Home Health Certified Occupational Therapy Assistant (COTA)

PARS Therapy · Houston, TX Full Time

$40066 – $40066 / year

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Job Description

Onsite - Houston, TX 77028, 77029, 77042 PARS Therapy is seeking a compassionate and skilled Certified Occupational Therapist Assistant (COTA) to join our growing home health team in Houston, TX . This is an excellent opportunity to make a meaningful impact in the lives of individuals managing physical, developmental, or cognitive challenges. We are looking for someone who is client-focused, dependable, and committed to delivering personalized care that enhances each patient's independence and quality of life. Essential Job Functions Support clients in developing, recovering, and maintaining daily living and work skills Assist in implementing individualized treatment plans under the supervision of an Occupational Therapist Adapt and apply therapeutic interventions to enhance safety and independence in ADLs and IADLs Educate clients on breaking down tasks into manageable steps and using adaptive strategies Recommend and train clients in the use of adaptive equipment Assess home environments and suggest modifications based on client needs Collaborate with families and caregivers, providing guidance and education Track and report patient progress toward treatment goals Accurately document care provided and maintain up-to-date records Conduct regular follow-ups to ensure continued progress and support Why Join Us? Multiple major medical plans (Medical, Dental & Vision) Spousal insurance options 401(k) plans available Paid Time Off (PTO) Internal awards and recognition programs Requirements: Active COTA certification Experience in home health or rehab setting preferred Solid understanding of occupational therapy practices and evaluation tools (e.g., Katz ADL, Lawton IADL scales) Proficient with digital documentation and therapy software Strong communication and interpersonal skills Ability to adapt to different personalities and care environments Ongoing commitment to professional growth and evidence-based practice If you’re passionate about helping others live fuller, more independent lives, and want to work in a supportive and flexible home health environment, we’d love to hear from you.

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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.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of $10.97/hr ($22,818/yr). The typical range is $10.60 – $13.28/hr (25th–75th percentile).

Entry Level (10th) $20,613/yr

Houston Median $22,818/yr

Experienced (90th) $30,597/yr

vs. National Median -34.6%

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