Occupational Therapy Assistant (COTA)

All Care Therapies · Houston, TX Full Time

Job Description

Job Description All Care Therapies is currently seeking a Certified Occupational Therapy Assistant (COTA) to join our team in a dynamic outpatient clinic in Katy, TX setting! We are looking for a clinician to deliver compassionate care to our pediatric patients, contribute to the multidisciplinary team, and collaborate with families to deliver a plan of care. Bilingual in Spanish highly preferred. Offering up to $3,000 sign on / relocation bonus! Responsibilities Treat clients by using therapeutic and self-care activities designed to improve function under the direction of the licensed occupational therapist (OTR). Monitor the clients’ activities to make sure they are performing them correctly and to offer encouragement and suggestions to improve performance. Contribute to supervision meetings with OTR and collaborate on progress reports and status updates. Document client’s session results in the SOAP note format using point of service documentation. Instruct clients, their families and any other caregivers in skills and techniques of the client’s treatment program, under supervision of the Occupational Therapist. Demonstrate exercises that can help clients perform everyday tasks better and progress towards their goals. Verifies client information by interviewing client, reviewing, and recording changes to medical history, confirming purpose of treatment. Follows plan of care developed by occupational therapist & collaborates on changes to the POC. Direct teaching of therapy techniques, such as positioning techniques, environmental adaptations and strengthening activities. Maintains occupational therapy records by recording client’s progress for use by the occupational therapist. Generates revenues by recording billing information of services rendered. Maintains safe, secure, and healthy work environment by establishing, following, and enforcing standards and procedures and complying with legal regulations. Keeps equipment operating by following operating instructions, troubleshooting with others, maintaining supplies, performing preventive maintenance, and removing equipment in need of repair. Notify management of dwindling supplies or equipment needs. Serves and protects the occupational therapy practice by adhering to professional standards, policies and procedures, federal, state, and local requirements.

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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.