Close icon
Get started
Coastal Care Media

Nursing Home Jobs in Central Texas: Austin, DFW, Houston & Beyond

A cowboy hat next to a US flag.

Nursing Home Jobs in Central Texas: Austin, DFW, Houston & Beyond

If you're a CNA, LVN, or RN looking for flexible nursing home shifts across Central Texas, you've come to the right place. From the rapidly growing Austin metro to the sprawling Dallas–Fort Worth region, Houston's massive healthcare corridor, and San Antonio's expanding senior care network, opportunities for per-diem and contract staff are everywhere.

The best part? Texas participates in the Nurse Licensure Compact (NLC), which means if you hold a compact license from another state, you can start working here immediately—no additional licensing headaches required.

Who's Hiring in Central Texas Right Now?


Austin–Round Rock–San Marcos

Austin's healthcare sector is booming alongside its tech industry, and that growth extends to senior care. Nursing homes, assisted living communities, and memory care facilities across North Austin, Round Rock, and San Marcos are actively hiring CNAs, LVNs, and RNs for nights, weekends, and PRN shifts.

Where the demand is hottest: Williamson and Hays counties are seeing particularly strong growth as more seniors relocate to Central Texas for its mild climate and quality of life.

Common job sites include:

  • Nursing homes in North Austin
  • Assisted living facilities near Round Rock
  • Memory care communities in San Marcos

👉 View Open Shifts in Austin »


Dallas–Fort Worth (DFW)

DFW has one of the highest concentrations of nursing facilities in Texas, which translates to abundant opportunities for nursing professionals. From the northern suburbs of Plano and Frisco to Arlington and Fort Worth's medical corridor, facilities are consistently seeking coverage for skilled nursing and assisted living shifts.

Why DFW is different: Major operators like Cantex run multiple facilities throughout the region, offering nursing staff consistent shift opportunities and the potential for long-term relationships with quality employers.

Hot neighborhoods for nursing jobs:

  • Plano/Frisco: Newer memory care communities with modern facilities
  • Arlington: Established nursing homes with steady census
  • Fort Worth medical corridor: Multiple facility types within close proximity

👉 View Open Shifts in Dallas/Fort Worth »


Houston–The Woodlands–Sugar Land

Greater Houston maintains one of the largest concentrations of nursing homes and assisted living facilities in the entire state. The suburban corridors—particularly Katy, Sugar Land, and The Woodlands—are hotbeds for CNA and LVN coverage needs.

What makes Houston unique: Night and weekend shifts frequently come with premium rates, and the sheer density of facilities means you can often pick up multiple shifts in your preferred area without extensive driving.

High-demand areas:

  • The Woodlands: Memory care communities
  • Inside the Beltway: Rehab facilities with consistent PRN needs
  • Katy and Sugar Land: Assisted living and skilled nursing

👉 View Open Shifts in Houston »


San Antonio

San Antonio's healthcare ecosystem centers around its renowned Medical Center and the expanding Northside suburbs. Assisted living, memory care, and long-term care facilities throughout these areas regularly need per-diem LVNs and CNAs to support their growing patient populations.

Timing matters: Demand typically spikes around flu season and the holidays when census increases and full-time staff take vacation time.

Common job types:

  • CNA roles in rehab wings
  • LVN positions in assisted living
  • RN charge nurse coverage

👉 View Open Shifts in San Antonio »


Waco / Temple–Killeen

While smaller than the four major metros, Central Texas towns like Waco, Temple, and Killeen maintain steady demand in nursing homes and assisted living communities. Regional providers like Regency operate multiple facilities throughout the area, offering flexible scheduling and consistent shift opportunities.

Common Roles & Requirements


Certified Nursing Assistants (CNAs)

What you'll do: Provide activities of daily living (ADL) support, assist residents with mobility, take vital signs, and document patient activities in electronic health records.

Requirements: Texas requires CNA certification through state-approved programs. If you earned your certification in another state, you'll need to apply for Texas reciprocity (though the process is straightforward).

Pay structure: Typically hourly with differentials for night and weekend shifts.


Licensed Vocational Nurses (LVNs)

What you'll do: LVNs (known as LPNs in other states) provide direct patient care, administer medications, perform wound care, and coordinate with RNs and physicians in nursing facilities.

Market demand: Central Texas has particularly strong demand for LVNs in both nursing homes and assisted living settings, especially for per-diem coverage.

Career path: Many LVNs use these flexible shifts to gain experience while pursuing their RN licensure.


Registered Nurses (RNs)

What you'll do: RNs in long-term care often serve as charge nurses, unit supervisors, or MDS coordinators. There are also plenty of hands-on per-diem shifts available for RNs who prefer direct patient care.

Compact advantage: Many RNs leverage Texas's NLC compact status to work across multiple states with a single license—perfect for travel nurses or those considering a move to Texas.

Advancement opportunities: The nursing home setting offers clear paths to leadership and specialized roles.

