Assistant Director of Nursing

The Assistant Director of Nursing (ADON) is a Registered Nurse who assists the Director of Nursing in managing the overall operations of the Nursing Department. This role has a critical focus on Infection Prevention and Control, ensuring compliance with CMS F880, CDC guidelines, and state regulations. The ADON supports safe, high-quality resident care while maintaining survey readiness and infection control compliance.

• Assist the DON in overseeing daily nursing operations

• Ensure compliance with CMS, CDC, OSHA, and state regulations

• Participate in surveys, audits, and Plan of Correction (POC) development

• Monitor clinical documentation for accuracy and regulatory compliance

• Support emergency preparedness and outbreak response

• Assist in implementing and maintaining the facility’s Infection Prevention and Control Program (IPCP)

• Ensure compliance with CMS F880 and CDC infection control guidelines

• Monitor and audit hand hygiene, PPE use, isolation precautions, and environmental sanitation

• Track, trend, and report infections, including antibiotic use and resistance

• Assist with infection surveillance, outbreak investigation, and mitigation

• Support employee health programs, including vaccinations, exposure tracking, and post-exposure follow-up

• Collaborate with the Medical Director, DON, and interdisciplinary team on infection control initiatives

• Ensure proper cleaning, disinfection, and sterilization of equipment and resident care areas

• Educate staff on infection prevention policies and procedures

• Participate in antibiotic stewardship efforts

• Assist with hiring, orientation, and ongoing training of nursing staff

• Provide infection control education and competency validation

• Monitor staff compliance with infection control practices

• Participate in disciplinary actions related to infection control violations

• Promote accountability and best practices among nursing staff

• Ensure infection prevention is incorporated into resident care plans

• Monitor residents for signs and symptoms of infection

• Participate in QAPI and Quality Assurance initiatives related to infection control

• Investigate infection-related incidents, falls, wounds, and hospital transfers

• Address resident and family concerns related to infection prevention

• Assist in developing and updating infection control policies and procedures

• Ensure accurate reporting to local and state health departments as required

• Serve as DON designee when needed

• Maintain confidentiality and HIPAA compliance

• Participate in budget planning related to infection control supplies and PPE

• Current, active Registered Nurse (RN) license

• Minimum 2–3 years of nursing experience, preferably in a Skilled Nursing Facility

• Knowledge of infection prevention standards in long-term care

• Strong leadership, organizational, and communication skills

• Infection Preventionist training or certification (IPCP, CIC, or CDC training)

• Experience managing outbreaks and survey infection citations

• Familiarity with Point Click Care  or similar EHR systems

• Ability to stand, walk, bend, and lift up to 50 lbs

• Ability to use PPE for extended periods

• Ability to respond rapidly to emergencies and outbreaks

• Skilled nursing and long-term care setting

• Exposure to infectious diseases

• May require on-call, weekends, or emergency response duties

This job description is not intended to be all-inclusive. Duties and responsibilities may be modified based on facility needs and regulatory requirements.

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