LTCR Home Health and Hospice Nurse Surveyo
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Job Description
Join the Texas Health and Human Services Commission as a Home Health and Hospice Nurse Surveyor protecting residents' health and safety. Conduct on-site inspections and investigations in long-term care settings to ensure compliance with state and federal regulations.
What You'll Do- Conduct on-site licensure inspections and comprehensive surveys at home health and hospice agencies
- Investigate complaints and incidents including abuse, neglect, and exploitation allegations
- Complete detailed inspection reports documenting deficiencies and regulatory findings
- Revisit agencies to verify correction of previously cited violations
- Communicate findings with agency staff during exit conferences and testify at hearings when needed
- Licensed as a registered nurse by the State of Texas or Nurse Licensure Compact state
- One year minimum experience in institutional, home health, hospice, or long-term care settings
- Ability to work independently and handle 80% travel including statewide and overnight travel
- Reliable transportation and willingness to complete federal and state training programs
- Pass fingerprint criminal background check and E-Verify employment eligibility verification
- 100% paid employee health insurance for full-time eligible employees
- Defined benefit pension plan and lifetime monthly retirement annuity
- Generous time off and Federal Public Service Loan Forgiveness Program eligibility
- Starting salary $89,690.71 monthly with excellent state benefits
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
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What Most Job Listings Don’t Tell You
General overview for this role type — specific duties and requirements vary by employer.
Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.
Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the DFW area.
For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.
Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.
DFW Area Salary Data
According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the DFW metroplex area earn a median wage of $12.93/hr ($26,894/yr). The typical range is $11.12 – $14.51/hr (25th–75th percentile).
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.
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