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ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-877- 696-6775.

Discrimination is against the law.

Lutheran Retirement Home complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Lutheran Retirement Home does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Lutheran Retirement Home:

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 the facility Administrator.

If you believe that Lutheran Retirement Home has failed to provide these services or discrimination in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Facility Administrator, 701 9th St. N. Northwood, IA 50459, phone: 641-324-1712, fax: 641-324-1716. You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, the facility Administrator 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/protal/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, DC 20201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at: http://www.hhs.gov./ocr/office/file/index.html