The Assistant Director of Nursing (ADON) is a Registered Nurse responsible for supporting the Director of Nursing in overseeing the clinical operations of the skilled nursing facility. This leadership role ensures high-quality resident care, regulatory compliance, staff supervision, and survey readiness. The ADON collaborates with the interdisciplinary team to maintain clinical excellence and uphold federal, state, and local standards.
-
Assist the DON in planning, organizing, and directing nursing services.
-
Ensure nursing care meets resident needs in accordance with physician orders and care plans.
-
Monitor clinical documentation for accuracy, timeliness, and compliance.
-
Conduct regular audits (medication, treatment, infection control, etc.).
-
Support quality improvement initiatives and performance improvement plans.
-
Maintain compliance with CMS and Wisconsin state regulations.
-
Participate in state survey preparation and response.
-
Ensure adherence to facility policies and procedures.
-
Monitor infection prevention practices and reporting.
-
Assist with incident investigations and corrective action plans.
-
Supervise nursing staff including RNs, LPNs, and CNAs.
-
Assist with scheduling to ensure appropriate staffing coverage.
-
Provide coaching, mentoring, and performance evaluations.
-
Support recruitment, onboarding, and training of nursing staff.
-
Address attendance, performance, and conduct concerns in collaboration with HR.
-
Monitor clinical outcomes (falls, wounds, hospital readmissions, weight loss, etc.).
-
Participate in QAPI meetings and initiatives.
-
Assist with infection control tracking and prevention measures.
-
Ensure timely completion of assessments and documentation.
-
Participate in care plan meetings.
-
Communicate effectively with physicians, families, and external providers.
-
Support collaboration between nursing, therapy, dietary, and social services.
-
Active Registered Nurse (RN) license in the State of Wisconsin – Required
-
Minimum of 2 years of clinical nursing experience in long-term care or skilled nursing.
-
Previous leadership or supervisory experience preferred.
-
Strong knowledge of CMS regulations and long-term care standards.
-
Demonstrated leadership, organizational, and communication skills.
-
Experience with electronic medical records (PCC preferred).
