Certifited Dietary Manager (CDM) – Maple Grove

JOB DESCRIPTION

Position / Title: Certified Dietary Manager  (CDM)

Department: Culinary Services

 

SUMMARY:

The Certified Dietary Manager is responsible for the daily operations of foodservice department, according to facility policy and procedures and federal/ state regulations. They provide leadership and guidance to ensure that food quality, safety standards, and client expectations are satisfactorily met. Maintains records of department personnel, income and expenditures, food, supplies, inventory levels, and equipment.

Operations Management

  • Recruit, interview, hire, train, coach, evaluate, reward, discipline, and when necessary, terminate employees
  • Develop job descriptions and job duties for each level of foodservice personnel
  • Develop work schedules to ensure adequate staff to cover each shift
  • Create and monitor budgets for a cost-effective program
  • Manage revenue-generating services
  • Use forecasts, food waste records, inventory, and equipment records to plan the purchase of food, supplies, and equipment
  • Justify improvements in the department design and layout
  • Work cooperatively with clients, facility staff, physicians, consultants, vendors, and other service providers

Foodservice Management

  • Specify standards and procedures for preparing food
  • Participate in menu planning, including responding to client preferences, substitution lists, therapeutic diets, and industry trends
  • Inspect meals and assure that standards for appearance, palatability, temperature, and serving times are met
  • Manage the preparation and service of special nourishments and supplemental feedings
  • Assure that foods are prepared according to production schedules, menus, and standardized recipes

Food Safety

  • Assure safe receiving, storage, preparation, and service of food
  • Protect food in all phases of preparation, holding, service, cooking, and transportation, using HACCP Guidelines
  • Prepare cleaning schedules and maintain equipment to ensure food safety
  • Ensure proper sanitation and safety practices of staff

Nutrition and Medical Nutrition Therapy

  • Process new diet orders and diet changes; keep diet cards updated
  • Complete the assigned MDS section according to required timeline
  • Determine client diet needs and develop appropriate dietary plans in cooperation with RD and in compliance with physicians’ orders
  • Review plan of care related to nutritional status; document concerns that can be resolved, improved, or addressed to improve client’s nutritional status and eating function
  • Review, revise, and implement, in cooperation with the IDT, the client’s nutrition assessment and plan of care
  • Support registered dietitian duties as needed

General Knowledge, Skills, and Abilities

  • Skill in motivating, coaching, and supervising foodservice personnel
  • Intermediate computer skills
  • Mathematical and numerical skills; mechanical aptitude helpful
  • Effective written and oral communication skills
  • Demonstrated organizational skills
  • Current awareness of legislation and regulations influencing the practice of standards of care

DEGREE OF SUPERVISION: 

The Certified Dietary Manager reports to the Chief Administrative Officer.

QUALIFICATIONS:

  • Graduate of Dietary Manager’s Program, 2-yr, or 4-yr foodservice program
  • Successful completion of Certified Dietary Manager exam
  • Two years’ experience in foodservice management
  • Prior experience in healthcare foodservice preferred Physical Demands/Working Conditions
  • Able to lift and carry in excess of 50 lbs.
  • Able to withstand extreme temperatures, hot and cold
  • Able to work long hours, including some evenings, weekends, holidays, as needed
  • Able to interact positively with people of all ages.

CLICK HERE TO APPLY

Registered Dietitian – Alleghany

JOB DESCRIPTION 

Position / Title:  Registered Dietitian    

Department: Dietary

 

SUMMARY:

The Registered Dietitian reports to the Chief Administrative Officer and is responsible for providing expert advise to facility staff to establish and maintain systems that are effective and efficient to operate the dietary department and to enhance the quality of life of our residents by providing quality nutritional services on a daily basis and assuring that the dietary department is maintained in a clean, safe, and sanitary manner in compliance with federal, state, and local requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Develop dietary care plans and assessments.

  • Assess and document the nutritional needs of each resident in accordance with the resident comprehensive assessment and care plan.
  • Assess and document residents’ food allergies and cultural backgrounds that may affect food consumption.
  • Develop a written dietary plan of care that identifies the dietary problems/needs of the resident and the goals to be accomplished for each dietary problem/need identified.
  • Review and plan all regular and therapeutic diets and menus as prescribed by the attending physician.
  • Review residents’ dietary profile, assessment plan, and plan of care for residents triggering related to nutritional status and eating function. Recommend diet changes as appropriate to improve the resident’s nutritional status and eating function.
  • Review and revise care plans and assessments as necessary.
  • Approve all permanent menu substitutions.
  • Ensure that charted dietary progress notes are informative and descriptive of the services provided and of the resident’s response to the service.
  • Respond to oral and written feedback from residents on food quality and service.
  • Maintain a written record of the resident’s complaints and/or grievances that indicate the action taken to resolve the complaint and the current status of the complaint.

