LTCR Inspector

Texas Health & Human Services Commission • Arlington, TX

10d • $4,263 - $6,779 • Onsite

About The Position

The Inspector V conducts on-site inspections and investigations at Texas Long-Term Care facilities, including licensed-only nursing facilities, assisted living facilities, Day Activity and Health Services (DAHS) facilities, DAHS-Individualized Skills and Socialization (DAHS-ISS) facilities, and Prescribed Pediatric Extended Care Centers. Work includes investigating abuse, neglect, and exploitation involving adults and children with mental illness or intellectual, developmental, and physical disabilities. Investigations follow Texas Administrative Code and Long-Term Care Regulatory policy. The inspector may testify at hearings or court proceedings about applicable procedures, history, findings, and activities.

This is a mobile, front-line field position involving minimal office work and regular travel among providers. The inspector prepares reports detailing deficiencies or violations, corrective remedies, and the basis for regulatory determinations. The role requires flexibility outside traditional 8 a.m.–5 p.m. hours for case-related work, on-call duties, and management needs. The posting states that the position requires 80% travel, including statewide, overnight, and weekend travel, and requires reliable transportation. The position is based in Arlington, Texas, and is not eligible for telework according to the posting's position details.

The position offers a starting market rate salary of $60,431.88 and state benefits. HHSC describes benefits including employee health insurance, a defined benefit pension/retirement annuity, time off, career advancement opportunities, and access to 401(k) and 457 programs. HHSC is also identified as a qualifying organization for the Federal Public Service Loan Forgiveness Program.

Requirements

• Experience interacting or communicating with members of the public, in person or by phone.
• Valid Class C (or higher) Texas driver’s license or equivalent license from another state.
• Knowledge of and ability to interpret local, state, and federal laws and regulations relevant to the program area.
• Knowledge of acceptable professional standards of care.
• Skill in conducting inspections and investigations and determining appropriate courses of action.
• Skill in establishing and maintaining effective working relationships.
• Effective verbal and written communication skills.
• Ability to work independently and exercise professional judgment and sound decision-making.
• Ability to prepare reports, interpret laws and regulations, gather and analyze data, and communicate effectively.
• Ability to integrate complex regulatory concepts, procedures, or processes and manage multiple activities with competing priorities.
• Ability to work in potentially emotion-filled environments and environments where violent or dangerous individuals may be present.
• Ability to operate a computer, tablet, laptop, smartphone, fax machine, copy machine, and software packages including Microsoft Office.
• Ability to conduct interviews in private residences, day habilitation facilities, group homes, and state-operated facilities.
• Ability to oversee the work of others.
• Flexibility in work hours, including occasional evenings, weekends, and holidays, is required.
• Must be able to meet the position’s travel requirements, including 80% travel, statewide and overnight travel, and weekend travel; reliable transportation is required.
• Must pass a fingerprint criminal background check and SEMARC check; other checks may apply, including NAR and LNFA checks.
• Applicants who are active or former licensed nursing facility administrators, certified nurse aides, or medication aides will have hiring pending completion of professional licensing and Employee Misconduct Registry checks.
• If hired, the employee may not continue employment at HHSC-regulated facilities or providers and must disclose potential conflicts of interest, secondary employment, volunteer activities, and friends or family who own, operate, or work at regulated providers.
• Must provide I-9 documentation on the first day of work.

Nice To Haves

• Four-year degree from an accredited college or university (preferred).
• Experience conducting investigations (preferred).
• Experience working with individuals with mental illness, intellectual or developmental disabilities, or physical disabilities (preferred).

Responsibilities

• Attend work on a regular and predictable schedule, follow agency leave policy, and perform other assigned duties.
• Conduct on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys at long-term care providers to determine compliance with federal and state health and safety regulations, including investigating abuse, neglect, and exploitation.
• Conduct exit conferences with facility staff to discuss preliminary inspection findings.
• Prepare clear, concise written reports for each inspection or survey, documenting deficiencies and narratives supporting regulatory findings; summarize facts gathered during investigations and determine whether abuse, neglect, or exploitation occurred.
• Ensure provider course corrections appropriately address identified risks or regulatory noncompliance; refer alleged perpetrators to HHSC’s Employee Misconduct Registry when abuse, neglect, or exploitation is determined to have occurred.
• Establish evidence-gathering priorities and select methods such as interviews and record reviews; analyze evidence, determine whether a preponderance of evidence supports findings, and protect evidence according to chain-of-custody requirements.
• Review and approve corrective action plans; inform providers of issues requiring immediate remedial action; recommend enforcement actions; and ensure administrative penalties are assessed and processed according to state and federal requirements.
• Participate in meetings concerning significant inspection or investigation issues and outcomes.
• Testify at hearings and court proceedings regarding investigation findings and compliance determinations.
• Train new hires through on-the-job mentoring, shadowing, and return demonstrations.
• Perform other duties assigned by a supervisor or regional leadership to maintain unit operations, including on-call availability for emergencies such as weather events or high-priority provider situations.
• Travel regularly to providers within a region and across Texas, including statewide, overnight, and weekend travel.

Benefits

• 100% paid employee health insurance for full-time eligible employees.
• Defined benefit pension plan and lifetime monthly retirement annuity.
• Generous time off benefits.
• Career advancement opportunities.
• Access to 401(k) and 457 programs through the Employees Retirement System of Texas.
• Eligibility as an HHSC employee for the Federal Public Service Loan Forgiveness Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed