Association of Local Long Term Care Ombudsmen and a mentor for new District Ombudsmen in Kentucky.  She has created curricula for advocating for residents with dementia and protecting residents from financial exploitation.  Denise has presented at national, regional, state, and local conferences on these topics and more.
Before becoming an ombudsman, Denise served the residents of a continuing care facility in southern Illinois.
Full Time Staff 5
Part Time Staff 22
Volunteers 32
Contractors 1
Retention Rate 80%
Management Reports to Board? Yes
Staff Demographics - Ethnicity
African American/Black 7
Asian American/Pacific Islander 1
Caucasian 20
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Staff Demographics - Gender
Male 3
Female 25
Unspecified 0
Former CEOs
Crystal BaderSept 2014 - Feb 2015
Sherry Huff CulpFeb 2009 - Nov 2019
Senior Staff
Title State Long-Term Care Ombudsman
Experience/Biography Sherry has been with NHOA since 1999, when she started as a volunteer.  Since then, she has served as Bluegrass District Ombudsman, Executive Director, President, and now, State Long-Term Care Ombudsman.
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Bi-Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Bi-Annually
NonManagement Formal Evaluation Yes
Non Management Formal Evaluation Frequency Bi-Annually

NHOA’s core work is the regular, unannounced visit of an ombudsman to every resident in Bluegrass-area long-term care facilities. During these visits, residents may express and ombudsman may observe problems related to the lack of care or quality of care.  The ombudsman investigates the problems and works to resolve them by advocating for the resident through a specific problem-solving process.  It includes educating staff, reporting abuses to state investigative agencies, and holding the facility accountable for providing quality care.

Other services ombudsmen provide are as follows:
  • respond to questions about the long-term care system
  • provide individual and community education about long-term care
  • consult with long-term care providers
  • train facility staff and community members
  • support residents and families as they work to resolve problems on their own 


Budget 457418
Category Human Services, General/Other Senior Services
Population Served Elderly and/or Disabled, Adults
Program Short Term Success

Goals for NHOA's Bluegrass ombudsmen include: meeting all new residents within the first two weeks of being admitted to a facility and discussing resident rights with these new residents, resolving at least 70% of complaints worked, and initiating activities to resolve problems residents experience (complaints) within two days of receiving/identifying the complaint. After being inspired by research which indicates that the first few weeks in a nursing home are extremely important to the overall experience, NHOA ombudsmen make meeting new residents and sharing rights materials a time sensitive priority. Each month, ombudsmen collect information about new admissions, meet with those residents, distribute and discuss rights materials, and document the encounter on monthly records and reports. We strive for high complaint resolution rates, but sometimes this is out of our control because complaints require a change in law. Resolution is documented for each complaint. 

Program Long term Success

Our program’s longest-term measurable change is our complaint resolution rate. When an ombudsman receives or identifies a problem, then gains consent to address the problem, our one and only goal is to resolve the problem to the satisfaction of the resident or consumer. Primarily, we do not close a case until the problem is resolved. We strive for high complaint resolution rates, but sometimes this is out of our control. For example, a common complaint is lack of facility staff. Our agency cannot dictate how many staff members the facility should hire and unless lack of staff causes a significant injury to a resident, the enforcement agencies do not respond. Many of our “not resolved” cases are due to a lack of staff. Additionally, by giving the residents an outlet where they can air their grievances, the residents gain a sense of empowerment, can be more involved in healthcare decision making, and experience a higher quality of life.

Program Success Monitored By

NHOA’s ombudsman program services are monitored and evaluated by the Bluegrass District Ombudsman and the State Long-Term Care Ombudsman. The procedure for corrective action and follow-up following internal monitoring includes further investigation of the problem, identification of the problem, development of corrective steps, corrective action implementation, and reevaluation.


Nearly 60% of long-term care residents have no visitors. That means in NHOA’s service area, 3,360 long-term care residents are without social interaction with people from their communities. Although moving into a long-term care facility may meet their health care needs, older adults still have important social and emotional needs. Moving to a new place is a big change for anyone. But leaving behind a lifetime of family, friends, and neighbors can be very lonely for an older adult in poor health. That’s why long-term care residents need NHOA’s Friendly Visitor volunteers to be their friends.


Category Human Services, General/Other Senior Services
Population Served Elderly and/or Disabled, Adults
Program Short Term Success

The role of a Friendly Visitor:

·        Help resident combat boredom

·        Share their energy with resident

·        Engage in resident’s hobbies

·        Listen to resident’s stories

·        Offer light-heartedness

·        Validate the resident’s worth

·        Give the resident a new perspective

·        Enjoy the resident as an individual

·        Be a loving, supportive, and reliable friend

Many residents feel they have lost their right to make decisions for themselves. Friendly Visitors are the bridge between isolation and community; they are the catalyst in helping the resident maintain vitality and a sense of self-worth.

