First Step Nursing and Therapy Services PLLC
Hiring organization · Based in Uvalde, TX
- 5
- open roles, live count
- 4.9
- Google rating
On the floor
What the day-to-day looks like
- Shifts hiring now
- Days 3 · Nights 1
Benefits
A San Antonio pediatric LVN/RN posting lists 401(k), health, vision, and dental insurance.
What stands out
Experienced nurses
You work 1:1 in a child's home — one Uvalde case is a 4-year-old with a G-tube and oxygen.
New graduates
Pediatric experience is preferred but not required; they train you in the office and on site, then keep the training going.
As of 2026Source: indeed.com
Experienced nurses
You can take full-time, part-time, or PRN pediatric home cases on a flexible schedule.
New graduates
The Uvalde case is described as low acuity — G-tube and oxygen — so you are not walking into a high-tech unit.
More about working here
Moving here
The work is pediatric private-duty home health based in Uvalde, and cases may send you around the local service area.
As of 2026Source: indeed.com
Experienced nurses
A San Antonio pediatric LVN/RN posting lists 401(k), health, vision, and dental insurance.
As of 2026Source: indeed.com
Experienced nurses
They describe the work as one-on-one care with a supportive office team behind you.
As of 2026Source: indeed.com
Working conditions
- Charting system
- KanTime
From employer postings
- Scheduling
- Flexible scheduling; FT, PT, and PRN for pediatric home cases. Therapy Coordinator listed Mon–Fri 8:00 AM–5:00 PM.
- Pay and benefits
- Pediatric LPN/RN Boerne on-site listed at $22–$38/wk
As of 2026Source: ziprecruiter.com
Starting out and growing here
- Preceptors and orientation
- Training provided in-office and on-site; pediatric experience preferred but not required; ongoing training.
As of 2026Source: indeed.com
Who they are
You would spend your shift in a child's home, not on a unit. This is pediatric private-duty home health, 1:1. One Uvalde case is a 4-year-old with a G-tube and oxygen; other postings cover pediatric LVN/RN visits in San Antonio and Boerne for meds, treatments, and therapies.
- Hiring days & nights
More about First Step Nursing and Therapy Services PLLC
The work is described as low acuity. Charting is in KanTime. You can work full-time, part-time, or PRN, and scheduling is listed as flexible. Training is in the office and on site; pediatric experience is preferred but not required. They talk about a supportive office team and ongoing training. You need an unencumbered Texas RN or LVN license, current CPR, a reliable car, and the ability to lift and transfer. You may travel within the local service area. Because care is in the home, you can be exposed to blood, bodily fluids, and infectious diseases. Recent postings list $20–$22 an hour. A San Antonio pediatric posting names 401(k), health, vision, and dental insurance. A Boerne listing shows $22–$38 a week — ask them to confirm the rate and the unit.
They describe one-on-one care, flexible scheduling, a supportive office team, and ongoing training.
Working here
Culture and working life
What to consider
The good
- 1:1 pediatric private-duty care
- Flexible full-time, part-time, and PRN scheduling
- In-office and on-site training; pediatric experience not required
- 401(k), health, vision, and dental listed on a San Antonio posting
- Supportive office team and ongoing training
The hard parts
- May require travel within the local service area
- You need reliable transportation and must lift and transfer
- Care is in the home, with exposure to blood, bodily fluids, and infectious diseases
- Recent postings list $20–$22 an hour
What to weigh
You need reliable transportation, and cases may require travel within the local service area.
As of 2026Source: indeed.com
The reality check
Before you decide
Quick facts
- Roles last seen active
- Sep 7, 2026
- Website
- fsnts.com ↗
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A closer look at the units
Open counts come from the live roles below. Source links show where unit details were reported.
- PediatricNights 11 open
Pediatric private-duty home health
One-on-one home care for a 4-year-old with G-tube and oxygen in Uvalde; FT, PT, and PRN.
- Reported ratio
- 1:1
- Equipment and technology
- Low acuity (G-tube, oxygen)
Pediatric private-duty home health
Pediatric LVN/RN postings in San Antonio 78260 and Boerne 78015; meds, treatments, and therapies.
- Reported ratio
- 1:1
Open roles
Roles from First Step Nursing and Therapy Services PLLC
Refreshed throughout the day.
Pediatric LVN RN Cibolo
First Step Nursing and Therapy Services PLLCCibolo, TX · Posted 4 days ago
- RN/LVN
- Night shift
- Per diem
Pediatric LVN RN Schertz
$29/hr
First Step Nursing and Therapy Services PLLCSchertz, TX · Posted 4 days ago
- RN/LVN
- Day shift
Pediatric LVN RN New Braunfels
$29/hr
First Step Nursing and Therapy Services PLLCNew Braunfels, TX · Posted 5 days ago
- RN/LVN
- 12-hour days
- LVN
- 12-hour days
- New grads welcomed · reported
- RN/LVN
- Per diem
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