 

Provide expert advice and consultation to residents, family members, and Director of Culinary Services.

  • Counsel residents regarding dietary likes and dislikes, appetite, food habits and therapeutic menus.
  • Develop and monitor systems to evaluate effectiveness of dietary department and assure compliance with federal, state, and local requirements.
  • Evaluate food based on nutritional adequacy, method of preparation, taste, appearance, serving temperature and potion size.
  • Assist Director of Culinary Services in adjusting recipes for desired yield.  

DEGREE OF SUPERVISION:

The Registered Dietitian reports to and receives general direction from the Chief Administrative Officer.

QUALIFICATIONS:

  • Must possess, a Bachelor’s Degree is Dietetics from an accredited college or university.
  • Possess a current, unencumbered active license to practice as a dietician in the state.
  • Must be knowledgeable of dietary practices and procedures as well as laws, regulations and guidelines governing dietary functions in the long-term care facility.
  • Must have training or previous experience in cost control, food management and dietary therapy.
  • Must possess the ability to deal tactfully with personnel, residents, and family members.
  • Must have knowledge of methods and procedures for serving food, principles of sanitation, and principles of safe food handling. 

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to push, pull, move and/or lift a minimum of 30 pounds to a height of 2.5 feet and able to push, pull, move and/or carry such weight a minimum distance of 50 feet.
  • Must be able to stand, bend, lift and move intermittently throughout the work day in the dietary services area and throughout the facility.
  • Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
  • Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility. 

WORKING ENVIRONMENT:

Works in office areas, the dietary services area, as well as throughout the facility. Works beyond normal duty hours and on weekends and holidays when necessary.  Interacts with residents, family members, and staff under all conditions and circumstances.  May be exposed to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

CLICK HERE TO APPLY!

Staff Educator – Alleghany

Position / Title:  Staff Educator

SUMMARY:

The Staff Educator reports to and receives general direction from the Director of Nursing and is responsible for planning, organizing, implementing, evaluating and coordinating the total staff development program of orientation and in-service training in accordance with federal, state, and local standards, guidelines, and established policies and procedures.  In addition, the Area Nursing Instructor will provide clinical support to the various facilities, as directed by the CNO.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Plan, implement, direct and evaluate the facility education program for nursing assistants.

  • Ensure that all applicants are prepared for approval by the DHS for Orientation, In-Service, Continuing Education, and CNA Certification training.
  • Prepare DHS renewal applications for all educational programs as required by the State.
  • Provide program change information to DHS, when appropriate, within 30 day of change as required by the State.
  • Maintain a current schedule of all students and outside instructors who may be in the facility doing clinical training.
  • Ensure ALL Nursing Assistants hired by the facility complete a certification program within four months of the date of hire.
  • Conduct competency testing for all nursing skills, quarterly, annually, as needed.
  • Provide comprehensive orientation program to all new hires.
  • Schedule and coordinate annual mandatory in-service education.
  • Provide support in 100% compliance with monthly in-service training modules.
  • Provide resources for licensed staff in-service in clinical skills development.
  • Act as facility liaison to develop and maintain relationships with appropriate student affiliate programs.

Plan, implement and conduct a comprehensive orientation program for all new hires.

  • Schedule and coordinate an orientation program in accordance with federal, state, and local standards, guidelines, and established policies and procedures. Ensure training occurs prior to a direct patient care assignment. Orientation programs must comply with Corporate Orientation Guidelines.
  • Ensure all nursing assistants complete required orientation training.
  • Complete an Orientation Skills Return Demonstration Checklist on all new nursing assistants showing they are competent to perform all direct patient care tasks they will be assigned. Promptly forward a copy of the completed checklist to the HR/Payroll Coordinator for inclusion in the personnel record.
  • Provide individual skill training to new staff in any deficient area noted during Orientation Skills Return Demonstration Checklist before allowing the nursing assistant to perform the task with a resident.
  • The Orientation program for all employees, must include a minimum of the following: PPD/Hepatitis B; Infection Control Procedures; Proper Handwashing Techniques; Infectious Waste Handling & Disposal; Blood Borne Pathogen Education; Standard Precautions; Dress Code; How QA applies to all employees; HIPAA/Confidentiality. In addition to the above minimum requirements, the orientation for all direct care staff, must include a minimum of the following:  Fall Prevention Policy & Procedure; Pressure Wound Prevention; Care of the Dementia Patient; Patient Assignment; End of Shift Reporting/Condition Change; Charting; ADL Computer Training; Hold over staffing procedure; Documentation Standards & Routines; Emergency Supplies; Crash Cart Procedures.  Additionally, orientation programs must comply with Corporate Orientation Guidelines.
  • Promptly forward a copy of the completed Orientation Checklist to the HR/Payroll Coordinator for inclusion in the personnel record.

Plan, implement and conduct a comprehensive in-service training program for all staff.

  • Plan and deliver In-Service training for all staff addressing the 12 mandatory topics on an annual basis. Facility consultants should be utilized where appropriate.
  • Ensure all employees receive a minimum of 12 hours in-service training per year.
  • Schedule and deliver In-Service training through classes which are made available at times accessible to all shifts.
  • Evaluate In-Service training to develop programs that enhance patient care skills.
  • Make regular checks for competency of nursing staffs skill performance focusing on the, positive regard for residents and developmental needs of direct care staff, intervene with mini in-service immediately if appropriate.
  • Prepare and file lesson plans for all programs taught.
  • Maintain all In-Service Education records for a minimum of 4 years. Documentation must be maintained in accordance with the Corporate Guidelines for In-Service Education.
  • Maintain a three-ring “Course Content Binder” for each year. Copies of course content, lesson plans, handouts, sign-in roster should be filed chronologically for each in-service presented.
  • Maintain a three-ring “Individual In-Service Education Attendance” Binder. Individual In-Service Education Attendance Rosters are filled alphabetically. Ensure all attendees sign both the sign-in roster and the Individual In-Service Education Attendance Roster for each in-service training attended.

Ensure ALL Nursing Assistants hired by the facility complete a certification program within four months of the date of hire. Certification program may be conducted in-facility or contracted to outside schools, agencies or other facilities.

  • In-Facility Nursing Assistant Certification Programs (If Applicable)
    • Schedule, develop, and deliver Certified Nursing Assistant training that enables all non-certified direct care employees to complete the program within four months of their date of hire.
    • Communicate and uphold staff development policies on failure to complete the program, testing and submission of forms, fees, and other documentation.
    • Ensure that immediate supervision of all nursing assistants during clinical training hours is provided by a licensed nurse.
    • Complete a Skills Return Demonstration Checklist for each student to verity competency in all resident care skills. Retrain and re-evaluate students not performing adequately.
    • Provide final evaluation tools and performance standards for all required skill areas and evaluate to indicate pass/fail or retest requirements in accordance with facility policies.
    • Provide a list of all nursing assistants who pass the facility CNA certification class, submit their CNA applications and their fee payments to DHS in a timely manner upon successful completion of the program.
  • Nursing Assistant Certification Programs Contracted To Outside Agencies (If applicable)
    • Annually review contract/letter of agreement with agency or school providing CNA training to the facility’s direct care staff to determine if contractor meets requirements and staffing needs.
    • Evaluate quality of training CNA’s receive and recommend appropriate changes.

Provide Clinical Support to the Chief Nursing Officer at any Kissito facility, as directed by the Chief Nursing Officer.

QUALIFICATIONS:

  • Graduate of an accredited school of Nursing
  • Must possess a current, unencumbered Registered Nurse License issued by the State.
  • Minimum of 1 year experience as a supervisor in a hospital, long-term care, or other related health care facility.
  • Must have 1 year experience in direct resident care and supervision of staff education as required under OBRA and state regulation or must within 6 months of employment, obtain a minimum of 24 hours of continuing education in planning, implementing, and evaluating nursing educational programs.       Courses must be approved by the Board of Registered Nurses or administered by an accredited educational institution.
  • Must be certified to train CPR and AED.
  • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to push, pull, move and/or lift a minimum of 50 pounds.
  • Must be able to stand and walk for long periods of time.
  • Must be able to reach, stoop, kneel, bend, lift and move intermittently throughout the workday throughout the facility.
  • Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
  • Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.
  • Most possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures necessary for providing quality care.

WORKING ENVIRONMENT:

Works throughout the facility. Works beyond normal duty hours, on weekends and holidays when necessary.  Interacts with residents, family members, and staff under all conditions and circumstances.  Is subject to hostile and emotionally upset residents, family members, and visitors.   Exposure to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

Click here to apply!

Physical Therapist – MCN

JOB DESCRIPTION

Position / Title: Physical Therapist

 

 

 

SUMMARY: 

The Physical Therapist reports to and receives general supervision from the Director of Rehabilitation and is responsible for providing physical therapy services to residents as ordered by the physician in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures to prevent avoidable physical and/or mental deterioration and to assist them in obtaining and maintaining their highest practicable level of functioning and  psychosocial well-being.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Utilize the therapy process by demonstrating appropriate evaluation, plan of care development, selection of therapeutic interventions, implementation, evaluation of functional outcomes, and facilitation of discharge plan.

