LTCR Nursing Facilities Senior Investigator

Agency:
Texas Health and Human Services Commission (HHSC)

Functional

Title:

LTCR Nursing Facilities Senior Investigator

Job Title:

Investigator VI

Location:

2561 MATLOCK RD, Arlington, TX

Posting Number: 12657 | Closing Date: 01/23/2026

Salary: $5,425.33 - $7,155.75 Monthly (equivalent to $83,371.89 annual market rate)

Shift: Day (First) | Telework:
Not Eligible | Travel:
Up to 80%

An investigator 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 and health services sites). The role involves writing detailed reports, communicating findings, providing training, and occasionally testifying at hearings or court proceedings.

• Conduct on‑site licensure inspections, complaint and incident investigations, and annual comprehensive surveys.
• Complete inspection or survey reports detailing deficiencies.
• Communicate clearly and accurately with internal and external stakeholders.
• 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.
• Develop and implement training for field investigators.
• Participate as a member of teams within HHSC Long‑term Care Regulation, including enforcement and quality assurance.
• Occasionally testify at hearings or in court proceedings.
• Assist with non‑skilled care and oversight during emergency licensure action, if required.
• Be available for on‑call duties for emergencies such as weather events or high‑priority situations.

• Knowledge of acceptable professional standards of resident care.
• Ability to conduct high‑level investigations and verify regulatory compliance.
• Ability to interpret and apply policies, procedures, and regulations.
• Ability to work independently and make appropriate decisions and regulation‑based recommendations.
• Proficiency with computer‑based programs for data entry and report writing.
• Ability to multi‑task and manage competing priorities in a high‑volume, deadline‑driven workload.
• Ability to use the computer for writing reports.
• Ability to integrate complex regulatory concepts, procedures, and processes.
• Effective oral and written communication skills.
• Ability to present information effectively to executive‑level management.

Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain within 12 months of hire. If the applicant has a license and/or certification in a professional area eligible for federal qualification as a health facilities surveyor, the license must be current and valid in the State of Texas (e.g., registered or licensed nurse, dietitian, social worker, sanitarian, respiratory therapist, etc.).

• Bachelor's degree (or equivalent experience) in public administration, health care administration, hospital administration, business administration, education, psychology, social work, sociology, nursing, medicine, or related fields.
• Experience in a Texas state agency regulatory program, or experience as a Registered Nurse (subject to one‑year substitution).
• Experience in writing deficiencies/violations and investigation reports.
• Experience conducting health care provider or related investigations with knowledge of state and federal regulations specific to long‑term care.

Flexibility in work hours is required. The position requires 80% travel statewide, including overnight and weekend travel. On‑call duties for emergencies or high‑priority situations may be required. Reliable transportation is essential.

All applicants must pass a fingerprint criminal background check. Upon offer, acceptors will not be permitted to continue employment at any HHSC regulated facilities or providers and must disclose potential conflicts of interest and secondary employment.

Active‑ or former licensed nursing facility administrators, certified nurse aides, or medication aides will be subject to additional licensing and registry checks.

All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified.

In compliance with the Americans with Disabilities Act, HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability.

Applicants may be required to provide I‑9 documentation on the first day of work as per E‑Verify requirements.

Full‑time benefits include 100% paid employee health insurance, a defined benefit pension plan, generous time‑off benefits, opportunities for career advancement, and eligibility for the Federal Public Service Loan Forgiveness Program.