Ashe Memorial Hospital
Community Hospital · Jefferson, NC
On the floor
What the day-to-day looks like
- Setting
- Community Hospital
- Shifts hiring now
- Evenings 1
What stands out
New graduates
You can enter on a Registered Nurse I New Grad Residency track that needs your NC RN license and BLS, with a full-time path into continuous-monitoring work on the Monitor Bed Unit.
As of 2026Source: sorce.jobs
Experienced nurses
You work a critical-access hospital with a small daily census around eight, so your day stays close to the bedside across Med/Surg, monitoring, imaging, emergency, and women-and-children’s services.
As of 2026Source 1: allnurses.comSource 2: ashememorial.orgSource 3: linkedin.comSource 4: indeed.comSource 5: sorce.jobsSource 6: ziprecruiter.com
Experienced nurses
Your nursing work is recognized on campus through DAISY, a Great 100 Nurses page, and a hospital safety award the employer still publishes.
As of 2026Source 1: ashememorial.orgSource 2: ashememorial.orgSource 3: ashememorial.org
Moving here
You land in rural Jefferson, NC, a compact-license state with a flat ~4.25% income tax, next to walkable West Jefferson shops and mountain housing options.
More about working here
Experienced nurses
Charting runs on Cerner, and posted roles include PRN Med/Surg nights and PRN imaging days if you want flexible shifts.
As of 2025-12-16Source 1: facebook.comSource 2: linkedin.comSource 3: ziprecruiter.comSource 4: indeed.com
New graduates
On the Monitor Bed Unit you practice continuous monitoring, cardiac rhythm interpretation, meds, assessments, and interdisciplinary handoffs in a full-time RN role.
Moving here
Coworkers and locals are often described as friendly and family-oriented in this small rural setting, and the hospital is fundraising to expand the Jo Anne Poe Cancer Center on campus.
As of 2022-08-13 · 2023-06-26 · 2026Source 1: glassdoor.sgSource 2: ashememorial.orgSource 3: allnurses.com
Working conditions
- Scheduling
- Employer hiring post references scheduling systems Cerner and Suncare; PRN nights Med/Surg and PRN days Imaging roles posted
As of 2025-12-16Source 1: facebook.comSource 2: linkedin.comSource 3: ziprecruiter.com
- Pay and benefits
- Staff RN review states lowball pay; travelers make 3x as much as staff nurses
As of 2022-08-13Source: glassdoor.sg
- Pay and benefits
- Full-Time Medical Assistant I Glassdoor estimate Jefferson NC
As of 2026Source: glassdoor.com
- Pay and benefits
- Travel RN Progressive Care Unit Jefferson NC agency rates about $1957/week and $2086-$2235/week nights
As of 2026Source: jooble.org
- Pay and benefits
- Surgical Services RN eligible for $20,000 commitment bonus; relocation assistance upon request (listing tied to Ashe Memorial Hospital Jefferson NC)
As of 2026Source: linkedin.com
Starting out and growing here
- Career development
- RN review cited no room for growth after 8+ years
As of 2022-08-13Source: glassdoor.sg
The city
Living in Jefferson, NC
Jefferson, North Carolina delivers a peaceful, small-town retreat in the Blue Ridge Mountains, perfect for nurses seeking a slower pace. With Mount Jefferson State Park bordering the town, outdoor enthusiasts enjoy immediate access to hiking trails and stunning elevated views right outside their door.
Browse roles in Jefferson
- State price level · North Carolina
- 6% below the national average
- State index 94.3 (100 = national)
- Median gross rent
- $748/mo
- rent and tenant-paid utilities
- Median household income
- $40,590/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Who they are
You would be walking into Ashe Memorial Hospital on Hospital Avenue in Jefferson, North Carolina—a critical-access, voluntary non-profit hospital with a small daily census around eight.
