LTCR Nursing Facilities Nurse Surveyor (Nurse III)

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

About The Position

The LTCR Nursing Facilities Nurse Surveyor (Nurse III) is a front-line field position with the Texas Health and Human Services Commission. The nurse conducts on-site inspections and investigations in Texas long-term care settings—including nursing homes, assisted living facilities, and day activities health services—to assess compliance with state and federal laws and regulations. Work includes minimal office time and regular travel to facilities within a region and across the state, as well as preparing reports documenting deficiencies and supporting regulatory determinations. The position conducts licensure inspections, complaint and incident investigations, and annual comprehensive surveys. It communicates findings to facility staff, completes reports, revisits facilities to verify corrective action, and may review documents prepared by others, provide technical assistance, supervise team members during inspections, testify in hearings or court, and assist with resident oversight during emergency licensure actions. The role also involves on-call availability for emergencies and high-priority situations. The job is based in Temple, Texas, with other listed locations of Temple and Austin. The position is full-time, regular, exempt, and day shift. Telework is not eligible according to the posting’s job details. Flexibility in work hours is required, and travel may include statewide, overnight, and weekend travel. Reliable transportation is required. The starting market-rate salary is $89,690.71; the listed salary range is $7,474.23–$8,886.16 monthly.

Requirements

  • Must hold a registered nurse license issued by Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
  • Experience assessing and documenting health status.
  • Knowledge of issues and needs of at-risk populations in health care or institutional environments.
  • Knowledge of nursing principles and accepted professional standards of patient care.
  • Interpersonal skills and skill in quality assurance monitoring, program review, certification, surveys, or investigations.
  • Ability to provide guidance, policy clarifications, and information to others.
  • Skill in preparing detailed written reports and in oral, written, and electronic communications, including computer word-processing software.
  • Ability to multitask and track activities with competing priorities, collect and analyze data, integrate complex concepts and procedures, analyze and solve work problems, and interpret regulatory policies and procedures.
  • Ability to work independently, use a computer to write reports, exercise professional judgment, make sound decisions, stay organized, and be punctual.
  • Must complete all required federal and state Nursing Facilities training, including Surveyor Minimum Qualification Training within one year of hire.
  • Must pass a fingerprint criminal background check and SEMARC check; additional checks may include NAR, BON, LNFA, or other applicable checks.
  • Must have reliable transportation and be able to meet the position’s travel requirements.
  • Flexibility in work hours is required; statewide, overnight, and weekend travel may be required, as may on-call emergency duties.

Nice To Haves

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

Responsibilities

  • Conduct on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys of long-term care facilities to assess compliance with state and federal health and safety regulations.
  • Assess facility practices involving admissions, transfers and discharges; resident rights; staffing and census; quality of care and quality of life; resident 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, answer inquiries, and resolve issues or complaints.
  • Conduct exit conferences with facility staff regarding findings and prepare inspection or survey reports detailing deficiencies.
  • 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.
  • May supervise team members during inspections, provide technical assistance to facilities, and provide subject-matter expertise to survey teams.
  • May testify at hearings or court proceedings regarding policies, procedures, history, findings, or activities.
  • Assist with non-skilled care and resident oversight during emergency licensure actions; skilled care may potentially be necessary.
  • Be available for on-call duties for weather emergencies or high-priority situations involving facilities or providers.
  • Complete required federal and state training for Nursing Facilities, including Surveyor Minimum Qualification Training within one year of hire.

Benefits

  • 100% paid employee health insurance for full-time eligible employees.
  • Defined benefit pension plan and lifetime monthly retirement annuity.
  • Generous time off benefits.
  • 401(k) and 457 programs through the Employees Retirement System of Texas.
  • Opportunities for career advancement.
  • Federal Public Service Loan Forgiveness Program eligibility for qualifying Direct Loans after 120 qualifying monthly payments.
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