  • Evaluation:
    • Assess each resident’s functional abilities considering the residents capabilities, the tasks and the environments in which these tasks occur.
    • Participate in completing designated section of the initial and comprehensive assessments of a resident’s physical therapy needs and the individualized care plans within established time frames.
  • Plan of Care Development:
    • Utilize evidence-based research as it applies ethically and appropriately to the physical therapy process.
    • Recommend additional consultations and treatments, as needed.
    • Develop, document, and implement physical therapy intervention based on the evaluation, resident goals, current best evidence, and clinical reasoning with physician approval. Review the intervention plan with the resident.
    • Document changes in resident’s performance and capacities. Modify intervention plan or discontinue services when resident has achieved identified goals, reached maximum benefit or does not desire to continue services.
  • Therapeutic Intervention Selection
    • Select therapy activities to fit resident’s needs and capabilities. Alter treatment programs as necessary.
    • Monitor and evaluate resident’s performance in therapy activities and provide encouragement.
  • Evaluate Functional Outcomes – Select, measure, document and interpret expected and achieved outcomes that are related to the resident’s functional abilities.
  • Facilitation of Discharge Plan:
  • Prepare and implement a discontinuation or transition plan based on the resident’s needs, goals, performance, and appropriate follow-up resources, including the implementation of restorative nursing programs..
    • Instruct residents, families, and caregivers in home programs, basic living skills and the care and use of adaptive equipment.

 

  • Supervision of Physical Therapy Personnel

◦    Supervise clinincal services provided by Physical Therapy Assistants, students of physical therapy programs, and Rehabilitation Aides utilizing standards established by practice settings, government agencies, payers, and APTA documents.

Complete Inservicing and Training

◦    Inservice staff members and caregivers as needed, as it relates to the delivery of physical therapy services.

 

Perform duties in a safe manner in accordance with established policies and procedures.

  • Perform all duties in compliance with established safety and infection control policies and procedures.
  • Actively participate in fire, safety and disaster preparedness drills.
  • Maintain safe working conditions and practices and follow established safety regulations in the use of modalities, equipment and supplies.

 

Timely and accurately record physical therapy services in an informative and descriptive manner.

  • Ensure all physical therapy documentation conveys specific therapy provided and the resident’s response or lack of response to the therapy provided.
  • Perform all therapy services in accordance with the individualized plan of care.
  • Honor the resident’s refusal of treatment request.  Document and promptly report such requests to the Director of Rehabilitation.
  • Record all entries on notes, charts, etc. in an informative and descriptive manner.
  • Use only authorized abbreviations established by the facility when recording information.
  • Properly document all therapy, responses to therapy, changes in condition, etc. in accordance with established policies and procedures. 

 

DEGREE OF SUPERVISION:

The Physical Therapist reports to and receives general supervision from the Director of Rehabilitation.

QUALIFICATIONS:

  • Graduate of a physical therapy program accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE®) or predecessor organizations.
  • Must have successfully completed a period of supervised fieldwork experience required by the recognized educational institution where the applicant met the academic requirements.
  • Must have passed all examinations for physical therapists.
  • Possess a current and unencumbered license, registration, or certification as required by law or regulation.
  • Must posses a working knowledge of Physical Therapy practices, including the ability to recall important and commonly used information in source documents, and an understanding of the application of the pertinent principles in this field.
  • Abide by the Code of Ethics of the American Physical Therapy Association;
  • A foreign educated occupational therapist who is a graduate of a school not approved by an accrediting agency must meet all requirements for state licensure or meet the criteria for a traineeship as a “foreign educated trainee” under the direct supervision of a licensed physical therapist.
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
  • Must maintain a current license at all times throughout employment.

 

PHYSICAL AND MENTAL DEMANDS:

  • Must possess adequate vision and hearing to perform essential job duties.
  • Must be able to safely lift, transfer, and assist patients as needed, several times per day.
  • Must be able to stand for extended periods of time and move freely throughout the facility, both in-doors and out-doors.
  • Must be able to carry objects to multiple locations, safely push wheelchairs and patient beds and reach above head level several times per day.
  • Must be able to perform tasks requiring mental reasoning, sequencing and discrimination.
  • Must be able to perform math calculations.

 

 

WORKING ENVIRONMENT:

Works throughout the facility.  Works beyond normal duty hours, on weekends and holidays when necessary.  Must be able to travel as needed.  Interacts with residents, family members, and staff under all conditions and circumstances.  Is subject to hostile and emotionally upset residents, family members, and visitors.   Exposure to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

 

Occupational Therapist (OT) – MCN

Job Description

Position / Title:            Occupational Therapist

Department:                 Rehabilitation

Reports To:                  Director of Rehabilitation

SUMMARY:

The Occupational Therapist reports to and receives general supervision from the Director of Rehabilitation and is responsible for providing quality occupational therapy services to residents as ordered by the physician in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures to prevent avoidable physical and/or mental deterioration and to assist them in obtaining and maintaining their highest practicable level of functioning and psychosocial well-being.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Utilize the therapy process by demonstrating appropriate evaluation, plan of care development, selection of therapeutic interventions, implementation, evaluation of functional outcomes, and facilitation of discharge plan.

Evaluation:

  • Assess each resident’s ability to participate in daily activities considering the residents capabilities, the activities and the environments in which these activities occur.
  • Participate in completing designated section of the initial and comprehensive assessments of a resident’s occupational therapy needs and the individualized c are plans within established time frames.
  • Ensure billing information regarding occupational therapy services rendered is sent to the Business Office in a timely manner.

