Nursing Facilities (NF)

What is a Nursing Facility?

The Nursing Facility program provides institutional care to individuals whose medical condition regularly requires the skills of licensed nurses. Nursing facility services are available to individuals who are Medicaid recipients or who wish to private pay for their care. The nursing facility must provide for the needs of each client, including room and board, social services, over-the-counter medications, medical supplies and equipment, and personal needs items.

A skilled nursing facility is a special facility or part of a hospital that provides medically necessary professional services from nurses, physical and occupational therapists, speech pathologists and audiologists. Skilled nursing facilities provide round-the-clock assistance with healthcare and activities of daily living. Skilled nursing facilities are used for short-term rehabilitative stays after an individual is released from a hospital.

A Hospital-based SNF is located in a hospital and provides skilled nursing care and rehabilitation services for people who have been discharged from that hospital but who are unable to return home right away. They do not accept general admissions.

COVID-19 Resources




Joint Training


For older recordings, email LTCR Policy.

Directories and Licensure and Regulation Tags

Regulatory Comment Card Survey

Please click here to take a short survey about the recent visit to your facility by Texas Health and Human Services Long-Term Care Regulatory.


Provider Letters

All letters are in PDF format.

Keywords in title or number
Number Title Date Published
PL 2021-36 Dialysis Technicians in Nursing Facilities (Senate Bill 1692) 9/30/2021
PL 2021-33 Authority to Enter Long-term Care Facilities 9/2/2021
PL 2021-29 End of Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak
Note: Replaces PL 2020-21 and 2020-26. Revised September 14, 2021.
PL 2021-25 Informal Dispute Resolution (IDR) Conference Expectations 6/30/2021
PL 2021-23 Guidelines Regarding Plans of Correction Associated with a PASRR Violation
Note: Replaces PL 2018-09
PL 2021-20 COVID-19 Response - Expansion of Reopening Visitation
Note: Replaces PL 2021-08
PL 2021-19 Certification Process for Nurse Aides Training and Working Under aWaiver 5/19/2021
PL 2021-16 Resident Refund Review 4/22/2021
PL 2021-15 Fingerprint-based Criminal History Checks for Current and Prospective Medication Aides 4/15/2021
PL 2021-14 Status of an Active License During a Renewal Process
Note: Replaces PL 2019-18

Information Letters

All letters are in PDF format.

Keywords in title or number
Number Title Date Published
IL 2021-40 Payment Rates for Pediatric Long term Care Facilities Effective September 1, 2021 8/27/2021
IL 2021-36 Fiscal Year 2021 Cutoff Date for Year-end Closeout Processing 7/30/2021
IL 2021-27 Preparing for the Upcoming Fiscal Year 2021 Fee-for-Service Claims Billing Closeout 5/28/2021
IL 2020-48 Cost/Accountability Report and 2021 Accountability Report Training Information 12/4/2020
IL 2020-41 Preadmission Screening and Resident Review (PASRR) Evaluations: Use of Telephone Interviews or Videoconferencing 9/29/2020
IL 2020-39 Qualified Rehabilitation Professional -assessment required for Preadmission Screening and Resident Review – Customized Manual Wheelchair - prior authorization requests
Note: REVISED: September 1, 2020
IL 2020-35 Fiscal Year 2020 Cutoff Date for Year-end Closeout Processing 8/7/2020
IL 2020-34 Temporary Emergency Rate Increases for the Nursing Facility program, including Hospice services provided in the Nursing Facility setting, Effective April 1, 2020
Note: Replaces IL 2020-31
IL 2020-24 Preparing for the Upcoming Fiscal year 2020 Fee-for-Service Claims Billing Closeout 6/12/2020
IL 2020-18 Requirement to Complete DIR-Certified Cybersecurity Training Program -- Due April 30, 2020 4/20/2020