Certified Nursing Assistant (CNA) - Day and Night Shift

Nexus Health Systems, Inc. · Houston, TX Full Time

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Job Description

Under the direct supervision of the nurse, the Certified Nursing Assistant assists in the direct patient care and assists patients with activities of daily living. Job Specific Responsibilities: • Completes and records patient vital signs in a timely manner. • Ensures that patient temperature, pulse, respiration, and blood pressure are taken and recorded as per instruction. • Knowledgeable of vital sign ranges and appropriately reports abnormalities in a timely manner. • Ensures that fluid and food intake and output are appropriately measured and recorded. • Assists patients with activities of daily living. (e.g., bathing, oral hygiene, care of hair, oral feedings, positioning, transfers, etc.) • Ensures that any change in patient condition or unusual circumstances is reported immediately to the primary nurse. • Can verbalize the CNA role in patient emergency situations and cardiopulmonary arrest. • Practices correct isolation techniques to maintain a safe environment and to control the spread of infection • Maintains cleanliness of various instruments and equipment used per hospital policy. • Keeps patient rooms clean and in an orderly condition • Assist with restocking rooms with supplies and equipment as directed. • Exchanges and communicates patient care information upon a change of shift. • Performs walking rounds at the change of shift. • Completes all required documentation in a timely manner. • Ability to accept direction from supervisors and other management team members in a positive and professional manner. • Returns all soiled trays upon patient meal completion in a timely manner. • Ensures soiled linen hampers are covered, cleaned and/or emptied as required. • Demonstrates the ability to assess patient and unit needs, communicating those needs to a supervisor or appropriate persons. • Performs patients’ weights as ordered • Updates patient communication board daily for the assigned patient group. • Maintains patient turning schedule. • Performs other duties as assigned Position Requirements: EDUCATION: • High school Degree or equivalent EXPERIENCE: • Prefer at least six (6) months experience working in a hospital/rehabilitation/long-term care environment LICENSURE/CERTIFICATION: • Certified as a Certified Nursing Assistant in the state of Texas • Certified in CPR

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Care aide and CNA positions in senior living are hands-on roles that require both physical stamina and genuine emotional resilience. In Texas, CNAs must hold an active certification through the Texas Health and Human Services Commission, while caregiver and aide positions may not require formal certification but typically involve on-the-job training.

What catches many new hires off guard is the physical demand — you will be on your feet for the full shift, assisting with transfers, repositioning, and mobility support. Memory care roles add another layer, as working with residents experiencing dementia or Alzheimer's requires specialized patience and de-escalation skills. Most facilities offer shift differentials for evenings and weekends, and many in the Houston area provide tuition assistance programs for aides looking to advance into nursing.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

Your day typically begins with morning routines — helping residents with bathing, dressing, grooming, and getting to breakfast. Throughout the shift, you will assist with meals, escort residents to activities, monitor for changes in behavior or health, and document everything in the care log. Vital signs checks happen at regular intervals, and you will be the first person to notice if something seems off with a resident.

The team dynamic is close-knit. You will work alongside other aides, report to the charge nurse, and communicate with families who visit. In memory care units, redirection and engagement activities are a big part of the role — keeping residents calm, oriented, and socially active. The work is physically and emotionally demanding, but many aides describe deep bonds with the residents they care for and a sense of purpose that keeps them in the field long-term.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Nursing Assistant positions in the Houston metro area earn a median wage of $17.76/hr ($36,941/yr). The typical range is $17.00 – $21.53/hr (25th–75th percentile).

Entry Level (10th) $31,366/yr

Houston Median $36,941/yr

Experienced (90th) $46,155/yr

vs. National Median -6.6%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.