Hm RN (Hc)

Brazos Presbyterian Homes · Houston, TX Full Time
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Job Description

Description Who We Are: Since 1972, The Hallmark has been the trusted name in upscale retirement living in Houston’s prestigious Galleria/Tanglewood area. As the oldest Life Plan Community in the region, we’re a not-for-profit community operated by Brazos Presbyterian Homes, Inc., dedicated to enhancing the lives of older adults of all faiths. We offer luxurious independent living, combined with a seamless continuum of care including assisted living, memory support, skilled nursing, and rehabilitation all on a single campus. Who You Are: We are seeking a candidate with a strong positive attitude toward customer service to act as an RN. This person will have a genuine interest in working with older adults and be able to engage, motivate, and support both residents and fellow team members. The ideal candidate is dependable, compassionate, and aligned with our values of respect, excellence, and community. Creativity, teamwork, and a drive to exceed expectations are key traits we’re looking for as we work together to fulfill our mission of uplifting the lives of those we serve. Essential Functions: 1. Provide daily supervision to assigned staff and directly provide nursing care to residents in healthcare. 2. Assist residents with Activities of Daily Living (ADL), family/social activities and actively promote independent life-style of residents. 3. Assesses the resident upon admission, discharge, transfer, change of condition, and on an ongoing basis for nursing needs and completes required record keeping forms/charts within the RN licensure standards. Initiates the individual plan of care based on established health care goals, physicians orders and nursing assessments with input from residents, guardians, family members or other responsible parties to establish goals to achieve the residents optimal level of functioning. Orients new residents/family members as necessary. 4. Respond to residents call system promptly and courteously. 5. Responsible for identification of resident medical and behavioral changes and assisting with the development and monitoring of care plans and re-assessment of each resident. 6. Provide daily report to the Director of Nurses concerning facility conditions, personnel performance, resident conditions, and need for nursing supplies. 7. Consistently demonstrate hospitable behavior and the core values of quality, respect, service and integrity. 8. Provide nursing care according to physician’s orders and in conformance with recognized nursing practice, established standards, and administrative policies. 9. Receives verbal orders from attending/alternate physicians, charts on physicians order sheet and follows established procedures to facilitate timely implementation of physician orders, notifying physician of auto stop orders on any medications and lab results. 10. Notifies the attending physician and supervisor/administrator when a resident is discharged without approval. Assures that appropriate documentation is made in accordance with established policies and procedures. 11. Reports all discrepancies of physicians’ orders, diet and charting to director of Nursing. 12.

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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.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $47.02/hr ($97,802/yr). The typical range is $38.29 – $50.95/hr (25th–75th percentile).

Entry Level (10th) $69,368/yr
Houston Median $97,802/yr
Experienced (90th) $125,320/yr
vs. National Median +4.5%

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

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