JOB SUMMARY: To provide nursing care to the terminally ill Hospice patient as needed. To provide assistance and understanding to the family in the home care situation and in time of bereavement. To work as a member of the Hospice team in providing Hospice care. QUALIFICATIONS: Educational/Degree: Graduate from an accredited school of nursing Training/Licensure: Currently licensed as a registered nurse to practice in the state. Knowledge/Skills/Ability: Ability to work independently, make accurate, and at times, quick judgments. Ability to supervise others appropriately. Ability to respond appropriately to the crisis outside of a hospital setting. Acceptance of and adaptability to different social, racial, cultural, and religious modes. Completes Hospice training program. Experience: Minimum 2 years of experience as a registered nurse, preferred. Active patient contact within the past three years preferred. JOB FACTORS: Physical Requirements: Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes, and maximal assist in lifting and/or transferring of a 100-pound patient. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position. Must provide evidence of annual TB test and other state-required tests or examinations. Mental Requirements: Must be able to work independently, make judgments based on assessments and data available, and act accordingly. Must be flexible, innovative, and possess good interpersonal skills. Must be able to cope with mental and emotional stress and demonstrate emotional stability. Working Conditions: Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrements, adverse environmental conditions and hazardous materials. Transportation: Must have a current valid driver’s license, auto liability insurance and reliable transportation. Essential Functions: Regularly assesses and reassesses the nursing needs of the Hospice patient. Provides dietary counseling. Provides Hospice nursing services, treatments and preventive procedures. Initiates nursing procedures appropriate for the patient’s Hospice care and safety. Observes signs and symptoms and reports to the physician and IDG members any unexpected changes in the patient’s physical or emotional condition. Teaches, supervises and counsels the Hospice patient and family members about providing care for the patient. Supervises and trains other nursing service personnel. Develops and re-evaluates the patient/family care plan in conjunction with IDG to meet needs and maintain continuity of care. Performs specific nursing procedures as needed (e.g., treatments, management of symptoms) following doctor’s orders. Attends team conferences. Maintains records as required by Hospice. Follows the policies and procedures of Hospice. Observes confidentiality and safeguards all patient-related information in compliance with HIPAA regulations. Always communicates to the supervisor if unable to meet a patient’s need or perform a procedure. Participates in the on-call system and is responsible for providing on-call coverage when unavailable for assigned duties. Maintain skills and knowledge. Works with the interdisciplinary group concept of patient care. Coordinates the implementation of the plan of care for patients residing in SNF, NF, ICF or MR. Organizes work schedule and utilizes time management to be able to attend all required meetings. Complies with agency infection control policies and protocols. Assist with orientation, teaching, and training as requested. Other duties as assigned by the Director. The ProHealth group of companies are equal opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status, or any other legally protected characteristic.
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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 DFW 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 DFW 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.
DFW Area Salary Data
According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of
$48.76/hr ($101,421/yr).
The typical range is $39.25 – $53.19/hr
(25th–75th percentile).
Entry Level (10th)$73,403/yr
DFW Median$101,421/yr
Experienced (90th)$129,709/yr
vs. National Median+4.0%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area).
Salary data provided by DFW Senior Living Guide.