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About the Staff and Program of the Long-Term Care Ombudsman Program in Oregon

Resident-Centered Advocacy  

The Office of the Long-Term Care Ombudsman is a free service available to residents, families, facility staff, and the general public.  Ombudsmen respond to a wide variety of resident concerns, including problems with resident care, medications, billing, lost property, meal quality, evictions, guardianships, dignity and respect, and care plans. The program serves residents in nursing facilities, residential care facilities, assisted living facilities and adult foster care homes. 

Complaints are investigated and resolved by staff and a cadre of trained and certified volunteer ombudsmen assigned to facilities throughout the state. Beyond complaint investigation and resolution, ombudsmen strive to be the eyes and ears of residents and to advocate for improvements in their quality of life and quality of care. 


The program also provides hundreds of free consultations each year to individuals struggling with the complexities of the long-term care system.

Oregon's citizens living in nursing facilities, residential care facilities, assisted living facilities and adult foster care homes deserve quality care. They should enjoy freedom from abuse and neglect and the freedom to make choices about their care.
Mission Statement
The mission of the Office of the Long-Term Care Ombudsman is to enhance the quality of life, improve the level of care, protect the individual's rights and promote the dignity of each Oregon citizen residing in a long-term care facility.
The Office of the Long-Term Care Ombudsman is an independent state agency that serves long-term care facility residents through complaint investigation, resolution and advocacy for improvement in resident care. 

Program staff work with a statewide network of over 175 volunteers who work in their own communities in a variety of roles.   

 Fred Steele​, State Long-Term Care Ombudsman

 Fred Steele was appointed by Governor Kate Brown in September 2015 to be Oregon's Long-Term Care Ombudsman and Agency Director of the Office of the Long-Term Care Ombudsman. Fred has focused his career on advocating for older adults and individuals with disabilities, with particular focus on enhancing infrastructure to maximize independence of Oregonians. He holds a J.D. From Willamette University College of Law and an M.P.H. from Portland State University. Fred relaxes in his free time by camping, hiking, and watching sports with his wife, two young sons, and their dog.​

David Berger, Deputy State Long-Term Care Ombudsman - ​District 1 (Multnomah County)

David Berger recently served as the Interim Agency Director and State Long-Term Care Ombudsman.   He is committed to helping individuals have a lead role in their care and guiding public policy that enhances personal choice and quality care.  David has a Bachelor's degree in Psychology and a Technical Writing Minor from Portland State University, and a JD from Lewis and Clark Law School, where his coursework emphasized social justice issues.  Before and during college he worked as a certified nurse's aid, an activities assistant, and community mental health worker.  After law school, David has worked as an assisted living administrator and for a tech firm that developed smart home technologies and web-based records systems for community-based care settings.  Prior to joining the agency, he volunteered for the Multnomah County Public Guardian's Office and was the Program Supervisor and Case Manager at the Marie Smith Adult Day Center in North Portland.  David's thousands of hours working directly with people who live in licensed care settings sensitized him to their challenges and informs his advocacy and policy work.

Melissa Bosworth, Deputy State Long-Term Care Ombudsman - District 2 (Washington, Yamhill, Columbia, Clatsop & Tillamook Counties)
Melissa has a Master of Public Administration/Health Administration and Graduate Certificate in Gerontology from Portland State University.  Prior work experience includes Program manager for the Oregon Geriatric Education Center at OHSU and managing the Model for Community Care program for Providence Health and Services.  Melissa enjoys reading, research, and work with community partners and volunteers.  In her free time she enjoys walking, trying out new recipies and browsing in second hand stores.

Debbie Boures, Deputy State Long-Term Care Ombudsman - District 4 (Lane, Linn, Benton, Lincoln, & Polk Counties)
Debbie has a Bachelor's degree in Psychology from the University of Washington.  For the last 20 years Debbie has worked for Lane Council of Governments, most recently as the Licensor of Adult Foster Homes in Lane County.  Prior to that she worked as a Transition and Diversion Case Manager, assisting consumers leaving nursing homes for community based care settings.  She has been a strong advocate for client choice.  Debbie and her husband have two children in college, two dogs, and two cats.  In her spare time she putters around at creating soup recipies, makes jewelry, reads, and enjoys spending time with family and friends.

