Texas Nursing Home Resources

If Someone Is in Immediate Danger

If you believe a nursing home resident in Texas is in immediate danger, call 911 right away. Do not wait to file a formal complaint — contact local law enforcement immediately to ensure the resident's safety.

Recognizing Signs of Nursing Home Abuse in Texas

Nursing home abuse and neglect can take many forms. Family members and loved ones should be vigilant and learn to recognize warning signs. If you notice any of the following in a Texas nursing home, it may be time to take action:

• Physical Abuse: Unexplained bruises, cuts, fractures, or burns. Watch for injuries in various stages of healing, restraint marks, or a resident who flinches at the approach of caregivers.
• Emotional Abuse: Sudden changes in behavior such as withdrawal, depression, anxiety, or fear around certain staff members. A resident who becomes unusually quiet or agitated may be experiencing verbal threats or intimidation.
• Sexual Abuse: Bruising or bleeding around the genitals, torn or stained undergarments, or development of sexually transmitted infections. Sudden behavioral changes may also indicate sexual abuse.
• Neglect: Poor hygiene, significant weight loss, dehydration, untreated bedsores (pressure ulcers), unclean living conditions, or untreated medical conditions such as UTIs, infections, or sepsis.
• Financial Exploitation: Unexplained withdrawals from bank accounts, missing personal belongings, sudden changes to wills or power of attorney documents, or unpaid bills despite adequate resources.

Documenting and Reporting Suspected Abuse

If you suspect a loved one is being mistreated in a nursing home, thorough documentation strengthens any complaint or legal case. Before filing a report, gather as much evidence as possible:

1. Photographs of physical injuries, living conditions, and the environment.
2. Detailed notes on the events you observed, including dates, times, and locations.
3. Medical records, especially those documenting injuries or changes in health related to suspected abuse or neglect.
4. Names and contact information for any witnesses, including other residents, visitors, or staff.
5. Records of any conversations with nursing home staff or management about your concerns.

Texas's Legal Framework for Nursing Home Complaints

The legal procedures for addressing nursing home complaints vary by state. Texas law provides several avenues for reporting abuse, neglect, and substandard care in long-term care facilities. Understanding the legal framework can help you take the most effective action.

Statute of Limitations: In Texas, the statute of limitations for nursing home negligence claims is generally 2 years. A discovery rule may apply, meaning the clock may not start until the injury is discovered or reasonably should have been discovered. It is critical to consult with an attorney as soon as possible to understand the specific deadlines that apply to your case, as missing these deadlines can permanently bar your claim.

Resident Bill of Rights:Tex. Hum. Res. Code § 102.003 outlines specific protections for nursing home residents in Texas, including the right to receive adequate and appropriate medical care and to be free from mental and physical abuse.

Consulting with a nursing home attorney can provide personalized legal advice tailored to your situation. An attorney can explain your rights, help you navigate complex legal issues, and ensure the strongest possible case. Victims may be entitled to compensation for injuries or wrongful death resulting from abuse or neglect in a long-term care facility.

How to File a Nursing Home Complaint in Texas

What Does the State Survey Agency Do?

The Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake is the primary agency responsible for investigating nursing home complaints in Texas. State survey agencies inspect health care facilities to ensure they meet federal and state standards. Their responsibilities include conducting inspections, investigating complaints, and taking enforcement actions when necessary.

Reporting Options in Texas

The Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake offers multiple avenues for filing a complaint:

1. By Phone: Call the complaint hotline at 1-800-458-9858 to speak directly with a trained professional or leave a detailed voicemail.
2. Online: Submit your complaint through the Online Complaint Form. Online submissions allow you to provide detailed information and may expedite the process.
3. Send a detailed written complaint to ciicomplaints@hhs.texas.gov.
4. By Mail: Complaint and Incident Intake, Mail Code E-249, P.O. Box 149030, Austin, Texas 78714

Filing an Anonymous Complaint in Texas

Yes, you can file a nursing home complaint anonymously in Texas. The Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake accepts anonymous complaints, and your identity as a complainant is protected by federal regulation. However, providing your contact information allows investigators to follow up for additional details, which can strengthen the investigation.

Your identity as a complainant is protected. The state survey agency does not use your name during the investigation if you choose to file anonymously.

While anonymous complaints are accepted, providing your contact information can significantly aid the investigation. Investigators may need to follow up for clarification or additional details. Your identity will not be disclosed to the nursing home facility.

Types of Complaints Investigated

Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake investigates a wide range of concerns related to nursing home care, including abuse (physical, sexual, verbal/psychological, neglect, financial exploitation, quality of care issues, staffing inadequacies, unsanitary/unsafe conditions, medication errors, mistreatment, and violations of resident rights. If you are unsure whether your concern qualifies, you should still file a complaint — the agency will review every report it receives.

What Information to Include in Your Complaint

To ensure a thorough investigation, provide as much detail as possible when filing your complaint:

• The resident's full name, date of birth, and the name and address of the nursing home.
• A detailed description of the abuse, neglect, or concern, including dates and times of incidents.
• Names of staff members involved or suspected of wrongdoing.
• Names and contact information for any witnesses.
• Photographs, medical records, or other documentation supporting your complaint.

