LTCR Inspector V

FALL CREEK FARM & NURSERY; Denton (TX); On-site; USD 56,000 - 76,000; Full time

Job summary

Health & Human Services Commission (HHSC) is seeking an LTCR Inspector V to conduct on-site inspections and investigations in long-term care facilities across Texas. The role requires thorough documentation, reporting of deficiencies, and collaboration to ensure compliance with state and federal regulations.

The Inspector will handle licensure inspections, incident investigations, and annual surveys, with travel up to 80%.

Responsibilities

• Attend work on a regular and predictable schedule.
• Conduct on-site licensure inspections, complaint and incident investigations, and annual surveys.
• Write reports detailing deficiencies and provide narratives to support regulatory findings.
• Assist with corrective action plans and enforcement recommendations.
• Travel up to 80%; some evenings and weekends as required.

Job description

Posting ID21219-Posted09/09/2026-Health & Human Services Comm-Waiver Survey & Certification-Protective Services-Not Eligible for Telework- Other Locations (1) -c. $5000 - $6999 per month

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage .

Functional Title:LTCR Inspector V
Job Title:Inspector - License & Cert
Agency:Health & Human Services Comm
Department:Waiver Survey & Certification
Posting Number:21219
Closing Date:11/08/2026
Posting Audience:Internal and External
Occupational Category:Protective Services
Salary Range:$5,035.99-$6,779.25
Pay Frequency: Monthly
Salary Group:TEXAS-B-20
Shift:Day
Additional Shift:None
Telework:Not Eligible for Telework
Travel:Up to 80%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility Location:
Job Location City:DENTON
Job Location Address:3600 E MCKINNEY ST. STE 200
Other Locations:Arlington
MOS Codes: 6016,6017,8012,8056,1S0X1,2A7X2,2F0X1,43HX,4E0X1,640A,68R,86M0,87G0,87I0,87Q0,8I000,8I100,8S000,AD
LS,ME,MSSD,MSSE,MSSR,MST,OAP11,OAP14

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for
you!
LTCR Inspector – Starting Market Rate Salary $60,431.88
The Inspector V conducts on-site inspections and investigations including those involving abuse, neglect, and
exploitation of adults and children with mental illness or intellectual, developmental, and physical disabilities in
various Texas Long-Term Care facilities:

• Home and Community-Based Services (HCS) Waiver Program
• Texas Home Living (TxHmL) Waiver Program

Investigations are completed in accordance with Texas Administrative Code and Long-Term Care Regulatory (LTCR) policy. The Inspector will testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.
Works occasionally outside of traditional working hours (8 am – 5 pm), which includes evening hours, weekends, and holidays, as required for case-related functions, on-call duties, and/or as required by management.
This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different providers 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.
The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well as 401(k) and 457 Programs under the Employees Retirement System of Texas.

Essential Job Functions (EJFs):

• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
• The inspector conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys to include the investigation of abuse, neglect, and exploitation at Long-Term Care (LTC) providers to determine compliance with federal and state health and safety regulations. The inspector conducts exit conferences at the end of an inspection with facility staff regarding preliminary findings of the inspection. (25%)
• The inspector completes written reports for each inspection or survey to detail deficiencies and provide narratives to support regulatory findings. The inspector summarizes facts obtained during an investigating whether abuse, neglect, or exploitation occurred. The inspector is responsible for ensuring the documentation is clear and concise; ensures
• course corrections implemented by the providers are appropriate to address the risk or noncompliance with
• regulations identified during inspections and investigations. If the inspector determines abuse, neglect, or exploitation
• did occur the inspector will make a referral to HHSC’s Employee Misconduct Registry of the alleged
• perpetrator. (25%)
• The inspector establishes priorities in gathering evidence to determine what methods to use in securing evidence
• such as going through the interview process or reviewing records to determine compliance or noncompliance.
• Analyzes evidence to complete a thorough investigation and determine if there is a preponderance of evidence.
• Evidence must follow chain of custody and be protected during the process. (25%)
• The inspector reviews and approves corrective action plans to address noncompliance with the regulations;
• responsible for informing the provider of issues that require immediate remedial action to ensure the health and
• safety of consumers; recommends enforcement actions