The Nursing Facility Quality Review will be ongoing through December, with reviewers from The University of Texas School of Nursing visiting more than 1,100 nursing homes across Texas. Nurse quality reviewers — who are not HHSC regulatory staff or quality monitors — will conduct assessments and resident interviews using a structured survey tool.

Using funds allocated by the General Appropriations Act (House Bill 1, 84th Texas Legislature, Regular Session, 2015), the review’s focus is determining quality of care and resident satisfaction with quality of life.

The information collected will help 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.

Facility Responsibilities

UT nurse quality reviewers have Texas Health and Human Services Commission authorization to perform interviews and assessments as well as review and obtain copies of specific clinical documents. This process meets all requirements of HIPAA privacy rules.

Nursing homes must provide nurse quality reviewers access to residents and their clinical records (40 TAC §19.2302(h), Uniform Managed Care Manual Chapter 8.6 State Mandated Requirements for Nursing Facility Providers 2.3.1(6)).

Failure to cooperate with these requirements may result in the HHSC Office of the Inspector General imposing sanctions against the facility (1 TAC §371, Subchapter G).

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 to help 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

A written report on the findings of the survey will be prepared and posted on the HHSC website. Only aggregate data is included in the report.

To get a copy of a report not listed here, email

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 the Quality Monitoring Program at