Program Long term Success

The Friendly Visitor Program has four measurable outcomes:

·        How many times the volunteer visits their assigned resident. The volunteer is responsible for turning in a monthly time sheet with visit details.

·        How many hours the volunteer spends with assigned resident. This information is also listed on the monthly time sheet.

·        How many resident complaints were referred to the ombudsman from the volunteer on behalf of the resident. When a volunteer detects a possible issue with a resident, they inform NHOA’s Bluegrass District Ombudsman about the issue. The ombudsman assigned to that particular facility will then be informed of the issue and talk with the resident. This data is entered into a state-mandated data system, Ombudsmanager, which manages the data.

·        How satisfied the resident is with their volunteer. A post survey is given to residents. The survey measures things that are known to improve mental and/or emotional well-being.   

Program Success Monitored By

The Bluegrass District Ombudsman trains Friendly Visitors in activities and responsibilities including communication skills; how to identify the different types of abuse, neglect and exploitation; indicators of abuse; how to handle concerns; and information on the aging process and life in a long-term care facility. Friendly Visitors are accompanied by an ombudsman on their first visit with a resident. If, during a visit, the volunteer sees something that concerns them, they report it to the Bluegrass District Ombudsman immediately. The volunteers report directly to the Bluegrass District Omudsman and they receive on-going supervision, support, and training.

Examples of Program Success

Meet Atanas Golev, a great young man who has been a Friendly Visitor Volunteer with the Nursing Home Ombudsman Agency since 2011. Atanas is a student at the University of Kentucky and found our Friendly Visitor Program through U.K.’s volunteer website. When he started volunteering as a Friendly Visitor he was matched with a 96 year old gentleman living at Mayfair Manor. The two of them spent nearly two years building a relationship, talking sports, watching games and discussing what was going on in the world. When his friend moved away Atanas asked to be placed with someone living at Richmond Place, a nursing home closer to his home. The Ombudsman at Richmond Place, Sue Landis, matched him with another gentleman. It is a match made in heaven. The resident spent his adult life as a university professor and is a huge U.K. fan. They spend hours together, swapping stories, watching sports and discussing the newspaper. Atanas says he receives more from his friendship with the resident than he gives.

Since September 2014, Kentucky’s Department for Aging and Independent Living (DAIL) has contracted with NHOA to operate the State Long-Term Care Ombudsman Program.  
Kentucky State Long-Term Care Ombudsman Sherry Culp (who also serves as NHOA’s president) provides technical assistance to the 15 district ombudsmen across Kentucky. Two regional long-term care ombudsmen assist her.  Charitable contributions for NHOA support the Bluegrass District Ombudsman Program and the Bluegrass Friendly Visitor Program, not to operate the State Long-Term Care Ombudsman Program.
Budget 294333
Category Human Services, General/Other Senior Services
Population Served Elderly and/or Disabled, Adults
Program Comments
CEO Comments Our appreciation for our volunteers visiting with residents can be expressed in two words, "Thank You"...for being the familiar face in the life of a resident and reducing isolation!
Plans & Policies
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan? Yes
Years Strategic Plan Considers 3
Date Strategic Plan Adopted June 2013
Management Succession Plan? No
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes

NHOA works with local elder abuse coordinating councils to ensure that the community is aware of elder abuse and ways to prevent abuse and neglect.  NHOA works with local church, civic, social service, and social organizations to ensure that members have up to date information about long-term care.  NHOA works with resident and family councils by attending meetings, helping to start new councils, providing educational materials to councils, supporting council development, and empowering council members.


NHOA works with rape crisis programs, Legal Aid of the Bluegrass, Adult Protective Services, the Office of Inspector General, State Guardianship, Alzheimer’s Association, Huntington’s Association, Citizen Advocacy Organizations, Legal Aid’s SHIP hotline, and UK Center on Aging.  NHOA also collaborates with the Fayette County Elder Abuse Multi-Agency group, the Department of Justice’s Elder Justice Initiative, the Kentucky Office of the Attorney General, and Kentucky State Police to ensure residents experiencing abuse are able to access all forms of justice.

