In Home caregiver

Butterfly Home Care- Northwest DFW · Southlake, TX Full Time
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Job Description

Job Summary: The Caregiver provides non-medical, in-home support services to clients in accordance with Texas Health and Human Services guidelines and agency policies. This role is responsible for assisting clients with activities of daily living (ADLs), promoting independence, ensuring safety, and enhancing overall quality of life. Caregivers deliver compassionate, client-centered care while maintaining dignity and respect for each individual. Responsibilities include personal care assistance (such as bathing, grooming, dressing, and toileting), light housekeeping, meal preparation, medication reminders, companionship, and transportation to and from appointments as needed. The Caregiver must observe and report changes in the client's physical, emotional, or environmental condition to appropriate supervisory staff. This position requires adherence to care plans, infection control practices, client rights, and confidentiality standards in compliance with Texas Administrative Code (TAC) regulations for Home and Community Support Services Agencies. Successful candidates demonstrate reliability, strong communication skills, professionalism, and a commitment to providing high-quality care in a home setting. Duties/Responsibilities: Personal Care (Activities of Daily Living – ADLs) Assist clients with bathing, grooming, oral hygiene, and dressing Support toileting, incontinence care, and peri-care Assist with mobility, transfers, and ambulation (including use of gait belts or assistive devices) Provide skin care and help prevent pressure injuries Companionship & Emotional Support Provide companionship and engage in conversation Encourage participation in activities and hobbies Support mental and emotional well-being Monitor for signs of depression, anxiety, or confusion Meal Preparation & Nutrition Prepare meals according to dietary needs and restrictions Assist with feeding when necessary Encourage proper hydration and nutrition Monitor food intake and report concerns Medication Support (Non-Medical) Provide medication reminders as directed Observe and report side effects or missed medications Do not administer medications unless specifically authorized and trained per Texas regulations Light Housekeeping Perform light cleaning (laundry, dishes, vacuuming, trash removal) Maintain a safe, clean, and organized living environment Change bed linens and make beds Transportation & Errands Provide or arrange transportation to medical appointments, errands, or social activities Assist clients in and out of vehicles safely Accompany clients to appointments when required Monitoring & Reporting Observe and document changes in physical, mental, or emotional condition Report concerns, incidents, or safety issues to supervisor promptly Document care provided according to agency policy Safety & Infection Control Maintain a safe environment and identify fall risks Follow infection control procedures (hand hygiene, PPE use as required) Respond appropriately in emergency situations and follow emergency protocols Client Rights & Professional Conduct Respect client rights, dignity, privacy, and confidentiality Maintain professional boundaries at all times Follow the established care plan and agency policies Comply with Texas Health and Human Services (HHS) and Texas Administrative Code (TAC) requirements Required Skills/Abilities: Strong interpersonal and communication skills with the ability to interact effectively with clients, families, and team members Compassionate, patient, and client-focused approach to care Ability to follow written and verbal instructions and adhere to individualized care plans Basic knowledge of personal care practices, safety procedures, and infection control standards Strong observation skills with the ability to recognize and report changes in client condition Time management and organizational skills with the ability to prioritize tasks in a home setting Ability to work independently with minimal supervision Professional demeanor with a commitment to confidentiality and ethical conduct Basic documentation and record-keeping skills Ability to adapt to changing client needs and environments Reliable attendance and punctuality

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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.

Care aide and CNA positions in senior living are hands-on roles that require both physical stamina and genuine emotional resilience. In Texas, CNAs must hold an active certification through the Texas Health and Human Services Commission, while caregiver and aide positions may not require formal certification but typically involve on-the-job training.

What catches many new hires off guard is the physical demand — you will be on your feet for the full shift, assisting with transfers, repositioning, and mobility support. Memory care roles add another layer, as working with residents experiencing dementia or Alzheimer's requires specialized patience and de-escalation skills. Most facilities offer shift differentials for evenings and weekends, and many in the DFW area provide tuition assistance programs for aides looking to advance into nursing.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

Your day typically begins with morning routines — helping residents with bathing, dressing, grooming, and getting to breakfast. Throughout the shift, you will assist with meals, escort residents to activities, monitor for changes in behavior or health, and document everything in the care log. Vital signs checks happen at regular intervals, and you will be the first person to notice if something seems off with a resident.

The team dynamic is close-knit. You will work alongside other aides, report to the charge nurse, and communicate with families who visit. In memory care units, redirection and engagement activities are a big part of the role — keeping residents calm, oriented, and socially active. The work is physically and emotionally demanding, but many aides describe deep bonds with the residents they care for and a sense of purpose that keeps them in the field long-term.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Nursing Assistant positions in the DFW metroplex area earn a median wage of $18.53/hr ($38,542/yr). The typical range is $17.96 – $21.73/hr (25th–75th percentile).

Entry Level (10th) $35,859/yr
DFW Median $38,542/yr
Experienced (90th) $49,088/yr
vs. National Median -8.8%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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