About Us: Integrated Real Estate Group is home to over 1,200 employees who work across 43 communities in Texas, plus 1 in Oklahoma. During our 20 year history, we have developed over 15,000 units at a total cost exceeding $2 billion. What sets IREG apart is our diverse range of housing options that we offer. We provide affordable housing for seniors, workforce housing (for people earning 80% of the average income), and market-rate housing, including multi-family, active adult, independent living, assisted living, and memory care. Be part of a team committed to building thriving spaces and enhancing lives. Apply now to contribute to our legacy of success and innovation. Assistant Director of Health Services About the Role: The Assistant Director of Health Services supports the oversight and coordination of nursing and supportive services within the Assisted Living community. This role works closely with the Director of Health Services to ensure high-quality, resident-centered care that meets all regulatory and clinical standards. Responsibilities: Program Oversight: Responsible for the development, organization, and operation of nursing and supportive services for Assisted Living. Care Coordination: Oversee the coordination and monitoring of nursing and supportive services for all residents, including the procurement of external resources to ensure resident needs are met. Consultation Management: Communicate and collaborate with outside consultants to assess and provide recommendations for resident care needs. Documentation Oversight: Ensure accurate coordination and monitoring of documentation reflecting wellness care provided, resident responses, and case outcomes. Staff Management: Select, train, evaluate, and discipline all nursing-related personnel. Scheduling & Coverage: Develop and maintain duty assignments for nursing and supportive staff to ensure 24-hour coverage in compliance with regulatory requirements and community standards of care. Clinical Competency: Maintain clinical skills and stay current with standards of nursing practice through ongoing education, particularly in geriatrics. Resident & Family Support: Assist residents and families by providing emotional support related to the aging process. Qualifications: Education: Graduate of an accredited school of nursing. Licensure: Licensed Vocational Nurse (LVN) or Registered Nurse (RN) with a current license in the state of Texas (required). Experience: Minimum of two (2) years of experience in geriatric nursing and at least two (2) years of nursing administration experience. Systems & Process Management: Strong ability to manage systems and processes effectively. Staffing Experience: Proven experience with staffing and workforce management. Technical Skills: Proficient in computer systems; comfortable using technology daily to manage resident care, medications, and tracking. Communication Skills: Strong interpersonal and communication skills with the ability to effectively engage with all levels of management, employees, and external partners. Benefits (Must be a Full-Time employee for 90 days): Paid Time Off Paid Holidays Medical Insurance Dental Insurance Vision Insurance Life Insurance Disability Critical Illness & Accident Coverage Legal & ID Theft Education Assistance Referral Programs – employees and residents Rent Discount Workers Comp (If applicable) ZayZoon - access 50% earned wages anytime Integrated Real Estate Group is an Equal Opportunity Employer. Integrated Real Estate Group participates in e-verify for employment authorization verification. IND2
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
General overview for this role type — specific duties and requirements vary by employer.
Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.
What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the Houston market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the Houston area.
A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.
Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.
Houston Area Salary Data
According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the Houston metro area earn a median wage of
$57.69/hr ($119,995/yr).
The typical range is $45.94 – $73.58/hr
(25th–75th percentile).
Entry Level (10th)$72,987/yr
Houston Median$119,995/yr
Experienced (90th)$205,400/yr
vs. National Median+1.7%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area).
Salary data provided by Houston Senior Living Guide.