A.D.O.N.

The Assistant Director of Nursing Services is authorized to

• Assess resident care needs and participate in hiring, supervision, and termination of nursing personnel

• Establish and enforce resident care standards consistent with current standards of practice

• Develop, implement, and revise nursing policies and procedures

• Supervise and manage nursing department operations

• Direct and evaluate resident care delivery

• Collaborate with administration to ensure efficient and cost-effective facility operations

Duties and Responsibilities

• Direct, supervise, and evaluate resident care services and initiate corrective actions as needed.

• Assess resident care needs and assist in developing individualized care plans.

• Review Quality Measure and Quality Indicator reports to identify trends and implement corrective actions.

• Review pre-admission and admission clinical information to determine appropriate level of care.

• Evaluate resident care in relation to individualized needs, physician orders, and family involvement.

• Participate in and/or conduct resident care conferences as assigned.

• Monitor residents’ responses to medications and treatments and recommend nursing interventions as appropriate.

• Conduct clinical compliance audits and follow up on identified concerns.

• Make daily nursing rounds and communicate findings to the Director of Nursing.

• Participate in physician rounds as necessary.

• Monitor medication administration and treatment schedules for accuracy and compliance.

• Track and report medication errors in accordance with facility policy.

• Assist in the investigation and analysis of incidents, accidents, and adverse events.

• Participate in the facility Quality Assurance and Performance Improvement (QAPI) program.

• Prepare and present nursing quality data to the QAPI Committee as requested.

• Implement and oversee infection prevention and control practices within nursing services.

• Ensure compliance with infection control policies, including isolation precautions and PPE usage.

• Ensure adequate availability and proper use of personal protective equipment.

• Report occupational exposures and incidents in accordance with facility policy.

• Oversee clinical assessment and data entry systems (including MDS-related accuracy and verification).

• Participate in interdisciplinary team meetings and rehabilitation conferences.

• Develop, schedule, and conduct nursing in-service education programs.

• Assist with development and implementation of annual staff training plans.

• Participate in continuing education programs to maintain professional competency.

• Assess nursing equipment and supply needs and make recommendations to the Director of Nursing.

• Oversee the CNA Preceptor Program.

• Serve on facility committees and attend meetings in the absence of the Director of Nursing as assigned.

• Assist with staff scheduling and ensure nursing staffing levels meet regulatory requirements.

• Assist the Director of Nursing with employee performance evaluations.

• Interpret facility policies and procedures for staff, residents, families, and regulatory agencies as needed.

• Complete reports accurately and within established timeframes.

• Counsel nursing staff and recommend personnel actions as appropriate.

• Review and address nursing-related complaints and grievances.

• Provide direct resident care as needed.

• Participate in on-call rotation as scheduled.

• Ensure resident safety and protection under supervision.

• Uphold residents’ rights at all times.

• Follow all facility safety, infection control, and emergency preparedness policies.

• Maintain professional appearance, dependability, and punctuality.

• Work cooperatively with administration, nursing staff, physicians, residents, families, consultants, and community agencies.

• Accept assigned duties in a cooperative and professional manner.

• Perform other duties as assigned by the Director of Nursing or Administrator.

Performance Standards

The Assistant Director of Nursing Services will be evaluated based on the following measurable standards:

• Clinical Quality:

• Resident care meets accepted standards of practice with no substantiated deficiencies related to nursing services.

• Regulatory Compliance:

• Nursing services comply with CMS, state, and local regulations, including infection control and staffing requirements.

• Quality Improvement:

• Actively participates in QAPI and implements corrective actions based on quality data and audits.

• Care Planning:

• Resident assessments and care plans are accurate, timely, and reflective of residents’ needs.

• Staff Supervision:

• Nursing staff are appropriately supervised, educated, and evaluated.

• Infection Prevention:

• Infection control practices are implemented and monitored with documented follow-up.

• Medication Management:

• Medication administration processes demonstrate compliance and error trends are addressed promptly.

• Professional Conduct:

• Demonstrates leadership, accountability, teamwork, dependability, and professionalism consistently.

Qualifications

Education and Experience

• Associate’s Degree in Nursing from an accredited college or university (Bachelor’s Degree preferred)

• Minimum of six (6) months nursing experience

• Minimum of one (1) year supervisory experience in a hospital, nursing facility, or related healthcare setting

• Current, valid nursing license as required by state law

Knowledge, Skills, and Abilities

• Knowledge of nursing practices, medical procedures, and long-term care regulations

• Ability to provide age-appropriate care to the resident population served

• Ability to read, write, and maintain required documentation

• Demonstrated leadership, supervisory, and decision-making abilities

• Ability to plan, organize, implement, and evaluate nursing programs and services

• Ability to communicate tactfully and effectively with residents, families, staff, physicians, consultants, and regulatory agencies

• Ability to handle difficult situations with residents and families professionally

• Willingness to seek and implement best practices and continuous improvement initiatives

• Ability to function as a supportive team member and role model

Physical Requirements

• Ability to work in a fast-paced environment

• Ability to perform repetitive motions

• Ability to lift, push, or pull a minimum of ten (10) pounds

• Ability to tolerate prolonged standing, sitting, bending, kneeling, and walking

• Ability to balance, crawl, climb, twist, and demonstrate proper body mechanics

• Ability to assist with resident mobility as needed