We are looking for an LVN to cover S/SE Houston, Pasadena, Pearland and Clearlake. Full Time Day position. Pasadena/Pearland/Clearlake Do you have the career opportunities as a PRN Home Health Licensed Vocational Nurse you want with your current employer? We have an exciting opportunity for you to join HCA Houston Healthcare at Home which is part of the nation's leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications As a Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) at HCA Healthcare, you'll play a vital role in delivering compassionate, personalized care to patients in the comfort of their homes. In collaboration with the Registered Nurse and care team, you'll help manage medical needs and promote their independence - caring for patients like family, one home visit at a time. Your responsibilities will include: Providing nursing care in the home, including wound care, medication administration, and support during procedures Documenting assessments, interventions, and outcomes clearly and thoroughly to support safe, continuous care Monitoring patient status and alerting the care team of any changes to ensure timely, coordinated responses Educating patients and families to support medication adherence, strengthen understanding of health conditions, and promote greater independence at home Collaborating closely with RNs, providers, therapists, and care coordinators to deliver high-quality, personalized care in the home setting What qualifications you will need: Basic Cardiac Life Support must be obtained within 30 days of employment start date (LPN/LVN) Licensed Practical or Vocational Nurse (DL) Driver License Vocational School Graduate Benefits HCA Houston Healthcare at Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) _Note: Eligibility for benefits may vary by location._ Healthcare at Home is a service line from HCA healthcare. We are dedicated to providing patient
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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
$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.