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Specialty Hospital · Houston, Texas 77030
On the floor
The city
Houston is a sprawling, diverse metro where world-class medical centers anchor a booming healthcare economy. The nation's fourth-largest city offers no state income tax, year-round warmth, and a food scene as varied as its population. Bayou-side greenways and museum districts balance the urban energy for nurses seeking opportunity in a place that never stops growing.
Browse roles in HoustonU.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
Who they are
Houston Hospice, founded in 1980, is the oldest and largest independent nonprofit hospice organization in the Greater Houston area.
With an annual budget exceeding $20 million and approximately 175 employees, the organization provides care to roughly 2,000 patients annually across a 13-county service area in Southeast Texas. The organization serves patients of all ages and their families, offering both field-based and inpatient hospice care services. The organization has undertaken a strategic recruitment and retention initiative titled 'Sustaining Excellence in Hospice Care,' which includes salary and benefits adjustments, training and professional development, intentional retention strategies, employee feedback and engagement programs, and workplace wellness and burnout prevention efforts. Houston Hospice has also publicly committed to diversity, equity, and inclusion, stating that its human capital is its most valuable asset and embracing employees' differences as central to its organizational identity. Nursing roles at Houston Hospice include field-based positions involving personal care of patients and families under RN supervision, as well as RN case management roles responsible for overall patient case management, care coordination with families and providers, plan of care development, multidisciplinary team coordination, clinical documentation, and family education. Inpatient unit nurses work 12-hour shifts. The organization is described by some employees as a small facility where coworkers are 'like family,' though recent reviews indicate concerns about management being out of touch with frontline staff.
Houston Hospice's mission is to provide uncompromising, compassionate, end-of-life care to the community. The organization states it 'helps people live their best quality of life' and values diversity, equity, and inclusion as central to its culture, respecting differences in age, color, disability, ethnicity, gender identity, language, national origin, ability, religion, sexual orientation, socio-economic status, and veteran status. The organization emphasizes that its human capital is its most valuable asset.
Why nurses stay
Indeed reviews from nursing staff show mixed experiences. An RN reviewer rated the employer 2.0 out of 5 (December 2025), citing that the organization is 'top heavy with management' and that 'management [is] completely out of touch with staff,' noting that 'incompetent employees are protected while hard workers are penalized' and that the organization's formerly high standards have declined. An LVN Staff Nurse rated it 3.0 out of 5 (December 2023), describing a 'good pace' suitable for those transitioning from hospital floor work, noting stress when multiple patients are transitioning simultaneously but highlighting that coworkers are supportive. A Staff Nurse RN rated it 4.0 out of 5 (November 2022), praising the 'great mission, great colleagues,' strong teamwork, and a family-like atmosphere in a small facility setting. The average across these three explicit numeric ratings is 3.0 out of 5, yielding a derived reputation score of 60 on a 0-100 scale.
The reality check
The first year has a shape: exam, license, first job, base year, then the move. Residency windows and commitments carry fine print worth reading before you sign.
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