More than 1,100 nursing homes across Texas will be visited by reviewers from the University of Texas at Austin School of Nursing as part of the Nursing Facility Quality Review (NFQR). The visits will begin in January 2017, and will continue through December 2017.

The nurse quality reviewers will conduct assessments and resident interviews using a structured survey tool. The focus is on determining quality of care and resident satisfaction with their quality of life.

The information collected will help the Texas Department of Aging and Disability Services (DADS)Health and Human Services Commission (HHSC)  track progress in current quality improvement activities as well as develop strategies for new initiatives to improve the quality of care and quality of life for residents of Texas nursing homes.

What is the NFQR?

The General Appropriations Act (House Bill 1, 84th Texas Legislature, Regular Session, 2015) directs HHSC to assess how satisfied people who live in Medicaid-certified nursing homes are with their quality of care and quality of life. The NFQR is the process used to fulfill this requirement.

NFQR Methodology

The NFQR includes a valid random sample of residents across the state living in Medicaid-certified nursing facilities. These residents are assessed and interviewed by an independent contractor, using a structured survey tool.

HHSC uses statistical software to analyze the data and test for linear trends across time. This analysis helps the agency track progress in quality improvement activities and formulate strategies to improve both the quality of long-term services and supports and clinical outcomes of nursing home residents.

Read the Reports

Rider 13 requires a written report on the findings of the survey to be prepared and submitted to the Texas Legislature, governor and Texas Health and Human Services Commission executive commissioner.

Reports can be found at the top right of this page. Earlier copies of the report are available by sending an email to

To Learn More

For more information about the NFQR, please visit the University of Texas at Austin School of Nursing’s NFQR website or contact DADS at