Not always. Under the Texas Medical Liability Act, many injury claims against nursing homes are treated as health care liability claims, which come with special notice and expert report requirements. Claims about how a resident was supervised or protected are often treated this way. But a claim is not a health care liability claim just because the injury happened at a health care facility. There must be a real connection to the care or safety services the facility provides. Because the rules and deadlines differ, it helps to have the situation reviewed early.