The Assistant Director of Nursing (ADON) plays a vital leadership role in supporting the delivery of safe, compassionate, and high-quality care that promotes each resident’s highest practicable physical, mental, and psychosocial well-being. Working closely with the Director of Nursing, the ADON helps lead the nursing team, strengthen clinical outcomes, support regulatory compliance, and foster a culture where residents receive the care, dignity, and attention they deserve.
The ADON serves as a hands-on resource for clinical staff, residents, and families while helping ensure the nursing department is appropriately staffed, organized, and prepared to meet the changing needs of the residents we serve. Through clinical leadership, staff development, quality assurance, and collaboration with physicians and interdisciplinary team members, the ADON helps create a nursing environment built on accountability, teamwork, and a commitment to excellence.
Responsibilities
Administrative Functions:
- Handle and/or assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing department in accordance with current rules, regulations, and facility policies.
Quality of Care:
- Handle and/or assist in developing and regularly evaluating methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care in accordance with nursing home regulations and applicable nursing facility standards and practices.
- Communicate with attending physician and medical director regarding resident care issues as needed.
- Communicate with families regarding resident care issues when appropriate
Staffing:
- Handle and/or assist the DON in determining the staffing needs of the nursing service department.
- Verify that a sufficient number of nursing staff members are available for each shift to ensure nursing care meets each resident's daily needs.
- Develop work assignments and schedules. Participate in supervising staff to ensure assigned tasks are completed and performed.
- Assist in the interview and recruitment process, ensuring a good candidate experience and hiring of qualified professionals.
Quality Assurance:
- Assist in the facility daily start-up process.
- Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.
Other:
- Assist with reviewing resident clinical records as needed.
- Assist in reviewing consultant reports and implementing any plans of correction as needed.
- May be periodically required to assist with MDS assessments and care plans if and as needed.
- Assist in reviewing and implementing appropriate compliance actions related to pertinent regulatory reports.
- Participate in the facility's nursing on-call schedule.
- Perform any other duties deemed reasonable and necessary by the Director of Nursing.
Qualifications
Educational/Training Requirements
- Must have completed an RN program at an accredited vocational school, college, or university
Licensing Requirements
- Must possess a current Texas RN license.
Experience Requirements
- Must have experience working in a skilled nursing facility for at least 3 years
- Preferred to possess a current RUG certification
Physical Job Requirements:
Lifting 1–50 lbs - Frequent
Lifting 50+ lbs - Occasionally
Carrying 1–25 lbs - Frequent
Carrying 25–50+ lbs - Occasionally
Pushing / Pulling 1–50 lbs - Frequent
Pushing / Pulling 50+ lbs - Occasionally
Sliding / Transferring 1–50 lbs - Frequent
Sliding /Transferring 50+ lbs - Occasionally
Standing / Walking - Frequently
Sitting / Balancing / Crouching / Crawling - Rarely
Speaking / Hearing / Seeing - Frequently
Stooping / Kneeling - Occasionally
Reaching - Occasionally
Turning / Twisting / Leaning - Occasionally
Driving - Rarely
About Us
Regency Integrated Health Services, Wellsential Health, Senior Solutions Pharmacy, Nurse Practitioner Services of Texas, and Texas Independent Health Care Plan are all an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
