Skilled Nursing ADON

Peaks Healthcare; Roswell (NM); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

5,000 Sign On Bonus

Job summary

Spring River Rehabilitation & Care Center in Roswell, New Mexico is seeking an experienced Assistant Director of Nursing (ADON) to join our clinical leadership team. This RN role supports the Director of Nursing with planning, coordinating, and evaluating nursing services across the facility.

You will lead nursing operations, mentor staff, ensure regulatory compliance, and promote resident-centered care. This full‑time position offers opportunities to influence outcomes while collaborating with

Responsibilities

• Assist the Director of Nursing with the daily management and oversight of nursing services
• Provide visible clinical leadership throughout the facility and regularly round on nursing units
• Monitor resident care and nursing practices to ensure established standards of care are maintained
• Support consistent nursing operations across shifts, units, weekends, and changing resident needs
• Serve as a clinical resource for RNs, LPNs, CNAs, and other nursing personnel
• Assist nursing staff with complex resident‑care situations and changes in condition
• Promote timely communication with physicians/providers, residents, families, and interdisciplinary team members
• Participate in admissions, transfers, discharges, and significant changes in condition as appropriate
• Assist with emergency response and clinical decision‑making when necessary
• Assume nursing leadership responsibilities in the absence of the Director of Nursing as assigned
• Assist with evaluating nursing staffing levels based on resident census, acuity, and facility needs
• Work collaboratively with nursing leadership and scheduling personnel to maintain appropriate coverage
• Identify staffing gaps and assist with developing timely solutions
• Support efforts to minimize unnecessary overtime and agency utilization while maintaining appropriate resident care
• Assist with interviewing, selecting, onboarding, and retaining nursing employees
• Participate in nursing orientation and ensure new employees receive appropriate clinical support
• Provide coaching, counseling, and performance feedback to nursing staff
• Assist with attendance, performance, and accountability concerns in collaboration with the DON and Human Resources
• Promote employee engagement, teamwork, accountability, and retention within the nursing department
• Monitor resident outcomes and identify opportunities for clinical improvement
• Review changes in condition, hospital transfers, falls, wounds, infections, weight changes, medication concerns, and other clinical indicators as appropriate
• Assist with identifying residents at increased risk and ensure appropriate interventions are implemented
• Participate in clinical meetings and resident risk reviews
• Assist with root‑cause analysis and development of corrective interventions following adverse outcomes
• Monitor implementation and effectiveness of resident care plans
• Promote evidence‑based clinical practices and resident‑centered care
• Work collaboratively with nursing, therapy, dietary, social services, MDS, pharmacy, and medical providers to improve resident outcomes
• Conduct routine clinical audits to evaluate documentation accuracy, completeness, and compliance
• Review nursing documentation, medication and treatment records, physician/provider orders, assessments, and care‑related records as assigned
• Identify documentation deficiencies and provide timely education and follow‑up
• Assist with ensuring physician/provider orders are appropriately implemented and followed
• Monitor completion of required nursing assessments and documentation
• Support accurate and timely communication of resident information across the interdisciplinary team
• Assist with corrective action plans when documentation or clinical practice concerns are identified
• Assist the Director of Nursing with maintaining ongoing survey readiness
• Support nursing practices consistent with applicable federal, state, and facility requirements
• Participate in facility rounds and identify potential clinical or regulatory concerns
• Assist with preparation for regulatory surveys and other external reviews
• Participate in survey processes and assist with responding to identified concerns
• Support implementation and monitoring of plans of correction when applicable
• Ensure nursing staff understand and consistently follow facility policies, procedures, and clinical expectations
• Promote resident rights, dignity, privacy, safety, and freedom from abuse, neglect, and exploitation
• Identify nursing education and competency needs
• Collaborate with nursing leadership and Staff Development to provide education and training
• Provide hands‑on coaching and mentorship to nursing staff
• Assist with competency evaluations and clinical skills validation
• Support new graduate nurses and employees transitioning into skilled nursing
• Promote continuing education and professional development
• Develop emerging nursing leaders and encourage advancement within the organization
• Foster a culture of Caring, Truthful, Excellence, Outcome Oriented, and Willingness to Learn
• Develop positive relationships with residents and families
• Respond professionally and promptly to clinical questions and concerns
• Participate in resident and family meetings when nursing leadership involvement is appropriate
• Assist with resolving concerns before they esc…
• Communicate significant clinical concerns to appropriate leadership
• Promote resident choice, dignity, independence, and person‑centered care
• The Assistant Director of Nursing position is an opportunity for an experienced RN to expand their leadership capabilities while directly influencing nursing operations and resident outcomes.
• At Spring River, we want our nursing leaders to do more than manage—we want them to teach, mentor, develop staff, strengthen systems, and build the next generation of clinical leaders
• For an RN seeking continued advancement toward broader nursing leadership responsibilities, the ADON position provides meaningful exposure to clinical operations, staffing, regulatory compliance, quality improvement, employee development, and facility leadership.
• The company description here.
• About UsSpring River Rehabilitation & Care Center proudly serves the Roswell, New Mexico community, providing skilled nursing, rehabilitation, long‑term care, and post‑acute services.
• Our mission is simple:
• To Make Every Resident Feel Cared For.
• Equal Opportunity EmployerSpring River Rehabilitation & Care Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to any protected characteristic in accordance with applicable federal, state, and local laws.
• Reasonable AccommodationSpring River Rehabilitation & Care Center is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and hiring process. Applicants requiring assistance should contact Human Resources.
• Physical Requirements
• Ability to regularly move throughout the facility and nursing units
• Ability to stand and walk for extended periods while conducting clinical rounds
• Ability to assist with resident care, transfers, and repositioning using appropriate assistance and equipment when necessary
• Ability to respond promptly to resident needs and emergency situations
• Ability to perform direct clinical nursing responsibilities when necessary
• Ability to perform the essential functions of the position with or without reasonable accommodation

