Position Description

Assistant Director of Nursing


300 Westminster Canterbury Dr.

Winchester VA 22603



TITLE:  Assistant Director of Health Services/AL & HC                       DEPARTMENT:  Health Services


RESPONSIBLE TO:       Director of Health Services


RESPONSIBLE FOR:      Charge and Staff RNs, LPNs, MT’s and Nursing Assistants assigned to the Health Center and Assisted Living.


JOB SUMMARY:          The Assistant Director of Health Services assists the Director of Health Services with coordination of administrative and clinical activities for the nursing department.  Co-ordinates with Director of Health Services to cover in the absence of the other.




  1. Registered Nurse currently licensed in the State of Virginia. License must be in good standing.


  1. At least 5 years of supervisory experience.


  1. Previous experience as a staff nurse in a senior living community (CCRC, assisted living and/or nursing home) preferred.


  1. CPR Certification, 1st Aide, AED




  1. Support the mission and purposes of SVWC.


  1. Support the Board of Trustees and Administration.


  1. Present a professional, supportive, caring image.


  1. Employment and annual Tuberculosis testing as required by Virginia State Licensure.


  1. Must attend mandatory in-services required by the State Licensure and all other mandatory in-services and/or meetings required by other regulatory agencies and/or by SVWC.


  1. Follows and supports the policies and procedures established by SVWC.


  1. Rotating twenty-four hour, seven day/week on call as necessary.


  1. Adheres to professional standards of ethics at all times.


  1. Maintains a professional attitude and appearance by adhering to dress code and being neatly groomed.


  1. Maintain skills and knowledge in accordance with current research and practice. Participate in continuing education.


  1. Responsible for maintaining current license and providing SVWC with proof of such prior to expiration date.







  1. Assist the Director of Health Services in the overall management of the Health Services department with emphasis on assisted living.


  1. Assist with periodically updating written policies and procedures that govern the day-to-day functions of the Health Services department.


  1. Supports and demonstrates practices consistent with the mission, philosophy, standards, policies and procedures of the Health Services department.


  1. Serves as an administrative resource for the community in the absence of the Director of Health Services and Administrator.


  1. Maintains Health Services Department in compliance with all state, federal, and local regulations.


  1. Assesses staffing needs and helps allocate nursing personnel accordingly.


  1. Recommends staffing patterns based on acuity, regulatory standards and budgeted allocations to the Director of Health Services.


  1. Serves as a resource to staff in clinical and managerial decision-making. Providing guidance, leadership, coaching, and mentoring accordingly.


  1. Identifies problems, resolves accordingly as appropriate and reports with recommendations to the Director of Health Services.





  1. Coordinates resident assessments with assisted living and in support of Healthcare Unit Coordinator for healthcare residents.


  1. Coordinate resident appointments with geriatric psychiatrist.


  1. Oversees and coordinates in-house admissions, transfers, and discharge of residents with appropriate members of the interdisciplinary team and in accordance with regulatory process and communities policies and procedures.


  1. Participates in and provide guidance for the development of individual service plans.
  2. Assures compliance with the development, implementation, revision and communication of individual service plan information to staff in accordance with various regulations.


  1. Evaluates residents’ status and appropriateness of care.


  1. Provides leadership, coaching and guidance to Charge and Staff nurses to coordinate continuity of care and professionally communicate with residents’ families/significant others.


  1. Responds to emergency situations.
  2. Assist in reporting changes in the resident’s status to the physician and DHS.


  1. Identifies and recommends special care considerations to maintain or improve resident’s quality of life.


  1. Gives direct care as necessary.


  1. Evaluates residents status at the beginning of each shift and assures an appropriate level of nursing staff are available to provide safe, high quality care.


  1. Works with the Unit Coordinator, Charge and Staff nurses to plan and delegate consistent, and appropriate assignments for nursing staff.


  1. Makes frequent rounds on neighborhoods to evaluate residents and staff performance.


  1. Works with Charge and Staff nurse to assure physicians’ orders are current and appropriate.


  1. Documents and investigates incidents and accidents in accordance with regulations, providing the Director of Health Services and/or Administrator copies.