Plan of Care Development:

  • Utilize evidence-based research as it applies ethically and appropriately to the occupational therapy process.
  • Recommend additional consultations and treatments, as needed.
  • Develop, document, and implement occupational therapy intervention based on the evaluation, resident goals, current best evidence, and clinical reasoning with physician approval. Review the intervention plan with the resident.
  • Document changes in resident’s performance and capacities. Modify intervention plan or discontinue services when resident has achieved identified goals, reached maximum benefit or does not desire to continue services.
  • Therapeutic Intervention Selection
  • Select therapy activities to fit resident’s needs and capabilities. Alter treatment programs as necessary.
  • Monitor and evaluate resident’s performance in therapy activities and provide encouragement.
  • Evaluate Functional Outcomes – Select, measure, document and interpret expected and achieved outcomes that are related to the resident’s ability to engage in activities of daily living.
  • Facilitation of Discharge Plan – Prepare and implement a discontinuation or transition plan based on the resident’s needs, goals, performance, and appropriate follow-up resources, including the implementation of restorative nursing programs.
  • Supervision of Occupational Therapy Personnel
  • Complete In-servicing and Training◦    Instruct patients, families, caregivers in home programs, basic living kills and the care and use of adaptive equipment. Perform duties in a safe manner in accordance with established policies and procedures.
  • In-service staff members and caregivers as needed, as it relates to the delivery of occupational therapy services.
  • Supervise clinical services provided by Occupational Therapy Assistants, students of occupational therapy programs, and Rehabilitation Aides utilizing standards established by practice settings, government agencies, payers, and AOTA documents.
  • Perform all duties in compliance with established safety and infection control policies and procedures.
  • Actively participate in fire, safety and disaster preparedness drills.
  • Maintain safe working conditions and practices and follow established safety regulations in the use of modalities, equipment and supplies.Timely and accurately record occupational therapy services in an informative and descriptive manner.
  • Ensure all occupational therapy documentation conveys specific therapy provided and the resident’s response or lack of response to the therapy provided.
  • Perform all therapy services in accordance with the individualized plan of care.
  • Honor the resident’s refusal of treatment request.  Document and promptly report such requests to the Director of Rehabilitation.
  • Record all entries on notes, charts, etc. in an informative and descriptive manner.
  • Use only authorized abbreviations established by the facility when recording information.
  • Properly document all therapy, responses to therapy, changes in condition, etc. in accordance with established policies and procedures. The Occupational Therapist reports to and receives general supervision from the Director of Rehabilitation.

QUALIFICATIONS:

  • Graduate of an occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE®) or predecessor organizations.
  • Must have successfully completed a period of supervised fieldwork experience required by the recognized educational institution where the applicant met the academic requirements of an educational program for occupational therapists that is accredited by ACOTE® or predecessor organizations.
  • Must have passed a nationally recognized entry-level examination for occupational therapists;
  • Possess a current and unencumbered license, registration, or certification as required by law or regulation;•   Abide by the AOTA Standards for Continuing Competence (AOTA, 1999) by
  • establishing, maintaining, and updating professional performance, knowledge, and skills.
  • Abide by the AOTA Occupational Therapy Code of Ethics (AOTA, 2000);
  • Must posses a working knowledge of Occupational Therapy practices, including the ability to recall important and commonly used information in source documents, and an understanding of the application of the pertinent principles in this field.
  • A foreign educated occupational therapist who is a graduate of a school not approved by an accrediting agency must meet all requirements for state licensure or meet the criteria for a traineeship as a “foreign educated trainee” under the direct supervision of a licensed occupational therapist.
  • Maintains professional and technical knowledge by attending educational workshops;
  • reviewing professional publications; establishing personal networks; participating in professional societies.
  • Must maintain a current license at all times throughout employment.

PHYSICAL AND MENTAL DEMANDS: 

  • Must possess adequate vision and hearing to perform essential job duties.
  • Must be able to safely lift, transfer, and assist patients as needed, several times per day.
  • Must be able to stand for extended periods of time and move freely throughout the facility, both in-doors and out-doors.
  • Must be able to carry objects to multiple locations, safely push wheelchairs and patient beds and reach above head level several times per day.
  • Must be able to perform tasks requiring mental reasoning, sequencing and discrimination.
  • Must be able to perform math calculations.

WORKING ENVIRONMENT:

Works throughout the facility. Works beyond normal duty hours, on weekends and holidays when necessary.  Must be able to travel as needed.  Interacts with residents, family members, and staff under all conditions and circumstances.  Is subject to hostile and emotionally upset residents, family members, and visitors.   Exposure to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

Click here to apply!

