Description Location: North Houston Benefits: • Highly competitive compensation • Generous 401K with matching contributions • Continuing education reimbursement for professional growth • Ample vacation, sick leave, and holidays. • Over-productivity pay • Employee recognition program with financial rewards • Mileage reimbursement • Comprehensive medical, dental, and supplemental insurance Job Summary: Primary functions are to administer nursing care for patients of all ages in their place of residence, coordinate care with the interdisciplinary group, patient, family and referring agency; and assume the responsibility for coordination of care. Qualifications Job Qualifications: Registered Nurse, licensed per the state requirements. 2 years of experience with a Hospice agency preferred. Home Care Home Base experience preferred. Good communication skills, assessment skills, and strong clinical documentation skills. Ability to read, write, and speak the English language. Reliable transportation. Valid and current auto liability insurance. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs as evidenced by documentation, clinical record, case conference, team report, evaluations, and ADLs, (i.e., risk for grief, cultural and spiritual, verbal and non-verbal). Apply specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient's eligibility. Implement/develop/document the plan of care to ensure quality and continuity of care and recommend revisions to the plan as necessary. Consult with and educate the patient and family regarding disease process, self-care techniques, end-of-life care, nutrition and dietary needs. Prioritize any needs with the members of the IDG. Provide training to other staff as needed. Determine scope and frequency of services needed based on acuity and patient/family needs. Assess the ability of the care giver to meet the patient's immediate needs upon admission and throughout care. Initiate appropriate preventive and rehabilitative nursing procedures. Applies concepts of infection control and standard precautions in coordinating and performing patient care activities to prevent contamination and transmission of disease. Provide clinical directions to the Hospice Aide and LPN/LVN to ensure quality and continuity of service provided. Prepare clinical and progress notes that demonstrate progress toward established goals. Ensure continuity of quality patient care delivered with appropriate documentation. Inform physician and other personnel of changes in the patient's needs and outcomes of intervention, while evaluating patient and family response to care. Monitor assigned cases to ensure compliance with requirements of third party payor. Demonstrate commitment, professional growth and competency. Promote Agency philosophy and administrative policies. Provide effective communication to patient, family, team members, and other health care professionals. We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package. Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more information on this location. HCBSRN
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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.