Notice Informing Individuals About Non-Discrimination and Accessibility Requirements
Discrimination is Against the Law
This facility complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. This facility does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Signature Services:
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
Qualified sign language interpreters
Written information in other formats (large print, audio, accessible electronic formats, other formats)
Provides free language services to people whose primary language is not English, such as:
Qualified interpreters
Information written in other languages
If you need these services, contact your local Signature Healthcare at Home Administrator.
If you believe that Signature Services has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Tim Esau, Chief Compliance Officer
25115 SW Parkway, Suite B, Wilsonville, Oregon 97070,
phone: 503-570-3405, facsimile: 503-783-2481, email: tesau@avamere.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Tim Esau, Chief Compliance Officer is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf , or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW Room 509F,
HHH Building Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at:
http://www.hhs.gov/ocr/office/file/index.html