Nursing Facilities (NF)

Questions about enrolling?

Call the Licensing and Certification Unit at 512-438-2630.

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.


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.


Information & Provider Letters

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
PL 2022-01 Updates to Nursing Facility Administrator (NFA) Rules
PL 2021-43 Updates to Nursing Facility Rules

Note: Originally published 12/16/2021

PL 2021-44 Active, Unemployable Work-Around
PL 2020-37 Reporting Guidance for Long-term Care Providers

Note: Replaces the version last revised on November 20, 2020.

PL 2021-01 COVID-19 Vaccination Reporting

Note: Revised, originally issued January 11, 2021

IL 2021-57 2021 Cost Report and 2021 or 2022 Accountability Report Training Information
PL 2020-08 Requirement to Submit Facility Resident Death Report

Note: Originally issued February 12, 2020. Replaces PL-12-26. Revised November 29, 2021

PL 2021-22 Posting of Ombudsman Information
PL 2021-36 Dialysis Technicians in Nursing Facilities (Senate Bill 1692)
PL 2021-29 End of Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak

Note: Replaces PLs 2020-21 and 2020-26. Originally issued August 13, 2021.