Speech Therapist – MCN

JOB DESCRIPTION

Position / Title:  Speech Language Pathologist

 

SUMMARY: 

The Speech Language Pathologist reports to and receives general supervision from the Director of Rehabilitation and is responsible for providing speech language pathology services to residents, as ordered by the physician, who experience disorders of cognition, communication or dysphagia in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures to assist them in obtaining and maintaining their highest practicable level of functioning and  psychosocial well-being.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Utilize the therapy process by demonstrating appropriate evaluation, plan of care development, selection of clinical interventions, implementation, evaluation of functional outcomes, and facilitation of discharge plan.

  • Evaluation:
    • Assess each resident’s functional abilities considering the residents capabilities, the tasks and the environments in which these tasks occur.
    • Evaluate and perform diagnostic testing in areas of fluency, speech articulation, voice, receptive and expressive language (syntax, morphology, semantics, pragmatics), swallowing disorders, and cognitive communication functioning.
    • Participate in completing designated section of the initial and comprehensive assessments of a resident’s speech language pathology needs and the individualized care plans within established time frames.
  • Plan of Care Development:
    • Utilize evidence-based research as it applies ethically and appropriately to the speech language pathology process.
    • Recommend additional consultations and treatments, as needed.
    • Develop, document, and implement speech language pathology intervention based on the evaluation, resident goals, current best evidence, and clinical reasoning with physician approval. Review the intervention plan with the resident.
    • Document changes in resident’s performance and capacities. Modify intervention plan or discontinue services when resident has achieved identified goals, reached maximum benefit or does not desire to continue services.
  • Therapeutic Intervention Selection
    • Select therapy activities to fit resident’s needs and capabilities. Alter treatment programs as necessary.
    • Monitor and evaluate resident’s performance in therapy activities and provide encouragement.
  • Evaluate Functional Outcomes – Select, measure, document and interpret expected and achieved outcomes that are related to the resident’s ability to engage in functional tasks. 
  • Facilitation of Discharge Plan:
  • Prepare and implement a discontinuation or transition plan based on the resident’s needs, goals, performance, and appropriate follow-up resources, including the implementation of restorative nursing programs.
    • Instruct residents, families and caregivers in home programs, basic living skills and the care and use of adaptive equipment and/or compensatory strategies.
    • Supervise Others

∙  Supervise Speech Language Pathologists during their Clinical Fellowship Year, students of speech language pathology programs, and Rehabilitation Aides utilizing standards established by practice settings, government agencies, payers, and ASHA documents.

  • Complete In servicing and Training

◦ In-service staff members and caregivers as needed, as it relates to the delivery of  speech language pathology services.

 

Perform duties in a safe manner in accordance with established policies and procedures.

  • Perform all duties in compliance with established safety and infection control policies and procedures.
  • Actively participate in fire, safety and disaster preparedness drills.
  • Maintain safe working conditions and practices and follow established safety regulations in the use of modalities, equipment and supplies.

 

Timely and accurately record speech language pathology services in an informative and descriptive manner.

  • Ensure all speech language pathology documentation conveys specific therapy provided and the resident’s response or lack of response to the therapy provided.
  • Perform all therapy services in accordance with the individualized plan of care.
  • Honor the resident’s refusal of treatment request.  Document and promptly report such requests to the Director of Rehabilitation.
  • Record all entries on notes, charts, etc. in an informative and descriptive manner.
  • Use only authorized abbreviations established by the facility when recording information.
  • Properly document all therapy, responses to therapy, changes in condition, etc. in accordance with established policies and procedures.

 

DEGREE OF SUPERVISION:

The Speech Language Pathologist reports to and receives general supervision from the Director of Rehabilitation.

 

QUALIFICATIONS:

  • Master’s Degree or Doctoral Degree from a speech language pathology program with accreditation consistent with the national standards set by the American Speech Language Hearing Association (ASHA®) or predecessor organizations.
  • Possess a current and unrestricted Certificate of Clinical Competence issued by the American Speech-Language-Hearing Association.
  • Must have passed the qualifying examination from the appropriate accrediting body.
  • Possess a current and unencumbered license, registration, or certification as required by law or regulation.
  • Current membership with the American Speech-Language-Hearing Association.
  • Abide by the Code of Ethics, as developed by ASHA;
  • Must posses a working knowledge of Speech language pathology practices, including the ability to recall important and commonly used information in source documents, and an understanding of the application of the pertinent principles in this field.

 

 

PHYSICAL AND MENTAL DEMANDS:

  • Must possess adequate vision and hearing to perform essential job duties.
  • Must be able to safely lift, transfer, and assist patients as needed, several times per day.
  • Must be able to stand for extended periods of time and move freely throughout the facility, both in-doors and out-doors.
  • Must be able to carry objects to multiple locations, safely push wheelchairs and patient beds and reach above head level several times per day.
  • Must be able to perform tasks requiring mental reasoning, sequencing and discrimination.
  • Must be able to perform math calculations.

