About Company: At HMG Healthcare, our mission is simple: Take Care of People. Guided by our core values of Integrity, Teamwork, Innovation, Education, Quality Outcomes, and Fiscal Responsibility, we are building a quality post-acute healthcare system that supports patients, families, and communities. We provide a full continuum of services—including Skilled Nursing, Rehabilitation, Memory Care, Pulmonary Care, Assisted Living, and Independent Living—with a focus on exceptional outcomes and quality of life. Every day, our 3,500 residents and patients are entrusted to a dedicated team of professionals and caregivers. With operations across Texas and Kansas, HMG Healthcare offers diverse career opportunities to grow your skills, serve others, and be part of a supportive, mission-driven culture. We are proud to support our team with competitive pay and a comprehensive benefits package, including paid time off, medical and dental insurance, early wage access, tuition reimbursement, career growth through HMGU, and a 401(k) retirement plan. Join us and be part of a team where Taking Care of People is more than our mission—it’s our culture! About the Role: The Licensed Vocational Nurse (LVN) plays a critical role in providing compassionate and skilled nursing care within a long-term skilled nursing facility. This position focuses on delivering high-quality patient care to residents with chronic illnesses, disabilities, or recovery needs, ensuring their comfort, safety, and well-being. The LVN collaborates closely with registered nurses, physicians, and other healthcare professionals to implement individualized care plans and monitor patient progress. Through meticulous documentation and adherence to healthcare regulations, the LVN helps maintain the facility’s standards of care and compliance. Ultimately, the LVN contributes to enhancing the quality of life for residents by addressing their physical, emotional, and medical needs in a respectful and professional manner. Minimum Qualifications: Valid and current Licensed Vocational Nurse (LVN) license in TX. Completion of an accredited vocational nursing program. Experience working in a long-term skilled nursing facility or similar healthcare setting. Basic Life Support (BLS) certification. Strong understanding of nursing principles, patient care standards, and healthcare regulations. Preferred Qualifications: Experience with electronic health record (EHR) systems. Additional certifications such as IV therapy or wound care specialty. Previous experience working with geriatric or chronically ill patient populations. Familiarity with state and federal regulations governing long-term care facilities. Excellent communication and interpersonal skills. Responsibilities: Administer medications and treatments as prescribed by physicians and according to facility protocols. Monitor and record patients’ vital signs, symptoms, and overall health status regularly. Assist in developing and updating individualized care plans in collaboration with the healthcare team. Provide wound care, catheter care, and other nursing procedures as required. Communicate effectively with patients, families, and interdisciplinary team members to ensure coordinated care. Maintain accurate and timely documentation of all nursing activities and patient responses. Ensure compliance with infection control standards and safety regulations within the facility. Support patients with activities of daily living, including mobility, hygiene, and nutrition as needed. Skills: The required skills in long-term skilled nursing facilities are essential for delivering consistent and effective patient care, including administering medications, monitoring patient conditions, and performing nursing procedures. Proficiency in these skills ensures that the LVN can respond promptly to changes in patient health and provide appropriate interventions. Preferred skills such as experience with electronic health records enhance the efficiency and accuracy of documentation and communication within the care team. Additional certifications like wound care or IV therapy allow the LVN to perform specialized tasks that improve patient outcomes. Strong communication and interpersonal skills are vital for building trust with patients and collaborating effectively with multidisciplinary teams to provide holistic care. INDCS (Weekends 6p-6a)
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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
$48.00/hr ($99,840/yr).
The typical range is $39.37 – $55.77/hr
(25th–75th percentile).
Entry Level (10th)$74,859/yr
Houston Median$99,840/yr
Experienced (90th)$130,437/yr
vs. National Median+2.3%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area).
Salary data provided by Houston Senior Living Guide.