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 resident, 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 a 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 Nurse Aide Training and Competency Evaluation Programs willing to take more students (PDF)

Guidance

Joint Training

Webinars

For older recordings, email LTCR Policy.

Directories and Licensure and Regulation Tags

Nursing Facility Change of Ownership (CHOW) Quarterly Report

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.

Communications

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 2022-29 New Rules Implementing House Bill (H.B.) 1423 and Senate Bill (S.B.) 199, S.B. 271 and S.B. 383, 87th Legislature, Regular Session, 2021

Note: Revised January 23, 2023. Originally issued 11/21/2022.

PL 2018-20 Incident Reporting Requirements

Note: Replaces PL 13-04 and PL 18-07

PL 2023-03 Overview of F-tag Changes
IL 2022-58 2022 Cost Report and 2022 or 2023 Accountability Report Training Information
PL 2022-32 Blackboard Connect Emergency Communication System
PL 2022-31 Quarterly Immediate Jeopardy Reports

Note: Replaces PL 2017-01

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.