Steph Delage​, Deputy State Long-Term Care Ombudsman - District 3, (Clackamas and Marion Counties)

Steph has a bachelor's degree in English from the State University of New York, Albany Campus and has over 20 years working with senior citizens, domestic violence survivors, and people with disabilities with a focus on Adult Protective Services.  She has provided case-management, investigation and risk management to vulnerable adults in the community for several years before moving onto APS program and policy development with the Office of Adult Abuse Prevention and Investigations.  
Ann Fade, Deputy State Long-Term Care Ombudsman - Deputy on Duty
Ann is the Manager of Agency Training. She has a BA in history from the University of Oregon, a BS in nursing from the University of Rochester and a JD from the Yale Law School. Ann has worked as an oncology nurse at Mount Sinai Medical Center in New York City, as an associate at the law firm of Fierman, Hayes & Handler and as the associate director of Programs at Choice in Dying, a nonprofit organization that invented the first living will. When not at work, Ann keeps busy wrangling her three dogs and sleeping on the sofa.

Todd Steele, Deputy State Long-Term Care Ombudsman - District 6 (Deschutes, Jefferson, Crook, Hood River, Wasco, Sherman, Gilliam, Wheeler, Grant, Morrow, Umatilla, Wallowa, Union, Baker, Harney & Malheur Counties)

Todd was born and raised in Tillamook, Oregon and recently moved back to Oregon after 15 years in Alaska.  He possesses a Masters in Public Administration Degree from University of Alaska as well as a Bachelor's Degree in Business Administration (Marketing) from Portland State University.  Todd has broad experience in the public, nonprofit, and for profit sectors.  He served as Assistant State Long-Term Care Ombudsman for Alaska.  Todd spent the last decade working in mental health programs focusing on peer-run, peer to peer support services.  He served as Excecutive Directorotr for Medical Pathfinders, a nonprofit serving people fighting terminal illness.  Todd is excited to be back in Bend, a place he missed sorely while in the great white north.  When not working, he enjoys hiking, biking, hunting, climbing, music, and spending time with family and friends.

Molly Twarog, Deputy State Long-Term Care Ombudsman - District 5 (Josephine, Jackson, Klamath, Douglas, Coos & Curry Counties)

Molly has a BA in History from Willamette University and an MS in Education from Western Oregon University.  She was the Associate State Ombudsman in New Mexico for nine years before becoming a Deputy Ombudsman for Oregon.  Prior to her Ombudsman work, she was a high school history teacher and a District Executive Director for the American Cancer Society.

Tracy Behnke, Data Analyst

Tracy previously worked at SAIF Corporation, Regence Blue Cross BlueShield and Country Financial.  Born and raised in the Willamette Valley, Tracy is married and has a daughter and a son.  Whenever possible, she loves to read, shop, and study architecture.

Gretchen Jordan, CVA​, Coordinator of Volunteers

Gretchen has a degree in Community and Human Services from Empire State College and is a Certified Volunteer​ Administrator with over twenty five years experience in managing volunteer programs. She has had past work experience as a corporate manager, small business owner, in government agencies and non-profit management.  She is active on the local, state and national level in volunteer management, presented at several national conferences, and is a certified trainer for Oregon Volunteers! and is a committee member of the Oregon Commission for Voluntary Action and Service.  Gretchen is married with four adult children in all stages of life.  She enjoys camping, crafts, and all that Oregon has to offer.

Mary Ann Lebold, Office Manager

Mary Ann has a long history with long-term care.  In the 1970’s she volunteered in Multnomah County as a friendly visitor and joined the Long-Term Care Ombudsman Program in 1995 in a volunteer capacity.  In her spare time, Mary Ann flies her Cessna 170B and hangs out at the airport every moment she can

 Amra Marche​​Receptionist

Having lived in the Pacific Northwest her entire life, Amra grew up camping and hiking the beautiful Olympic Peninsula and has enjoyed the outdoors ever since.  After moving to Oregon 11 years ago wth her husband Paul, daughter Devin, and son Oliver, Amra worked at the Salem YMCA as a lifeguard and swim instructor, then obtained her Certified Nursing Assistant license and went to work at Salem Health.  It was there that she developed her passion and concerns for people living in long-term care.  Camping trips, gardening and her small "urban farm", keep her on her toes, but in her spare time, she enjoys reading, up-cycling projects and live music.

The program is monitored by the Residential Facilities Advisory Committee who are appointed by the Governor, 

legislative leadership, and senior organizations (per ORS 441.137). 

The Residential Facilities Advisory Committee Member contact information, photos, bios, 

and their statewide representations can be found here​