U.K. Nonprofit Leadership Initiative2009
United Way Member Agency1985
AFP (Association of Fundraising Professionals)2010
Kentucky Nonprofit Network2010
Kentucky Nonprofit Network2010
Breakthrough AwardMetLife Foundation/Civic Ventures2007
Lauren K. Weinberg Humanitarian AwardThe Kentucky Conference for Community and Justice2012
Government Licenses
Is your organization licensed by the Government? No
Revenue vs Expenses - All Years
Expense Breakdown - Recent Year
Fiscal Year
Fiscal Year Start July 01, 2019
Fiscal Year End June 30, 2020
Projected Revenue $802,188.00
Projected Expenses $802,188.00
Endowment Value $112,779.00
Spending Policy Income Only
Detailed Financials
Revenue and ExpensesHelpFinancial data for prior years is entered by foundation staff based on the documents submitted by nonprofit organizations.Foundation staff members enter this information to assure consistency in the presentation of financial data across all organizations.
Fiscal Year201820172016
Total Revenue$691,738$670,831$693,145
Total Expenses$1,120,281$970,335$819,261
Revenue Less Expenses($428,543)($299,504)($126,116)
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available). Revenue from foundations and corporations may be included in individual contributions when not itemized separately.
Fiscal Year201820172016
Foundation and
Corporation Contributions
Government Contributions$546,061$540,470$526,372
Individual Contributions$130,869$106,423$151,274
Investment Income, Net of Losses$13,507$9,679$9,019
Membership Dues$0--$0
Special Events$0$14,263$7,888
Revenue In-Kind$0--$0
Expense Allocation
Fiscal Year201820172016
Program Expense$960,748$836,019$702,587
Administration Expense$147,779$125,264$109,697
Fundraising Expense$11,754$9,052$6,977
Payments to Affiliates------
Total Revenue/Total Expenses0.620.690.85
Program Expense/Total Expenses86%86%86%
Fundraising Expense/Contributed Revenue------
Assets and Liabilities
Fiscal Year201820172016
Total Assets$1,188,642$1,157,727$890,688
Current Assets$216,017$181,325$343,077
Long-Term Liabilities$2,246,743$1,804,554$1,261,521
Current Liabilities$2,363$2,491$1,099
Total Net Assets($1,060,464)($649,318)($371,932)
Form 990s
2018 Form 990
2017 Form 990
2016 Form 990
2015 Form 990
2014 990 NHOA
2013 2012 990
2012 2011 990
2011 990
2010 990
2009 990
2008 990
2007 990
Audit Documents
2017 NHOA Audit
2017 NHOA Audit
2016 NHOA Audit
2015 NHOA Audit
2014 NHOA Audit
2013 2012-2013 Financial Audit
2012 Audit
2011 Audit
2010 Audit
2008 Audit
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? No
State Registration Yes
CEO Comments
The landscape of long-term care has changed significantly since NHOA's founding in 1981.  Until the mid-90s, most nursing homes and personal care homes were privately owned.  When corporations and other investors became aware of the profit potential, they began buying private facilities and some smaller corporate-owned facilities.  Profits rose and quality of care declined -- a fact borne out in records and research-- because of understaffing.
Prior to the shift in ownership, ombudsmen investigated fewer complaints because there were fewer complaints to investigate.  Ombudsmen had more time to befriend residents and ease their loneliness. In today's environment, it's common for our part-time ombudsmen to spend hours investigating and resolving complaints, leaving little time to spend with other residents. 
First, the public must demand that legislators address understaffing in long-term care facilities.  It is the root almost all problems our ombudsmen face.  Understaffing occurs because the law in Kentucky that addresses it is open to anyone's interpretation.  It states that facilities must have "adequate" staff to meet residents' needs.  "Adequate" is not defined in the statute, nor is it measurable.  
Research shows that for residents to enjoy a reasonable quality of life, they must receive 4.1 hours of care daily, regardless of how many nurses and nurse aides are on duty at a given time.  Although facilities are required to report time spent on patient care to Medicaid, Medicare, and other government entities, they are not required to prove the numbers are accurate.  The people who could dispute them are bedridden.  Stricter laws can prevent unnecessary suffering and death in nursing homes due to neglect and abuse.  
Second, hire more ombudsmen.  The regular, generous support of compassionate individuals and organizations can make it happen.  We don't anticipate an increase in government funding; rather, we expect it to drop.  This puts the responsibility squarely on the shoulders of compassionate individuals and organizations who believe residents should receive high quality care 
Third, increase awareness about neglect and abuse of seniors in long-term care.  Focus attention on ageism in its many forms as another form of discrimination.  It's an ugly mark on this nation, and the solutions aren't quick or easy.  However, until we unmask the larger issue-- that it's NOT okay to kick the elderly to the curb once they are unable to take care of themselves and "contribute" to society-- nothing will change.   
Address 3138 Custer Drive, Suite 110
Lexington, KY 40517
Primary Phone 859 277-9215
Contact Email
CEO/Executive Director Denise Wells
Board Chair Brian Dufresne
Board Chair Company Affiliation Attorney