Job description

Assistant Director of Nursing (ADON) – RN
5,000 Sign On Bonus

Spring River Rehabilitation & Care Center | Roswell, New Mexico

Full-Time | Clinical Leadership

Why Join Spring River Rehabilitation & Care Center?

At Spring River Rehabilitation & Care Center, joining our leadership team means more than accepting a management position—it means having the opportunity to directly influence clinical quality, staff development, resident outcomes, and the overall culture of nursing.

The ADON works alongside the Director of Nursing and nursing leadership to strengthen clinical systems, support frontline staff, and ensure consistent nursing oversight throughout the facility. Spring River is a skilled nursing and rehabilitation community in Roswell, New Mexico.

• Collaborative nursing leadership environment
• Opportunity to directly influence clinical outcomes and quality
• Leadership role with hands‑on involvement in nursing operations
• Opportunities for professional growth and advancement
• Meaningful work developing and supporting nursing staff

Position Overview

Spring River Rehabilitation & Care Center is seeking an experienced, motivated, and resident-focused Assistant Director of Nursing (ADON) to join our clinical leadership team.

The ADON is a key nursing leader responsible for assisting the Director of Nursing (DON) with the planning, coordination, implementation, and evaluation of nursing services throughout the facility. This position provides daily clinical leadership while supporting nursing operations, staffing, regulatory compliance, employee development, quality improvement, and resident-centered care.

The ADON should be a highly visible and engaged leader who is comfortable working directly with nursing staff, residents, families, providers, and members of the interdisciplinary team. The position requires a balance of clinical expertise, leadership, accountability, problem‑solving, and staff development.

Key Responsibilities

Clinical Leadership & Nursing Operations

• Assist the Director of Nursing with the daily management and oversight of nursing services

• Provide visible clinical leadership throughout the facility and regularly round on nursing units

• Monitor resident care and nursing practices to ensure established standards of care are maintained

• Support consistent nursing operations across shifts, units, weekends, and changing resident needs

• Serve as a clinical resource for RNs, LPNs, CNAs, and other nursing personnel

• Assist nursing staff with complex resident‑care situations and changes in condition

• Promote timely communication with physicians/providers, residents, families, and interdisciplinary team members

• Participate in admissions, transfers, discharges, and significant changes in condition as appropriate

• Assist with emergency response and clinical decision‑making when necessary

• Assume nursing leadership responsibilities in the absence of the Director of Nursing as assigned

Staffing & Workforce Management

• Assist with evaluating nursing staffing levels based on resident census, acuity, and facility needs

• Work collaboratively with nursing leadership and scheduling personnel to maintain appropriate coverage

• Identify staffing gaps and assist with developing timely solutions

• Support efforts to minimize unnecessary overtime and agency utilization while maintaining appropriate resident care

• Assist with interviewing, selecting, onboarding, and retaining nursing employees

• Participate in nursing orientation and ensure new employees receive appropriate clinical support

