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.

Provider Communications

Read news, information letters (ILs) and provider letters (PLs).

Table of NATCEPs Willing to Take on More Students (PDF)


Joint Training


For older recordings, email LTCR Policy.

Directories and Licensure and Regulation Tags

Regulatory Comment Card Survey

Please 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 2022-27 Texas NFs Must Update their Minimum Data Set (MDS) Software for Section GG Data Collection
PL 2022-25 Nursing Facility Resident Discharge and Appeal

Note: Replaces PL 2020-04.

PL 2022-24 Amelioration of Administrative Penalties

Note: Replaces PL 06-38, PL 02-36, PL 03-32 and PL 2013-18

PL 2018-21 Expedited Life Safety Code Inspection Time Frames (Revised)

Note: Originally issued 10/02/2018. This PL replaces the portions of NF PL 10-10 and ALF PL 10-11 which address ELSCs.

IL 2022-43 Fiscal Year 2022 Cutoff Date for Year-end Closeout Processing
PL 2022-18 New Regional Boundaries for Long-term Care Providers

Note: updated to PL 2022-18

PL 2022-16 COVID-19 Reporting Guidance for Nursing Facility Providers

Note: Replaces PL 2020-37 and PL 2021-04

PL 2022-15 Offsite Review Responsibility Requirements
PL 2022-13 New Rules Implementing Senate Bill (S.B.) 25 and Senate Bill (S.B.) 572, 87th Legislature, Regular Session, 2021, Version 2

Note: Revised -- originally issued June 1, 2022

IL 2022-35 IL 2022-35 Provider Information Validation on LTC Claims