Occupational Therapist Assistant (COTA)
Listed compensation
$35-$40/hr
The week · per this posting · weekdays assumed
Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.
Job Description
- Job Location: TYLER, TX 75707
- Salary Range: $35.00 - $40.00 Hourly
- Job Shift: Day
The Center at Grande is seeking a Full-Time Certified Occupational Therapy Assistant (COTA) to join our team! What you’ll do: Work closely with Occupational Therapists to implement individualized treatment plans. Help patients regain independence in daily living activities.
Document treatments and collaborate with the interdisciplinary team. Provide encouragement and support to patients and their families.
What you’ll need: Associate’s Degree in Occupational Therapy and have current license or be license-eligible in the state of Texas Should have as a minimum, 1 years’ experience in a skilled nursing facility Why Join Our Team?
We offer a beautiful, state-of-the-art facility Physician driven care plans designed to maximize the quality of care We offer an environment that encourages team involvement and fosters new ideas Excellent pay Costco, Sam's Club, Amazon Prime or Walmart plus memberships PTO Employer 401k matching Medical, dental, vision, along with the other ancillary benefits offered almost immediately
Key Responsibilities
The COTA will work with Occupational Therapists to implement individualized treatment plans and help patients regain independence in daily living. They are also responsible for documenting treatments and collaborating with the interdisciplinary team to provide support to patients and their families.
Requirements
Candidates must hold an Associate’s Degree in Occupational Therapy and possess a current license or be license-eligible in Texas. A minimum of one year of experience in a skilled nursing facility is required.
Key Skills
Occupational Therapist Career Context
In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$93k (224 salary observations; 2,921 listings), vs ~$97k nationally (5,716 salary observations; 28,639 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$78k midpoint carries the purchasing power of roughly $80k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $73k–$83k | Occupational Therapy median $69k (middle half $68k–$83k)53 comparable listings, Nov 2026 |
| Texas vs national | $93k median in Texas | $97k nationally (−3%)224 state / 5,716 national salary observations |
| Cost-of-living adjusted pay | ~$80k in purchasing power | Texas index 97.1 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Texas | 872 active | 8,989 nationallylive on WeekdayDoc, Nov 2026 |
| Sign-on & loan repayment | not stated | Texas Occupational Therapist listings: 9% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026 |
| New Occupational Therapy listings | 3,166 in the last 30 days | 1,614 the 30 days before (+96%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Occupational Therapy pay trend | +3.5% vs prior quarter | —through Oct 2026 |
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$78k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.
Top OTA Jobs
4 matches · ranked by payCert Occupational Therapist Assistant, COTA
Kalesta Healthcare Group · Sacramento, California
OTA/Occupational Therapist Assistant-Laurinburg, NC-$3500 Sign on Bonus
Carolina Therapy Services · Laurinburg, North Carolina
Occupational Therapist Assistant | COTA
$30-$33/hrCertified Occupational Therapist Assistant
$18-$30/hrWork-life snapshot
Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.
- On-site
About Veritas Skilled Nursing Management
Benefits & Perks
Living in Tyler
- Typical 3-bedroom home value
- $265k
- Typical market rent
- $1,259/mo
- Residents’ average commute
- 20 min
- Metro price indexU.S. average = 100
- 92.2
- State income tax
- None
Sources & methodology
Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.
BEA 2024 · Tyler, TX metro prices. Housing figures are city-level.
City-level figures. Not a cost-of-living guarantee.