LTCR Nursing Facilities Investigator V

Texas Health and Human Services Commission

$75K — $93K *
Paris, TX 75460In-Person
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree from an accredited institution.
  • Investigative experience in long-term care preferred.
  • Surveyor Minimum Qualifications Test (SMQT) Certification required within 12 months of hire.
  • Current nursing, social work, respiratory therapy, or dietician license/registration preferred.
  • Strong report writing skills and experience required.

Responsibilities

  • Conduct on-site inspections and investigations in long-term care facilities.
  • Complete detailed inspection reports outlining deficiencies and compliance.
  • Communicate findings clearly with facility staff and external stakeholders.
  • Conduct exit conferences to discuss compliance findings with facility personnel.
  • Perform quality assurance reviews of compliance-related documents.
  • Verify correction of previously cited regulatory violations during facility visits.
  • Testify in hearings or court regarding investigations and findings as needed.

Benefits

  • Comprehensive health insurance coverage.
  • Retirement benefits through state plans.
  • Opportunities for extensive travel across Texas facilities.
  • Flexibility to manage multiple tasks and priorities.
  • Engagement in a collaborative team environment.
Full Job Description
Functional Title: LTCR Nursing Facilities Investigator V Job Title: Investigator V Agency: Health & Human Services Comm Department: Rgn 05-Regulatory Services Posting Number: 19702 Closing Date: 08/18/2026 Posting Audience: Internal and External Occupational Category: Protective Services Salary Range: $6,318.95- $7,761.50 Pay Frequency: MonthlySalary Group: TEXAS-B-22 Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 85% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location:Job Location City: PARIS Job Location Address: 1460 19TH ST NW Other Locations: Mount Pleasant; Clarksville; Paris; Sulphur Springs MOS Codes: 5805,5813,5819,5821,5822,7596,8012,14N,14NX,183X,1D7X1,1N0X1,1S0X1,250X,311A,31A,31B,31D,31PX,351L
351M,35A,35L,35M,3E7X1,3P0X1,43HX,4B0X1,4E0X1,5I0,649X,683X,71SX,749X,783X,89D,89E,EOD,INV,IS,IV,LN
MA,ME,MLES,MSSD,MSSE,MSSR,MST,OAP12,OAP14

Nursing Facilities Investigator V - Starting Market Rate Salary $ 75,827.44

As part of a collaborative team of public servants, 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 activities and health services sites) to assess their compliance with state and federal laws and rules. This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different facilities within a region and across the state - Please see the Additional Information section below for more detail on travel. In this front-line field position, a surveyor is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing any deficiencies/violations against a facility, remedies to correct those deficiencies, and narrative to support regulatory determinations. See below for details.

Essential Job Functions (EJFs):

Under the direction of a program manager, an investigator V conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys in facilities to determine compliance with federal and state health and safety regulations. Completes inspection or survey reports detailing deficiencies.

Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve issues or complaints in Texas long-term care facilities.

Conducts exit conferences with facility staff regarding findings.

Visits long-term care facilities to verify correction of previously cited regulatory violations.

Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, reports.

Occasionally might need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.

In the event of emergency licensure action, be available to assist with non-skilled care and oversight to residents in a facility. If the employee is a current registered or licensed nurse, there is a potential for skilled care.

Be available for on-call duties for emergencies such as weather events or high-priority situations in facilities or at providers.

Knowledge, Skills, and Abilities (KSAs):

Knowledge of acceptable professional standards of patient care.

Skilled in conducting investigations to verify compliance.

Ability to interpret policies, procedures, and regulations.

Ability to multi-task and track multiple activities with competing priorities.

Ability to work independently.

Ability to use the computer for writing reports.

Ability to exercise professional judgment and reach sound decisions.

Ability to integrate complex regulatory concepts, procedures, and processes.

Ability to operate personal computers and software.

Registrations, Licensure Requirements or Certifications:

Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain within 12 months of hire.

Current license or registration as a nurse, social worker, respiratory therapist or dietician preferred.

Initial Screening Criteria:

Graduation from an accredited four-year college or university. Investigative experience or experience in long-term care may be substituted for the required education on a year-for-year basis up to four years.

Experience in regulatory services preferred.

Experience in writing detailed reports.

Experience operating personal computers and software.

Experience conducting investigations preferred.

Additional Information:

Flexibility in work hours is required for this position. The job requires 80% travel, including statewide travel, overnight, and weekend travel. On-call duties for emergencies or high-priority situations in facilities or at providers may be required. Must have reliable transportation.

All applicants must pass a fingerprint criminal background check and the SEMARC (Search Engine for Background Checks) check. Additional checks as applicable may include the NAR (Nurse Aide Registry) and LNFA (Licensed Nursing Facility Administrator) check.

If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers.

If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

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