What Happens After You File a Complaint in Texas

After you file a nursing home complaint in Texas, the Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake will review your report and determine the appropriate course of action. Here is what you can generally expect:

Investigation Timeline: After receiving your complaint, the Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake prioritizes it based on the severity of the reported concern. Cases involving immediate danger to a resident trigger an on-site investigation within 10 business days. Non-emergency complaints are generally completed within 60 days, with possible extensions for complex cases.

Unannounced Investigations: Yes. All on-site complaint investigations in Texas are conducted without prior notice to the facility. Inspectors arrive unannounced to observe conditions as they actually exist, rather than giving the facility time to prepare.

Notification of Results: If you provided your contact information, the Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake will notify you when the investigation is completed and share the results. The notification will outline the results of the investigation and any deficiencies found, while protecting the confidentiality of all parties involved. Investigation reports are also available through public records, including inspection results posted on the Medicare Care Compare website.

Enforcement Actions: If the investigation confirms violations, the facility may face a range of consequences depending on the severity of the findings. These consequences can include financial penalties, license suspension or revocation, loss of Medicare or Medicaid certification, or appointment of temporary management. In the most serious cases — such as conditions posing immediate danger to residents — the state may take emergency action to protect residents while the facility is required to implement immediate changes.

Stay proactive after filing your complaint. Follow up with the Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake to request updates on your case, and continue to document any ongoing concerns at the facility.

Contacting the Long-Term Care Ombudsman in Texas

The Texas Long-Term Care Ombudsman Program provides trained advocates who work to protect the health, safety, and welfare of residents in long-term care facilities.

An ombudsman can help resolve complaints about the quality of care, investigate allegations of abuse and neglect, educate residents and families about their rights, and recommend changes to improve care in nursing homes.

Phone: 1-800-252-2412

Website: Texas Long-Term Care Ombudsman Program

National Resources

In addition to Texas-specific resources, these national hotlines can provide guidance and connect you with local support:

• Eldercare Locator: 1-800-677-1116 — A nationwide service that connects older adults and their caregivers with local resources. Available Monday through Friday, 9 a.m. to 8 p.m. Eastern Time.
• National Center on Elder Abuse: 1-855-500-3537 — Provides information, resources, and referrals for reporting elder abuse in any state.
• National Adult Protective Services Association (NAPSA) — Directs you to your state's APS program for investigating and addressing elder abuse and neglect.

Frequently Asked Questions About Nursing Home Complaints in Texas

How do I file a complaint against a nursing home in Texas?

You can file a nursing home complaint with the Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake. You can call 1-800-458-9858, submit the online complaint form, or email ciicomplaints@hhs.texas.gov, or send your complaint by mail. Provide as much detail as possible, including the resident's name, the facility name and address, a description of the incident, and any supporting evidence.

Can I file a nursing home complaint anonymously in Texas?

Yes, you can file a nursing home complaint anonymously in Texas. However, providing your contact information allows investigators to follow up for additional details, which can strengthen the investigation. Your identity will not be disclosed to the nursing home.

Who regulates nursing homes in Texas?

Nursing homes in Texas are regulated by the Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake, which conducts inspections, investigates complaints, and enforces state and federal quality standards. The Centers for Medicare & Medicaid Services (CMS) provides federal oversight for Medicare- and Medicaid-certified facilities.

What is the statute of limitations for nursing home abuse in Texas?

In Texas, the statute of limitations for nursing home negligence claims is generally 2 years. A discovery rule may apply, meaning the clock may not start until the injury is discovered or reasonably should have been discovered. It is critical to consult with an attorney as soon as possible to understand the specific deadlines that apply to your case, as missing these deadlines can permanently bar your claim.

What happens after I file a nursing home complaint in Texas?

After receiving your complaint, the Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake prioritizes it based on the severity of the reported concern. Cases involving immediate danger to a resident trigger an on-site investigation within 10 business days. Non-emergency complaints are generally completed within 60 days, with possible extensions for complex cases. Yes. All on-site complaint investigations in Texas are conducted without prior notice to the facility. Inspectors arrive unannounced to observe conditions as they actually exist, rather than giving the facility time to prepare. If you provided your contact information, the Texas Health and Human Services Commission (HHSC) Complaint and Incident Intake will notify you when the investigation is completed and share the results. The notification will outline the results of the investigation and any deficiencies found, while protecting the confidentiality of all parties involved. Investigation reports are also available through public records, including inspection results posted on the Medicare Care Compare website. If the investigation confirms violations, the facility may face a range of consequences depending on the severity of the findings. These consequences can include financial penalties, license suspension or revocation, loss of Medicare or Medicaid certification, or appointment of temporary management. In the most serious cases — such as conditions posing immediate danger to residents — the state may take emergency action to protect residents while the facility is required to implement immediate changes.

What are the signs of nursing home abuse or neglect?

Common signs of nursing home abuse include unexplained bruises, fractures, or burns; sudden weight loss or dehydration; poor hygiene or unsanitary living conditions; emotional withdrawal, depression, or fear around staff; bedsores (pressure ulcers); untreated infections; and unexplained financial transactions. If you notice any of these signs in a Texas nursing home, take action immediately.