Assistant Director of Nursing; ADON

Assistant Director Of Nursing

Do you have strong communication skills, are great with people, and have a strong work ethic? We may have the ideal job opportunity for you! Loudonville Assisted Living residence is a well-respected, third generation family-owned and-operated business that has proudly served our senior community in upstate New York for over 50 years! We are looking for talented, detail-oriented, and dedicated professionals to ensure a bright future in our organization.

If you are personable, energetic, and of high integrity, we have many opportunities for you to take the next step in your professional career!

The Assistant Director of Nursing is the senior clinical and supervisory authority in the building during the overnight shift and will report directly to the Director of Nursing (DON). The ADON is responsible for the safety and quality of resident care between 11:00 pm and 7:00 am, Monday through Friday, across all three units, and for the direction, oversight, and accountability of every nursing and direct-care employee working those shifts.

This is a working supervisory position, not an administrative one. The ADON is expected to be physically present on the units, rounding, observing care, and available as an immediate clinical resource. The position also assumes defined regulatory, training, and audit responsibilities that support the Director of Nursing.

Essential Functions

Supervision and staff accountability

• Provide direct, on-site supervision of all nursing and direct-care staff assigned to the overnight shift across all three units.
• Assign, direct, and adjust work throughout the shift; verify that assigned care tasks, rounds, and unit duties are completed.
• Conduct and document a minimum of two supervisory rounds per shift on each unit.
• Address performance and conduct concerns in real time, including cell phone use, sleeping on duty, failure to remain in resident areas, and failure to follow direction; document observations factually and route to the Director of Nursing and Human Resources.
• Manage overnight call outs and coverage decisions, including reassignment of staff across units to maintain required coverage.
• Serve as preceptor and competency validator for nursing and direct-care staff orienting on the overnight shift.

Clinical oversight

• Act as the first clinical resource for LPNs and aides on change in condition, falls, behavioral events, and emergencies.
• Assess residents directly when a change in condition is reported; determine the appropriate response and initiate physician, family, and emergency service contact per policy.
• Oversee medication administration practice on the overnight shift, including observation of technique, documentation accuracy, and adherence to physician orders.
• Complete scheduled medication cart audits and controlled substance reconciliation across all three units on a defined cycle.
• Review overnight documentation for completeness and accuracy before the end of shift.
• Support residents living with dementia and their caregivers using person-centered, non-pharmacological approaches consistent with facility standards.

Regulatory and compliance

• Recognize reportable events occurring overnight, initiate the incident report, and begin the 24-hour notification clock; prepare first-line documentation for review by the Director of Nursing and authorization by the Administrator.
• Ensure overnight staffing and care delivery meet the requirements of 18 NYCRR Part 487 and 10 NYCRR Part 1001, including 24-hour awake coverage and supervision of enhanced and special needs residents.
• Maintain survey readiness on the overnight shift, including documentation, medication records, and staffing records.
• Protect resident health information consistent with HIPAA and facility policy.
• Follow and enforce infection control, standard precautions, and OSHA blood borne pathogen requirements.

Training and development

• Deliver and document required in-service education for overnight and off-shift staff, who are the most difficult population to reach through day-shift training.
• Identify skill gaps observed during rounds and convert them into targeted training.
• Maintain accurate in-service records and route completed documentation to Human Resources.

Communication and administration

• Provide a written shift report to the Director of Nursing before 7:00 am. each shift worked.
• Participate in nursing leadership meetings, quality assurance activities, and the facility falls committee as scheduled.
• Communicate professionally and…