 

 

WORKING ENVIRONMENT:

Works throughout the facility.  Works beyond normal duty hours, on weekends and holidays when necessary.  Must be able to travel as needed.  Interacts with residents, family members, and staff under all conditions and circumstances.  Is subject to hostile and emotionally upset residents, family members, and visitors.   Exposure to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

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Registered Nurse (RN) – MCN

JOB DESCRIPTION

Position / Title:  Registered Nurse

 

 

 

SUMMARY: 

The Registered Nurse reports to and receives general direction from the Director of Nursing and is responsible for delivering quality nursing care to assigned residents in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures which encourages each resident’s ability to maintain or attain the highest practical physical, mental, and psychosocial well-being.

 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Utilize the nursing process by demonstrating appropriate assessment, planning, implementation, and evaluation of the resident’s care.                                               

  • Assess each resident; collect and document the resident’s current health status and medical history. Complete and/or review the Admission Data Record.  Make accurate and ongoing assessments of the resident’s status and respond appropriately.
  • Plan/Implement: Set priorities for nursing action in a logical sequence according to the resident’s needs and formulate a plan of care by the appropriate selection of Nurse Practice Standards.  The Plan of Care is initiated on resident admission based on all aspects of the initial assessment.  Plan includes physiological, psychosocial, and environmental factors.
  • Evaluate: Perform ongoing assessments and revise plan of care based on new data and resident’s condition.                                    .
  • Documentation: Document accurate and ongoing assessments of resident status.  Document resident care which reflects nursing intervention, resident response to care provided, resident needs, problems, capabilities, limitations and progress toward goals.
  • Communicate with physicians regarding resident needs, the nursing assessments, and recommendations as needed. Collaborate with other nurses and nursing department staff to ensure the resident’s well being.

 

Perform direct patient care utilizing established procedures, policies and standards.

  • Administer medications, IV’s, treatments and procedures in accordance with physician’s orders.
  • Observe and document resident’s response to medications and treatments.
  • Ensure proper disposal of all drugs and medications.
  • Ensure adequate levels of medication, supplies and equipment is available at all time. Report needs to the Director of Nursing.
  • Handle emergency situations in a prompt, precise and professional manner.
  • Maintain the comfort, privacy, and dignity of each resident in the delivery of services.
  • Interact with residents in a manner that displays warmth and promotes a caring environment.
  • Comprehensive understanding and adherence to all aspects of residents’ rights, including the right to be free of restraints and free of abuse.
  • Promptly report to the charge nurse or administrative staff all incidents or evidence of resident abuse or violation of residents’ rights.
  • Assure residents have call lights at hand and answer resident’s call lights promptly and courteously.
  • Assist with orienting residents and their families to the nursing facility upon admission.
  • Receive the nursing report upon reporting for duty each shift. Give the nursing report to relief personnel before departing at the end of each shift.
  • Observe and report the presence of pressure areas and skin breakdown to the Charge Nurse.
  • Promptly report injuries of an unknown source, including skin tears to the Charge Nurse.
  • Communicate and interact effectively, courteously, and tactfully with residents, visitors, family members, peers, and supervisors.
  • Thoroughly wash hands before and after performing any service for the resident.
  • Make rounds frequently and check each resident routinely to ensure his/her nursing care needs are being met.
  • Respond to inquiries or requests from residents and family members in a prompt and courteous manner.
  • Promote positive public relations with residents, family members and guests.
  • Maintain the confidentiality of all resident care information.

 

Develop and implement nursing care plans and assessments.

  • Inform the Charge Nurse of any changes in the resident’s conditions so that appropriate changes (if necessary) can be made to the care plan.
  • Ensure all nursing notes convey specific care provided and the resident’s response or lack of response to the care provided.
  • Perform all nursing services in accordance with the individualized care plan.
  • Honor the resident’s refusal of treatment request.  Document and promptly report such requests to the Charge Nurse.
  • Assist in developing preliminary and comprehensive assessments of the nursing needs of each resident.
  • Assist in developing a written plan of care that identifies the nursing needs of the resident and the goals to be accomplished for each nursing need identified.
  • Ensure that all nursing personnel are aware of the care plans and that care plans are used in providing daily nursing services to the residents.
  • Review nurses notes and monitor residents to ensure the care plans are being followed and that residents’ needs are being met.
  • Review and revise care plans and assessments as necessary.

 

Performs duties in a safe manner in accordance with established policies and procedures.

  • Practice careful, efficient, and no-waste use of supplies and linens in accordance with established policies and procedures.
  • Perform all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials.
  • Actively participate in fire, safety and disaster preparedness drills
  • Maintain safe working conditions and practices and follow established safety regulations in the use of equipment and supplies.

 

Timely and accurately record nursing notes in an informative and description manner.

