LTCR Inspector

Overview

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 Inspector Job Title: Inspector V Agency: Health & Human Services Comm Department: APS Provider Investigations Posting Number: 16912 Closing Date: 05/27/2026
Posting Audience: Internal and External Occupational Category: Protective Services Salary Range: $5,035.99 - $6,779.24
Pay Frequency: Monthly

Salary Group: TEXAS-B-20
Shift: Day

Additional Shift

Telework:
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: ARLINGTON

Job Location Address: 2561 MATLOCK RD

Other Locations: Dallas;
Fort Worth;
Mckinney;
Plano

Brief Job Description

LTCR Inspector – Starting Market Rate Salary $60,431.88

Position Summary: The Inspector V conducts on-site inspections and investigations including those involving abuse, neglect, and exploitation of adults and children with mental illness or intellectual, developmental, and physical disabilities in various Texas Long-Term Care facilities.

Areas/Programs:

• Home and Community-Based Services (HCS) Waiver Program
• Texas Home Living (TxHmL) Waiver Program
• State Hospitals
• Managed Care
• Community Intellectual and Developmental Disability (IDD) services

Investigations are completed in accordance with Texas Administrative Code and Long-Term Care Regulatory (LTCR) policy. The Inspector will testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.

• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
• The inspector conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys to include the investigation of abuse, neglect, and exploitation at Long-Term Care (LTC) providers to determine compliance with federal and state health and safety regulations. The inspector conducts exit conferences at the end of an inspection with facility staff regarding preliminary findings of the inspection. (25%)
• The inspector completes written reports for each inspection or survey to detail deficiencies and provide narratives to support regulatory findings. The inspector summarizes facts obtained during an investigating whether abuse, neglect, or exploitation occurred. The inspector is responsible for ensuring the documentation is clear and concise; ensures course corrections implemented by the providers are appropriate to address the risk or noncompliance with regulations identified during inspections and investigations.
  
  If the inspector determines abuse, neglect, or exploitation did occur the inspector will make a referral to HHSC’s Employee Misconduct Registry of the alleged perpetrator. (25%)
• The inspector establishes priorities in gathering evidence to determine what methods to use in securing evidence such as going through the interview process or reviewing records to determine compliance or noncompliance. Analyzes evidence to complete a thorough investigation and determine if there is a preponderance of evidence. Evidence must follow chain of custody and be protected during the process. (25%)
• The inspector reviews and approves corrective action plans to address noncompliance with the regulations; responsible for informing the provider of issues that require immediate remedial action to ensure the health and safety of consumers; recommends enforcement actions; ensures administrative penalties are assessed and processed according to state and federal requirements. (10%)
• The inspector participates in meetings to discuss major issues identified during the inspection/investigation, and the outcome of the inspection/investigations. The inspector testifies at hearings and court proceedings regarding the investigation findings and compliance determinations. The inspector will train new hires by conducting on-the-job training which includes mentoring, shadowing, and return demonstrations. (10%)
• The inspector performs other duties as assigned by their supervisor, or regional leadership, and that are required to maintain unit operations. This includes being available for on-call duties for emergencies such as weather events or high-priority situations at providers. (5%)

• Knowledge of and ability to interpret local, state, and federal laws and regulations relevant to program area.
• Knowledge of acceptable…