What Pay & Shifts Look Like in Central Texas

Pay rates vary by role, metro area, and shift timing, but Texas remains competitive with strong incentives for PRN and last-minute coverage.


Austin & Central Region

  • RN pay trends alongside national averages with additional premiums for nights and weekends
  • LVNs and CNAs can pick up flexible shifts across North Austin, Round Rock, and San Marcos


Houston Metro

  • Larger facility density means more shift availability and steady openings
  • Suburban areas like Katy and Sugar Land frequently need fast coverage


DFW & San Antonio

  • Wide range of facilities equals more per-diem opportunities
  • Premium pay often applies to memory care and rehab wings


When demand peaks:

  • Night shifts (typically 6 PM – 6 AM)
  • Weekend shifts (especially Sundays)
  • Last-minute coverage (called in within 24 hours)
  • Holiday staffing (Thanksgiving, Christmas, New Year's)
  • Specialty units (rehab wings and memory care)

Where to Find Nursing Home Jobs (Fast)


Apply Through Coastal Care Staffing

The fastest path to shifts: One profile gives you access to multiple facilities across Central Texas. Coastal Care Staffing handles credentialing, placement, and shift matching—with the flexibility you need built right in.

We've built our reputation on 2-minute average shift fill times and 24/7 support, so you're never navigating the job search alone.

👉Apply Now


Use Texas State Resources

The Texas Health & Human Services Commission (HHSC) maintains up-to-date directories of all licensed facilities, including:

  • Nursing facilities (skilled nursing, long-term care)
  • Assisted living facilities
  • Memory care communities

These directories are searchable by ZIP code or city, making it easy to identify facilities near you that are currently operating and hiring.


General Job Boards (Supplemental)

While we recommend starting with Coastal Care Staffing for the fastest results, you can also explore:

  • Indeed
  • Handshake (particularly useful for new grads)
  • Hospital networks with rehab wings
  • Health system career sites

How to Stand Out as a Candidate


Highlight Long-Term Care Skills

Make sure your resume and interview responses emphasize experience in:

  • Dementia care and memory support
  • Restorative nursing techniques
  • Wound care and treatment
  • ADL documentation and charting
  • Fall prevention protocols


Interview Tips

Share specific examples of teamwork, communication with residents' families, and your ability to adapt quickly to different shift environments.

Emphasize dependability: In high-need environments like nursing homes, showing up on time and being reliable makes you invaluable.


Advancement Opportunities

The nursing home setting offers clear career pathways:

  • CNA→LVN bridge programs (many facilities offer tuition assistance)
  • Specialty certifications (IV therapy, wound care, dementia care)
  • RN supervisory tracks or MDS coordinator roles

Central Texas City Guides
(Quick Reference)


Austin

From Round Rock to San Marcos, eldercare demand is rising alongside the metro's overall growth. Facilities need CNAs, LVNs, and RNs for weekends and nights.

👉 View Open Shifts in Austin »


Dallas–Fort Worth

Plano, Frisco, Arlington, and Fort Worth host a dense network of nursing homes, assisted living centers, and memory care communities—operators frequently need PRN coverage for back-to-back shifts.

👉 View Open Shifts in Dallas/Fort Worth »


Houston

With major suburban hubs like Katy, The Woodlands, and Sugar Land, Houston offers constant openings for skilled nursing and assisted living staff.

👉 View Open Shifts in Houston »


San Antonio

The Medical Center and Northside suburbs maintain steady hiring needs in memory care, assisted living, and long-term rehab.

👉 View Open Shifts in San Antonio »


Waco / Temple–Killeen

Regional operators serve multiple towns with reliable demand for CNAs, LVNs, and RNs in both short-term and long-term care settings.

Ready to Start Your Next Shift?

Whether you're looking for per-diem flexibility, part-time work, or a pathway to full-time placement, Central Texas offers some of the strongest nursing opportunities in the state.

With coverage across Austin, DFW, Houston, San Antonio, and surrounding metros, Coastal Care Staffing makes it easy to find shifts fast—backed by our 22+ years of reliability and our commitment to 5-STAR WOW service.

👉 Apply Now

Frequently Asked Questions

Do I need a Texas license to work here?

Texas is part of the Nurse Licensure Compact (NLC), so nurses from compact states can practice here without additional licensing steps. If you're coming from a non-compact state, you'll need to apply for Texas licensure through the Texas Board of Nursing.

What facilities count as nursing homes vs assisted living?

Nursing homes provide 24/7 skilled care with licensed nursing staff on duty around the clock. Assisted living and memory care facilities focus on daily living support with varying levels of clinical care. All appear in the HHSC state directories.

What are the typical pay ranges?

Pay depends on your role (CNA, LVN, RN), facility type, shift timing, and metro area. Night and weekend shifts typically include differentials. Contact Coastal Care Staffing for current rate information specific to your credentials and preferred locations.