Be part of an AMAZING team The Buckingham is the premier not for profit, Life Care retirement community in the greater Houston region. Our mission is to enrich each resident’s life through exceptional experiences provided within an environment of comfort, elegance, exceptional hospitality and compassionate care. We offer a competitive salary and benefits including medical, dental and vision coverage, 401k with match, PTO, tuition reimbursement and meal programs. We are seeking an experienced professional with the skills, dedication and compassion to join our team and help achieve the mission and vision of The Buckingham. POSITION SUMMARY The RN Supervisor is responsible for overseeing clinical operations within the Assisted Living and Memory Support community, ensuring compliance with Texas Health and Human Services (HHS) Assisted Living Type B regulations . This role provides direct supervision of care staff, executes and monitors RN delegation , ensures safe medication management practices, and supports high-quality resident-centered care. The RN Supervisor works under the direction of the Director of Assisted Living/Memory Support and serves as a clinical leader, educator, and regulatory resource for the department. Key Responsibilities 1. RN Delegation & Clinical Oversight Perform and document RN delegation in accordance with Texas Board of Nursing (BON) rules and HHS regulations. Assess residents to determine appropriateness for delegation and identify tasks eligible for delegation. Develop, implement, and maintain delegation plans , including: Task-specific instructions Required competencies Supervision schedules Provide ongoing supervision and evaluation of delegated tasks to unlicensed personnel. Ensure compliance with Rule 225 (RN Delegation) and applicable Assisted Living regulations. Reassess residents regularly and update delegation as condition changes. Maintain accurate and survey-ready documentation for all delegated tasks. 2. Medication Oversight & Management Oversee medication administration systems to ensure compliance with Texas Assisted Living licensing standards. Monitor medication aides and direct care staff for safe medication practices. Conduct routine medication pass observations and audits. Ensure proper: Medication storage and security Documentation (MAR accuracy) Handling of controlled substances Collaborate with pharmacy providers and physicians regarding medication changes and discrepancies. Investigate and document medication errors; implement corrective action plans. 3. Service Plan Development & Management Participate in initial and ongoing resident assessments . Develop, review, and update Individualized Service Plans (ISPs) based on resident needs, physician orders, and regulatory requirements. Ensure service plans reflect: o Functional abilities o Cognitive status o Behavioral needs (Memory Support) o Nursing and personal care requirements Conduct regular service plan reviews and interdisciplinary meetings. Ensure care staff are trained and adhere to service plan directives. 4. Staff Training & Development Provide initial and ongoing training to direct care
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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.