LTCR Inspector V

Health & Human Services Comm; San Antonio (TX); On-site; USD 54,000 - 66,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Job summary

Health & Human Services Commission (HHSC) seeks an LTCR Inspector V to perform on-site inspections and investigations in Long-Term Care facilities across Texas. The role involves addressing abuse, neglect, and exploitation findings, writing concise regulatory narratives, and presenting evidence at hearings when needed.

Starting market rate salary is $60,431.88 annually, with a monthly pay frequency and up to 80% travel, including evenings and weekends as required.

Responsibilities

• Conduct on-site inspections and investigations into abuse, neglect, and exploitation in LTC facilities.
• Prepare detailed reports documenting deficiencies and regulatory findings with narratives to support determinations.
• Testify at hearings or in court when required to relay policy, findings, and investigation history.
• Travel up to 80% regionally and across the state to inspect providers and gather evidence.

Job description

Posting ID21734-Posted09/23/2026-Health & Human Services Comm-APS Provider Investigations-Protective Services-Not Eligible for Telework-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 V
Agency:Health & Human Services Comm
Department:APS Provider Investigations
Posting Number:21734
Closing Date:11/22/2026
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:SAN ANTONIO
Job Location Address:1067 BANDERA RD
Other Locations:None
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:

• Licensed-only Nursing Facilities
• Assisted Living Facilities
• Day Activity and Health Services (DAHS)
• DAHS-Individualized Skills and Socialization (DAHS-ISS)
• Prescribed Pediatric Extended Care Centers

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.

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