ADON — Hands-On Nurse Leader Driving Quality Care

Legacy Healthcare; Burlington (IA); On-site; USD 90,000 - 110,000; Full time

Job summary

Legacy Healthcare is seeking an experienced Assistant Director of Nursing (ADON) for a Skilled Nursing Facility. The ADON will partner with the DON to lead daily clinical operations, mentor staff, and ensure high-quality resident care on the floor.

This hands-on nursing leadership role requires strong clinical skills, regulatory knowledge, and a commitment to resident-centered care. You will collaborate with MDS, therapy, dietary, social services, and other departments to promote safety and

Qualifications

• Current RN license in good standing.
• Experience in a skilled nursing facility, long-term care, or post-acute setting.
• Supervisory or nursing leadership experience preferred.
• Strong clinical assessment and critical-thinking skills.
• Knowledge of skilled nursing regulations and clinical standards.
• Excellent communication and interpersonal skills.
• Strong organizational and time-management abilities.
• Ability to lead, coach, and motivate a nursing team.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong documentation and computer skills.

Responsibilities

• Assist the DON with the overall management of the nursing department.
• Provide clinical leadership and support to RNs, LPNs/LVNs, and CNAs.
• Monitor daily nursing operations and resident care.
• Conduct regular rounds and remain visible and accessible to residents and staff.
• Monitor residents for changes in condition and ensure appropriate follow-up.
• Assist with reviewing incidents, falls, infections, wounds, hospitalizations, and other clinical events.
• Support accurate and timely clinical documentation.
• Assist with care planning and interdisciplinary coordination.
• Work closely with MDS, therapy, dietary, social services, and other departments.
• Help ensure compliance with facility policies and applicable state and federal regulations.
• Assist with survey preparation and ongoing survey readiness.
• Participate in QAPI and quality improvement initiatives.
• Monitor nursing practices and identify opportunities for improvement.
• Assist with staff scheduling, assignments, and staffing coverage.
• Support recruitment, orientation, training, and retention of nursing staff.
• Coach, mentor, and develop nurses and CNAs.
• Promote accountability and professional standards among nursing staff.
• Assist with performance management and employee counseling when appropriate.
• Help address resident and family concerns professionally and promptly.
• Support infection prevention and control initiatives.
• Assist with medication management and treatment compliance.
• Participate in nursing meetings and interdisciplinary team meetings.
• Serve as a clinical resource for nursing staff.
• Step in and provide hands-on clinical support when needed.
• Assist the DON with special projects and departmental initiatives.
• Assume responsibility for the nursing department in the DON's absence, as appropriate

Skills

Nursing leadership

Clinical leadership

Staff mentoring

Regulatory compliance

Infection prevention

Team coordination

Documentation

Education

RN license

Tools

EMR proficiency

Job description

Legacy Healthcare is seeking an experienced Assistant Director of Nursing (ADON) for a Skilled Nursing Facility. The ADON will partner with the DON to lead daily clinical operations, mentor staff, and ensure high-quality resident care on the floor.

This hands-on nursing leadership role requires strong clinical skills, regulatory knowledge, and a commitment to resident-centered care. You will collaborate with MDS, therapy, dietary, social services, and other departments to promote safety and