LTCR Inspector

Texas Health & Human Services Commission•Rusk, TX

7d•$60,432 - $81,351•Onsite

About The Position

The Inspector V conducts on-site inspections and investigations involving abuse, neglect, and exploitation of adults and children with mental illness or intellectual, developmental, and physical disabilities in Texas long-term care settings, including Home and Community-Based Services (HCS) and Texas Home Living (TxHmL) waiver programs, state hospitals, managed care, and community IDD services. Investigations follow the Texas Administrative Code and Long-Term Care Regulatory policy. The inspector may testify at hearings or court proceedings about policies, procedures, history, findings, and activities. This mobile, front-line field position involves regular travel to providers within a region and across Texas, with minimal office work. The inspector writes reports describing deficiencies or violations, corrective remedies, and the basis for regulatory determinations. The role requires flexibility outside traditional 8 a.m.–5 p.m. hours, including evenings, weekends, and holidays for case-related work, on-call duties, or management needs. State benefits include health insurance and retirement programs.

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.
Pass a fingerprint criminal background check.
Flexibility in work hours, including evening, weekend, and holiday work as required.
Ability to travel up to 80%, including statewide, overnight, and weekend travel; reliable transportation is required.
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 and communicating effectively verbally and in writing.
Ability to work independently; prepare reports; interpret laws and regulations; gather and analyze data; exercise professional judgment; and reach sound decisions.
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 in locations where violent or dangerous individuals may be present.
Ability to conduct interviews in private residences, day habilitation facilities, group homes, and state-operated facilities.
Ability to operate a computer, tablet, laptop, smartphone, fax machine, copy machine, and software packages including Microsoft Office.
Ability to oversee the work of others.

Nice To Haves

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

Responsibilities

Conduct on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys of long-term care providers to assess 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 documenting deficiencies, investigation facts, and regulatory findings; assess whether provider corrections address identified risks or noncompliance.
Refer alleged perpetrators to HHSC’s Employee Misconduct Registry when abuse, neglect, or exploitation is found to have occurred.
Set priorities for evidence gathering, obtain evidence through interviews and record reviews, analyze evidence to determine compliance and whether a preponderance of evidence supports findings, and maintain the chain of custody and protection of evidence.
Review and approve corrective action plans, notify 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 about significant inspection or investigation issues and outcomes; testify at hearings and court proceedings regarding findings and compliance determinations.
Train new hires through on-the-job mentoring, shadowing, and return demonstrations.
Perform other assigned duties needed to maintain unit operations, including being available for on-call emergencies such as weather events or high-priority provider situations.
Attend work on a regular and predictable schedule in accordance with agency leave policy.