LTCR Nursing Facilities Investigator V

Date: Sep 2, 2026 | Location: Houston, TX 77023

About the Role

The Nursing Facilities Investigator V protects residents’ health and safety by conducting on‑site inspections and investigations in Texas long‑term care facilities (nursing homes, assisted‑living facilities, and day‑activity/health‑services sites). The role involves assessing compliance with state and federal laws, writing detailed reports of deficiencies and corrective actions, and providing narrative support for regulatory determinations. Work is primarily field‑based with minimal office time.

Essential Job Functions

• Conduct on‑site licensure inspections, complaint and incident investigations, and annual comprehensive surveys.
• Complete inspection or survey reports detailing deficiencies and recommended remedies.
• Communicate clearly with internal and external stakeholders to exchange information, answer inquiries, and resolve issues.
• Conduct exit conferences with facility staff regarding findings.
• Visit facilities to verify correction of previously cited regulatory violations.
• Perform quality‑assurance reviews of documents prepared by others (publications, assessments, reports).
• Occasionally testify at hearings or court proceedings regarding policy, procedures, findings, or activities.
• Assist with emergency licensure actions, providing non‑skilled care and oversight; skilled care may be required if the employee is a registered/licensed nurse.
• Be available for on‑call duties during emergencies such as weather events or high‑priority situations.

Knowledge, Skills, and Abilities

• Knowledge of acceptable professional standards of patient care.
• Skilled in conducting investigations to verify compliance.
• Ability to interpret policies, procedures, and regulations.
• Ability to multitask and track multiple activities with competing priorities.
• Ability to work independently and exercise professional judgment.
• Proficiency with computers for writing reports and operating software.
• Ability to integrate complex regulatory concepts, procedures, and processes.

Registrations, Licensure Requirements or Certifications

Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain it within 12 months of hire. Current license or registration as a nurse, social worker, respiratory therapist, or dietician is preferred.

Minimum Qualifications

• Graduation from an accredited four‑year college or university.
• Investigative experience or experience in long‑term care (substitutable for education on a year‑for‑year basis up to four years).
• Preferred experience in regulatory services.
• Experience writing detailed reports.
• Experience operating personal computers and software.

Additional Information

• Experience conducting investigations preferred.
• Flexibility in work hours required.
• Travel requirement: up to 80 % statewide, including overnight and weekend travel; reliable transportation is mandatory.
• On‑call duties for emergencies or high‑priority situations may be required.
• All applicants must pass fingerprint criminal background check, SEMARC check, and any applicable NAR or LNFA checks.
• Employment at HHSC‑regulated facilities or providers is prohibited after acceptance.
• Potential conflicts of interest, secondary employment, volunteer activities, and relationships with regulated providers must be disclosed.
• Active‑duty military, reservists, guardsmen, and veterans are encouraged to apply.
• Reasonable accommodations are available in compliance with the ADA.
• Pre‑employment checks include E‑Verify and I‑9 documentation on first day.

Benefits

• 100 % paid employee health insurance for full‑time eligible employees.
• Defined benefit pension plan and lifetime monthly retirement annuity.
• 401(k) and 457 retirement programs under the Employees Retirement System of Texas.
• Generous time‑off benefits.
• Eligibility for the Federal Public Service Loan Forgiveness Program.
• Opportunities for career advancement and professional development.

Pay

Salary range: $6,318.95 – $7,761.50 per month (monthly pay frequency). Starting market‑rate salary: $75,827.44 annually.

Schedule

• Shift: Day
• Full‑time, non‑exempt position.
• Regular travel up to 80 % of work time.
• Not eligible for telework.