Job Description


The Assistant Director of Nursing assists in overseeing all aspects of the Skilled Nursing Department under the direction of the Director of Nursing through maintaining quality of resident care, activities, assessments and interactions with nursing staff. In addition, the Assistant Director of Nursing is responsible for ensuring the facility is compliant with federal CMS guidelines for participation and Title 22 regulations.

This position will service either the Portola or Loyalton Skilled Nursing Facilities.


  • Provide and maintain a work schedule for LVNs and CNAs who work in the SNF area. Maintains staffing levels
  • consistent with budget and in accordance with hospital policies, state and federal guidelines and resident care
  • needs.
  • Establish and maintain appropriate personnel to ensure delivery of optimal patient care.
  • Assist with the hiring and performance of SNF employees in concert with Human Resource department.
  • Assist with the completion of annual employee performance evaluations.
  • Assure that competency testing for all SNF employees is current.
  • Ensure that licensure and certification is current for all SNF employees.
  • Assure resident care service is compliant with accrediting and regulating agency requirements.
  • Communicate with physicians in regard to resident care, monthly progress notes, annual resident history an physicals and any other need for physician involvement.
  • Be present and available to surveyors during state licensing surveys.
  • Assist Director of Nursing in evaluating nursing care to identify achievements and problems.
  • Evaluate the need for supplies, equipment and personnel.
  • Make provisions to provide orientation and in-service education for SNF employees.
  • Covers staffing shortages by working as a floor nurse.
  • Attends Management Committee meetings, Minimum Data Set meetings, and Nursing Staff meetings.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge, skills and abilities required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.


  • Must have 5 years Long Term Care/Skilled Nursing experience.
  • Must have 1 year of supervisory experience.
  • Current license to practice professional nursing in the State of California.
  • Evidence of leadership, creativity, integrity, and initiative.
  • Must have working knowledge of Title 22, OBRA and HCFA regulations.
  • Mental and physical health sufficient to meet the demands of the position.


Ability to lift 50 lbs
Must be able to perform direct patient care activities when needed.