Licensed Vocational Nurse - PRN (85094)

Regency Integrated Health Services · Houston, TX Prn
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Job Description

Description Primary Responsibilities The LVN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident’s point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements Has completed an LVN program at an accredited vocational school or college. Licensing Requirements Must be an active Licensed Vocational Nurse in the state of Texas in good standing. Experience Requirements Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50 lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50 lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50 lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50 lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X

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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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