  1. Recommends equipment and supplies needs to Director of Health Services.


  1. Coaches and mentors Charge nurses to conduct neighborhood meetings with nursing staff fostering communication, coordination of care and service efficiency.


  1. Assist the Healthcare Unit Coordinator and Director of Health Services with communicating and staff compliance with new and existing SVWC policies and procedures.


  1. Oversees direct care activities to assure that practices are consistent with facility policies and procedures.


  1. Fit tested regulators may be required.





  1. Works closely with Nursing Educator to identify staff development needs. .


  1. Collaborates with Nursing Educator in planning, teaching and evaluating staff development programs.


  1. Provides instruction and participates as needed in orientation program for new employees.


  1. Provides informal instruction to employees as necessary.


Staff Development and Performance Mgmt


  1. Provides frequent, consistent and constructive feedback to staff regarding their performance.


  1. Maintains anecdotal notes and other records pertaining to employee performance.


  1. Counsels employees, up to and including termination, with necessary support and guidance from Human Resources, Director of Health Services and/or the Administrator in accordance with SVWC policies.


  1. In conjunction with the Director of Health Services and other nursing managers, ensures accurate, appropriate and timely performance management of nursing personnel. .


  1. Makes recommendations to Director of Health Services regarding hiring, transfer and disciplinary matters.


  1. Assures staff adhere to infection control practices.


  1. Actively participates in the recruitment and retention programs.


  1. Recommends and helps to implement cost effective practices in the department.


  1. Participates on the Quality Assurance Performance Improvement Committee and helps develop and implement performance improvement measures. .


  1. Assures that the department’s practices are consistent with appropriate regulatory requirements.


  1. Participates on various committees as necessary


  1. Completes and maintains records and reports as needed.


  1. Attends continuing education programs to maintain competency and improve knowledge and skills.




  1. Other duties as assigned.





          To make decisions within the framework of the policies and procedures of the community and standards of the profession.




Category A:  The person holding this position understands Universal Precautions Risk Classification categories apply to this position and the individual may be exposed to AIDS. HIV, and Hepatitis B viruses.  Tasks That Involve Exposure to Blood, Body Fluids or Tissues.  All procedures or other job related tasks that involve an inherent potential for mucous membrane or skin contact with blood, body fluids, or tissues, or a potential for spills or splashes of them, are Category A tasks.  Use of appropriate protective measures should be required for every employee engaged in Category A tasks.





The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.




  • Must be able to visually identify and discern printed words on either typewritten pages or computer screen.
  • Must be able to identify and differentiate colors.
  • Must have depth perception within normal ranges.




  • Must be able to respond to spoken words and other auditory sounds including the ringing of telephone or beepers and monitors.
  • Must be able to respond and communicate orally by telephone.




  • Must be able to bend, reach and lift patients with assistance to transport them to stretchers/wheelchairs.
  • Some lifting may be required, however lifting over 40 pounds must be done with assistance.
  • Must be able to push and maneuver carts/stretchers/space saver, etc. Weights may vary and may require assistance.






  • Must be able to use, operate and interpret information from equipment in work area.





  • Must be able to verbally communicate in the English language directly and over the telephone and be understood.




  • Must be able to kneel or squat for 1 hour of an 8 hour shift.
  • Must be able to walk continually for 8 hours.
  • Must be able to stand for 8 hours straight.
  • Must have mobility for all parts of the body, walking, bending, lifting, reaching above head and use of hands.
  • Must have manual dexterity, fine motor skills (typing, computer, etc.)
  • Some tasks may require sitting for 40% of the work day.




  • Must be able to work under stress.
  • Must be able to work additional hours as appropriate.
  • Must be able to work a rotating shift.
  • Must be able to work “on call.” Must be able to deal with verbally and physically combative residents at times.
  • Must be able to utilize or wear protective equipment or apparel in accordance with OSHA standards.




  • Must have mental capacity to fulfill the requirements of the job including problem solving, logic, communication and numerical calculations.
  • Must be able to read and understand written instructions in English.
  • Accurate recall and memory.
  • Must be able to use judgment in making decisions and choices.
  • Ability to analyze numbers and make basic mathematical calculations.
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