Caregiver, Home Health Aide, Healthcare Nursing

THE SNOWBERRY

Small Type A Assisted Living & Memory Care | Denison, Texas

ASSISTED LIVING CAREGIVER JOB DESCRIPTION

26 TAC §553.253 | Texas Health & Safety Code Chapter 247 | HHSC Staffing Compliance

Position Title: Assisted Living Caregiver

Department: Direct Care / Resident Services

Reports To: Administrator / Facility Manager

FLSA Classification: Non-Exempt

Position Type: Full-Time Part-Time PRN

The Assisted Living Caregiver is responsible for providing person-centered, compassionate care to residents of The Snowberry Small Type A Assisted Living and Memory Care Facility in accordance with each resident's individualized service plan (ISP) and all applicable Texas Health and Human Services Commission (HHSC) regulations. This position operates under the direction of the Administrator and works collaboratively with all care team members to ensure resident safety, dignity, and quality of life.

• Assist residents with bathing, grooming, dressing, oral hygiene, and toileting according to the ISP.
• Provide assistance with mobility, transfers, and ambulation using proper body mechanics and assistive devices.
• Assist with meal preparation, dining, and feeding as directed by the ISP; encourage nutritional intake.
• Monitor and document intake/output, appetite changes, and any changes in resident condition.

• Assist residents with self-administration of medications as outlined in the ISP and in accordance with the facility's medication assistance policy.
• Document medication assistance accurately in the Medication Assistance Record (MAR).
• Report medication errors, refusals, or adverse reactions immediately to the supervisor.

Regulatory

Note:

Texas Type A ALFs permit staff to assist with medication self-administration only. Administration of medications requires licensed nurse delegation per 22 TAC §225.

• Conduct and document resident wellness checks per facility policy and the resident's ISP.
• Observe and promptly report to the supervisor any changes in physical, cognitive, or behavioral status.
• Follow all emergency protocols, including fire evacuation procedures, elopement response, and emergency call system response.
• Maintain a safe, hazard‑free environment for all residents.

• Complete accurate, timely shift notes, incident reports, and other required documentation.
• Participate in shift change handoff and communicate pertinent resident information to oncoming staff.
• Maintain confidentiality of all resident information in compliance with HIPAA and state privacy laws.
• Report suspected abuse, neglect, or exploitation immediately per facility policy and 26 TAC §553.41 (mandatory reporter obligations).

• Maintain resident rooms in a clean, safe, and organized manner.
• Perform light housekeeping duties including laundry, linen changes, and trash removal as assigned.
• Report maintenance needs, safety hazards, or equipment malfunctions to the supervisor.

• Encourage and support resident participation in scheduled activities and social programs.
• Assist with setting up and facilitating activities as directed.
• Foster meaningful engagement that supports cognitive, emotional, and physical well‑being.

• High school diploma or GED equivalent required.

• Must be at least 18 years of age (Per 26 TAC §553.253).
• Must pass criminal history background check through the Texas Department of Public Safety (DPS) and HHSC Employee Misconduct Registry (EMR) prior to hire.
• Must not be listed on the HHSC Nurse Aide Abuse Registry or OIG Exclusions List.
• Current CPR / First Aid certification required or must obtain within 30 days of hire.
• Must complete the HHSC-required 16‑hour orientation training prior to providing unsupervised care (26 TAC §553.253(b)).
• Must complete annual 12‑hour in‑service training (26 TAC §553.253(c)).
• Must complete mandatory reporter…