Assistant Director of Nursing

The Assistant Director of Nursing (ADON) assists the Director of Nursing in providing leadership, clinical oversight, and administrative support for the Nursing Department within the skilled nursing facility. The ADON is responsible for helping ensure the delivery of safe, high-quality, resident-centered nursing care in accordance with facility policies, applicable federal and state regulations, and accepted standards of nursing practice.

The ADON serves as a clinical leader and resource for nursing staff, residents, families, and interdisciplinary team members. This position assists with staff supervision, clinical education, quality assurance and performance improvement (QAPI), regulatory compliance, infection prevention, resident care planning, and the overall coordination of nursing services.

The ideal candidate is a strong clinical leader who demonstrates sound judgment, excellent communication skills, accountability, professionalism, and a genuine commitment to the care and dignity of long-term care residents.

• Assist the Director of Nursing with the daily management and operation of the Nursing Department.

• Provide clinical leadership and guidance to nursing staff, including RNs, LPNs/LVNs, CNAs, and other nursing personnel.

• Monitor the delivery of nursing care to ensure residents receive safe, appropriate, timely, and compassionate care.

• Conduct regular rounds to assess resident conditions, identify changes in status, and ensure appropriate interventions are implemented.

• Assist with the assessment and management of residents with acute and chronic medical conditions.

• Ensure appropriate follow-up is completed for changes in resident condition, physician/provider orders, laboratory results, diagnostic testing, and hospital returns.

• Serve as a clinical resource for nursing staff and assist with complex resident care situations.

• Promote resident rights, dignity, privacy, independence, and choice.

• Participate in the development, implementation, and evaluation of individualized resident care plans.

• Assist with the supervision, scheduling, and coordination of nursing staff.

• Monitor staff performance and provide coaching, counseling, and corrective action when appropriate.

• Participate in hiring, interviewing, orientation, onboarding, and retention of nursing personnel.

• Assist with evaluating nursing staff performance and identifying educational and performance-improvement needs.

• Ensure adequate staffing and appropriate assignment of nursing personnel based on resident acuity and facility needs.

• Promote teamwork, accountability, professionalism, and effective communication among nursing staff.

• Address staff concerns and conflicts promptly and professionally.

• Serve as a leadership presence for the Nursing Department in the absence of the Director of Nursing.

• Assist the DON in maintaining compliance with applicable federal, state, and local regulations governing skilled nursing facilities.

• Support preparation for state surveys, federal surveys, accreditation visits, and other regulatory inspections.

• Assist in identifying, investigating, and correcting areas of regulatory non-compliance.

• Participate in Quality Assurance and Performance Improvement (QAPI) activities.

• Monitor clinical indicators and quality measures, including falls, pressure injuries, infections, hospitalizations, medication errors, weight loss, accidents, and other areas of concern.

• Assist with the development and implementation of corrective action plans and performance improvement initiatives.

• Ensure nursing documentation is accurate, timely, complete, and consistent with regulatory and facility requirements.

• Participate in audits of clinical documentation, medication administration, treatment records, care plans, and other nursing records.

• Collaborate with the Infection Preventionist to promote effective infection prevention and control practices.

• Monitor compliance with hand hygiene, personal protective equipment, isolation precautions, and other infection-control practices.

• Assist with surveillance, investigation, and reporting of infections and communicable diseases.

• Support staff education regarding infection prevention and control.

• Assist with outbreak response and implementation of appropriate infection-control measures.

• Assist with planning and providing…