• Provide coaching, counseling, and performance feedback to nursing staff

• Assist with attendance, performance, and accountability concerns in collaboration with the DON and Human Resources

• Promote employee engagement, teamwork, accountability, and retention within the nursing department

Clinical Quality & Resident Outcomes

• Monitor resident outcomes and identify opportunities for clinical improvement

• Review changes in condition, hospital transfers, falls, wounds, infections, weight changes, medication concerns, and other clinical indicators as appropriate

• Assist with identifying residents at increased risk and ensure appropriate interventions are implemented

• Participate in clinical meetings and resident risk reviews

• Assist with root‑cause analysis and development of corrective interventions following adverse outcomes

• Monitor implementation and effectiveness of resident care plans

• Promote evidence‑based clinical practices and resident‑centered care

• Work collaboratively with nursing, therapy, dietary, social services, MDS, pharmacy, and medical providers to improve resident outcomes

Documentation & Clinical Auditing

• Conduct routine clinical audits to evaluate documentation accuracy, completeness, and compliance

• Review nursing documentation, medication and treatment records, physician/provider orders, assessments, and care‑related records as assigned

• Identify documentation deficiencies and provide timely education and follow‑up

• Assist with ensuring physician/provider orders are appropriately implemented and followed

• Monitor completion of required nursing assessments and documentation

• Support accurate and timely communication of resident information across the interdisciplinary team

• Assist with corrective action plans when documentation or clinical practice concerns are identified

Regulatory Compliance & Survey Readiness

• Assist the Director of Nursing with maintaining ongoing survey readiness

• Support nursing practices consistent with applicable federal, state, and facility requirements

• Participate in facility rounds and identify potential clinical or regulatory concerns

• Assist with preparation for regulatory surveys and other external reviews

• Participate in survey processes and assist with responding to identified concerns

• Support implementation and monitoring of plans of correction when applicable

• Ensure nursing staff understand and consistently follow facility policies, procedures, and clinical expectations

• Promote resident rights, dignity, privacy, safety, and freedom from abuse, neglect, and exploitation

Staff Education & Development

• Identify nursing education and competency needs

• Collaborate with nursing leadership and Staff Development to provide education and training

• Provide hands‑on coaching and mentorship to nursing staff

• Assist with competency evaluations and clinical skills validation

• Support new graduate nurses and employees transitioning into skilled nursing

• Promote continuing education and professional development

• Develop emerging nursing leaders and encourage advancement within the organization

• Foster a culture of Caring, Truthful, Excellence, Outcome Oriented, and Willingness to Learn

Resident & Family Relations

• Develop positive relationships with residents and families

• Respond professionally and promptly to clinical questions and concerns

• Participate in resident and family meetings when nursing leadership involvement is appropriate

• Assist with resolving concerns before they esc…

• Communicate significant clinical concerns to appropriate leadership

• Promote resident choice, dignity, independence, and person‑centered care

Grow With Us

The Assistant Director of Nursing position is an opportunity for an experienced RN to expand their leadership capabilities while directly influencing nursing operations and resident outcomes.

At Spring River, we want our nursing leaders to do more than manage—we want them to teach, mentor, develop staff, strengthen systems, and build the next generation of clinical leaders.

For an RN seeking continued advancement toward broader nursing leadership responsibilities, the ADON position provides meaningful exposure to clinical operations, staffing, regulatory compliance, quality improvement, employee development, and facility leadership.

About Us

Spring River Rehabilitation & Care Center proudly serves the Roswell, New Mexico community, providing skilled nursing, rehabilitation, long‑term care, and post‑acute services.

Our mission is simple:

To Make Every Resident Feel Cared For.

We believe achieving that mission begins with strong nursing leadership, supported employees, consistent clinical standards, and an unwavering commitment to resident‑centered care.

Equal Opportunity Employer

Spring River Rehabilitation & Care Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to any protected characteristic in accordance with applicable federal, state, and local laws.

Reasonable Accommodation

Spring River Rehabilitation & Care Center is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and hiring process. Applicants requiring assistance should contact Human Resources.

Physical Requirements

• Ability to regularly move throughout the facility and nursing units

• Ability to stand and walk for extended periods while conducting clinical rounds

• Ability to assist with resident care, transfers, and repositioning using appropriate assistance and equipment when necessary

• Ability to respond promptly to resident needs and emergency situations

• Ability to perform direct clinical nursing responsibilities when necessary

• Ability to perform the essential functions of the position with or without reasonable accommodation