LTCR Nursing Facilities Investigator V

Texas Health and Human Services; Houston (TX); On-site; USD 71,000 - 87,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Career advancement

Job summary

Texas Health and Human Services Commission (HHSC) seeks an Investigator V to conduct on-site inspections and investigations of long-term care facilities across Texas to ensure compliance with state and federal regulations. The role requires extensive travel and detailed reporting.

The position offers competitive state benefits, including health insurance, pension, and retirement plans, with opportunities for career advancement within Regulatory Services.

Qualifications

• Graduation from an accredited four-year college required.
• Investigative experience in long-term care preferred.
• Background checks including fingerprint and other screenings required.

Responsibilities

• Conduct on-site licensure inspections and investigations of long-term care facilities to assess compliance with laws and rules.
• Prepare and complete inspection or survey reports detailing findings and deficiencies.
• Communicate findings clearly to facility staff and participate in exit conferences.

Skills

Investigation techniques

Report writing

Regulatory compliance

Interpersonal communication

Education

Bachelor's degree

Job description

Date: Sep 2, 2026

Location:

HOUSTON, TX

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 Nursing Facilities Investigator V

Job Title: Investigator V

Agency: Health & Human Services Comm

Department: Rgn 06-Regulatory Services

Posting Number: 20868

Closing Date: 12/01/2026

Posting Audience: Internal and External

Occupational Category: Protective Services

Salary Range: $6,318.95 - $7,761.50

Pay Frequency: Monthly

Salary Group: TEXAS-B-22

Shift: Day

Additional ShiftTelework: 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: HOUSTON

Job Location Address: 5425 POLK ST

Other Locations:

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

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!

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.

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)

• 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.

Additional Information

• Experience conducting investigations preferred.
• 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.

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks And Work Eligibility

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Nearest Major Market: Houston