General Description and Purpose of Notice
We
will limit access to your health information to those to whom it is necessary to carry our treatment, payment or health care
operation duties.
Our Policy on Your Health Information
We are committed to preserving the privacy and confidentiality of your health
information created and/ or maintained at our facility.
Uses or Disclosures of Your Health Information
We may use or disclose your health information in one of the following
ways:
1- To you or your legal representative(to extent
permitted by law).
2- For treatment,payment or health care operations.
3- Persuant to your verbal agreement.
4-
As permitted by law.
5- Incidental uses and disclosures that may
occur as a by-product of permissable use or disclosure.
6- As required
by law.
7- Persuant to your written authorization for any and all
other uses and disclosures of your health information.
Your Rights Regarding Your Health Information
Right
to inspect and copy
Right to request an amendment
Right to an accounting of disclosures
Right to request restrictions
Right
to request confidential communications
Right to a paper
copy of the full privacy notice
Complaints
If you believe your privacy rights have been violated, you may file a complaint with
our facility or with the Department of Health and Human Services. To file a complaint with our facility, contact:
Pamela Lindsay, Director
of Resident and Family Services
Wells Nursing Home, Inc.
201 W. Madison Ave.,
Johnstown, NY 12095
(518) 762-4546 ext 224.
All complaints must be submitted in
writing. To file a complaint with the DHH Office of Civil Rights:
Office of Civil Rights, US Department of Health and Human Services
Jacob Javits Federal Building
Linda
Colon, Regional Manager, Region II
26 Federal Plaza-Suite 3312
New
York, NY 10278
TELEPHONE (800) 368-1019
FAX ( 212) 264-3039
TDD
(800) 537-7697
You will NOT be penalized for filing a complaint.
If you would like a copy of the complete
"NOTICE OF PRIVACY PRACTICES"
Please call or stop in.
