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)


Joint Training


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.


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 2023-21 Required Trainings for Nursing Facility Staff
IL 2023-43 State Fiscal Year 2024 Nursing Facility Direct Care Spending Requirements
PL 2023-18 NFA Provisional Licenses and Licenses through Reciprocity

Note: Revised 1/10/2024

PL 2023-20 Texas Unified Licensure Information Portal (TULIP) – Updated and Additional Information

Note: Replaces PL 2018-15.

PL 2023-19 Notification Regarding Individuals Under the Age of 22 Residing in Nursing Facilities
PL 2023-17 HB 1290 NF Administrative Penalty
PL 2023-16 NATCEP Survey Process
IL 2023-40 State Fiscal Year 2024 Awarded Levels for the Attendant Compensation Rate Enhancement and Direct Care Staff Enhancement Programs Effective Retroactive to September 1, 2023
IL 2023-36 NF Direct Care Staff Rates
IL 2023-34 Pediatric Care Facility Special Reimbursement Class of Nursing Facilities (NF) Rates