LTCR Nursing Facilities Nurse Surveyor (Nurse III)

Texas Health & Human Services Commission•Houston, TX
•$89,691 - $106,634•Onsite

About The Position

The LTCR Nursing Facilities Nurse Surveyor (Nurse III) works on a collaborative team at the Texas Health and Human Services Commission, protecting residents’ health and safety through inspections and investigations in Texas long-term care settings. The role assesses nursing homes, assisted living facilities, and day activities health services for compliance with state and federal laws and regulations. It is a mobile, front-line field position involving minimal office work, regular travel to facilities within a region and across Texas, and preparation of detailed reports documenting deficiencies and supporting regulatory determinations. The position conducts licensure inspections, complaint and incident investigations, and annual comprehensive surveys. Survey topics include admissions, transfers and discharges; resident rights; staffing and census; quality of care and quality of life; care plans; social, psychological and rehabilitative services; medical services; and therapeutic activities. The surveyor also communicates findings, conducts exit conferences, revisits facilities to verify corrections, and may provide technical assistance or expertise to survey teams. The job requires flexibility in work hours, substantial statewide travel that may include overnight and weekend travel, and availability for emergency or high-priority on-call duties. Starting market rate salary is $89,690.71.

Requirements

  • Must hold a registered nurse license issued by Texas or by a state participating in the Nurse Licensure Compact.
  • Must complete required federal and state Nursing Facilities training, including Surveyor Minimum Qualification Training (SMQT), within one year of hire.
  • Experience assessing and documenting health status.
  • Must pass a fingerprint criminal background check.
  • Must have reliable transportation.
  • Ability to multi-task and track competing priorities; collect and analyze data; interpret regulations; solve work problems; work independently; exercise professional judgment; make sound decisions; and remain organized and punctual.
  • Knowledge of at-risk populations in health care or institutional settings and of nursing principles and professional patient-care standards.
  • Skills in interpersonal relations, quality assurance monitoring or investigations, providing guidance and policy clarifications, preparing detailed reports, and oral, written, electronic, and computer word-processing communications.

Nice To Haves

  • Experience in a long-term care regulatory program.
  • Two years of experience providing services in a health care setting as a registered nurse.

Responsibilities

  • Conduct on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys of long-term care facilities to determine compliance with federal and state health and safety regulations.
  • Assess facility compliance in areas including admissions, transfers and discharges; resident rights; staffing and census; quality of care and life; care plans; social, psychological and rehabilitative services; medical services; and therapeutic activity programming.
  • Communicate with internal and external parties to provide, exchange, or verify information and to answer inquiries or resolve issues and complaints.
  • Conduct exit conferences with facility staff to discuss findings.
  • Complete inspection and survey reports detailing deficiencies and supporting regulatory determinations.
  • Revisit facilities to verify correction of previously cited regulatory violations.
  • Perform quality assurance reviews of documents prepared by others, such as publications, assessments, and reports.
  • Possibly supervise team members during inspections, provide technical assistance to facilities, and contribute subject-matter expertise to survey teams.
  • Occasionally testify at hearings or court proceedings about policies, procedures, history, findings, or activities.
  • In emergency licensure actions, be available to assist with resident oversight and non-skilled care; skilled care may potentially be necessary.
  • Be available for on-call duties related to emergencies, weather events, or high-priority situations at facilities or providers.
  • Travel to facilities within the region and across the state, including overnight and weekend travel.

Benefits

  • 100% paid employee health insurance for full-time eligible employees.
  • Defined benefit pension plan and lifetime monthly retirement annuity.
  • 401(k) and 457 retirement programs through the Employees Retirement System of Texas.
  • Generous time-off benefits.
  • Opportunities for career advancement.
  • Eligibility as an organization for the Federal Public Service Loan Forgiveness Program.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service