- Community Hospital · Jefferson
- Hiring evenings
More about Ashe Memorial Hospital
Shifts stay close to the work: continuous monitoring and rhythm interpretation on the Monitor Bed Unit, Med/Surg (including PRN nights), PRN days in Imaging, plus emergency and women-and-children’s service lines on the same campus. Charting is Cerner. If you are new, there is a Registered Nurse I New Grad Residency path that asks for your NC RN license, BLS, vaccinations, a background check, and a drug screen. The hospital publishes DAISY Award information, a Great 100 Nurses page, and a safety award page, and it has been fundraising to expand the Jo Anne Poe Cancer Center. This is a rural, family-oriented setting where coworkers and locals are often described as friendly. Pay and advancement are the soft spots in public reviews—staff have said pay feels low next to travelers and that growth can stall—so you will want to ask directly about staff rates and staffing before you commit.
Rural critical-access care with a personalized bedside feel, emergency readiness, and nurse recognition through DAISY and Great 100 Nurses pages the hospital maintains.
Working here
Culture and working life
Themes from public reviews
Summaries of published reviews, with the original sources.
- Pay dissatisfaction vs travelers
- Long-tenured RN said pay is lowballed and travelers earn roughly triple staff nurses.
As of 2022-08-13Source: glassdoor.sg
- Chronic short-staffing
- Same RN review said the hospital is always short-staffed.
As of 2022-08-13Source: glassdoor.sg
- Rural family-oriented culture
- Pros cited rural setting, family-oriented workplace, and friendly locals.
As of 2022-08-13Source: glassdoor.sg
More review themes
- Coworkers
- Authorization specialist said people are good to work with and listed no cons.
As of 2023-06-26Source: glassdoor.sg
- Overall ratings and pay/advancement
- Indeed overall 3.4/5 (38 reviews); pay/benefits 2.9 and advancement 2.7 lowest; culture and work-life about 3.1.
As of 2025Source: indeed.com
- Fair pay concern
- Indeed summary lists fair pay for the job as a top area for improvement.
As of 2025Source: indeed.com
- Management favoritism
- Phlebotomist felt management played favorites and did not address concerns despite community loyalty.
As of 2025-05-31Source: indeed.com
- Patient nurse communication
- Patient surveys: 79% positive nurse communication; 84% treated with respect; 71% likely to recommend.
As of 2026Source: allnurses.com
What to weigh
Staff nurses have called pay lowballed next to travelers, and reviews still flag fair pay, short-staffing, and little room to grow after years on the job.
As of 2022-08-13 · 2025Source 1: glassdoor.sgSource 2: indeed.com
The reality check
Before you decide
Quick facts
- Relationship
- Direct employer
- Roles last seen active
- Aug 30, 2026
- Website
- ashememorial.org ↗
Weighing a first job here?
The license clock and the job hunt run at once, and new-grad windows do the deciding. Residency commitments carry fine print worth reading before you sign.
Work here?
This page is built from public postings and employer research. Help us get it right: corrections, photos, and the story of the floor itself.
Improve this page →The units
A closer look at the units
Open counts come from the live roles below. Source links show where unit details were reported.
- EREvenings 11 open
- Tele1 open
Monitor Bed Unit (MBU)
Full-time RN role with continuous monitoring, cardiac rhythm interpretation, meds, assessments, interdisciplinary collaboration.
Source location unconfirmedSource: sorce.jobs
Med/Surg
Employer posted Registered Nurse Med/Surg PRN Nights; also Full-Time CNA Med-Surg opening.
Source location unconfirmedSource 1: linkedin.comSource 2: indeed.com
Imaging/Radiology
PRN Imaging Nurse (RN) days in Radiology/Imaging Department, West Jefferson/Jefferson NC.
Source location unconfirmedSource: ziprecruiter.com
Progressive Care Unit
Multiple travel RN PCU night contracts listed for Jefferson NC (agency postings).
Source location unconfirmedSource: jooble.org
Facility-wide staffing
CMS staffing grade D; HPPD nursing 22.2; RN staff count 48; LPN/LVN 5; daily census 8.
Source location unconfirmedSource: allnurses.com
Emergency
Hospital lists Emergency Services among core service lines on official site navigation.
Source location unconfirmedSource: ashememorial.org
Women & Children's Health
Ashe Women & Children's Health listed as a service; receptionist job posted for that clinic.
Source location unconfirmedSource 1: ashememorial.orgSource 2: indeed.com
Open roles
Current openings at Ashe Memorial Hospital
Refreshed throughout the day.
Full-Time RN II - Emergency Department
Pay not stated
Ashe Memorial HospitalJefferson, NC · Posted last week
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