  • Record all entries on notes, charts, etc. in an informative and descriptive manner.
  • Use only authorized abbreviations established by the facility when recording information.
  • Properly document all care, responses to care, vitals, changes in condition, etc. in accordance with established policies and procedures.

 

Perform “Charge Nurse” duties as assigned.

  • Assess residents and analyze information to develop appropriate interventions to prevent decline.  Record signs of change in condition.
  • Notify appropriate staff per facility protocol to evaluate weight loss, decline in ambulation, development of skin breakdown, etc.
  • Observe conditions which indicate possible need for restorative nursing programs and notify appropriate staff of the need for evaluation.
  • Inform the physician of changes in assessment as appropriate.
  • Administer medications and treatments to residents.  Place orders for medication.
  • Respond to emergencies; assess the condition of the resident; decide on type of medical attention; call appropriate ambulance service if needed.
  • Admit, transfer, or discharge residents as necessary.
  • Notify family when resident is transferred or admitted to the hospital.
  • Maintain resident clinical files; keep charts updated; document appropriately.
    • Documentation requirements include, but are not limited to, the following:  Changes in medical and physical condition; Responses to antibiotic therapy; Report of weight loss/gain and response to change; Complete, accurate, and timely physician’s information; Changes in specialized diets; and Report of pressure ulcer condition and response to treatment.
  • Maintain current knowledge of patient conditions/information through the maintenance of accurate lists.  The list must be shift specific.  This knowledge includes, but is not limited to:  Resident skin conditions; Diet and supplements; Special equipment needs; continence and protection used; Weight gain/loss; Side rail use and reason for use; Residents at high risk for skin breakdown requiring more frequent positioning.
  • Maintain accountability for controlled substances; Inventory medications at the beginning and end of each shift; notify Director of Nursing of discrepancies.
  • Communicate status of residents to incoming personnel according to established procedures.
    • Shift report to the certified nursing assistants must include, but are not limited to, the following:  Changes in resident condition; Report of new admissions; Residents scheduled for appointments and rehabilitation; Assigned baths and restorative instructions; Changes in specialized diets; Individualized patient instruction.  Give special attention to CNA’s who are new to their assignments.
  • Transcribe, clarify and implement physician’s orders.
  • Supervise the certified nursing assistants and determine work procedures, prepare work schedules, expedite workflow, evaluate, and counsel as appropriate.
  • Insure that certified nursing assistants and other supervised personnel adhere to standard job requirements.
  • Review the missing treatments report prior to the end of each shift.  Take appropriate corrective action to ensure missing treatments are given and documented; and that any treatments not given are properly documented including reason.
  • Review punch detail reports for department staff.  Promptly research and submit missed punch forms, PTO requests, etc. as needed to correct daily punches.  Sign all punch detail reports, missed punch forms, and PTO requests to authorize payment.
  • Monitor department staff to ensure they are following established safety and infection control policies and procedures.
  • Monitor department staff’s adherence to Employee Handbook policies and procedures.  Provide appropriate counseling and discipline as needed.

 

DEGREE OF SUPERVISION:

The Registered Nurse reports to and receives general direction from the Director of Nursing.

 

QUALIFICATIONS:

  • Graduate of an accredited school of Nursing
  • Must possess a current, unencumbered Registered Nurse License issued by the State.

 

 

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to push, pull, move and/or lift a minimum of 50 pounds.
  • Must be able to stand and walk for long periods of time.
  • Must be able to reach, stoop, kneel, bend, lift and move intermittently throughout the work day throughout the facility.
  • Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
  • Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.

 

 

WORKING ENVIRONMENT:

Works throughout the facility.  Works beyond normal duty hours, on weekends and holidays when necessary.  Interacts with residents, family members, and staff under all conditions and circumstances.  Is subject to hostile and emotionally upset residents, family members, and visitors.   Exposure to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

 

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Housekeeping Aide – Fincastle

JOB DESCRIPTION

Position / Title:  Housekeeper /Laundry Aide

 

SUMMARY: 

The Housekeeper /Laundry Aide reports to and receives supervision from the Housekeeping Supervisor (when applicable) or the Director of Environmental Services and is responsible for performing a variety of general cleaning tasks in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures to enhance the quality of life of our residents by maintaining a clean, safe, sanitary and comfortable environment.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Perform a variety of general cleaning tasks.

  • Dust furniture, woodwork, equipment and dust mop floors.
  • Polish and clean fixtures in rooms and bathrooms.
  • Wet mop rooms, halls, etc.
  • Clean vents, fan fixtures, top of windows, door frames and other high areas.
  • Gather and dispose of trash and waste materials using specified bags and/or containers.
  • Buff, strip, wax and polish floors.
  • Move furniture and other heavy objects as required.
  • Perform terminal cleaning procedures of resident rooms and prepare room for new occupant; follow isolation procedures in isolation rooms.
  • Clean and disinfect all fixtures, floors, mirrors, windows, doors and walls.
  • Perform other duties as assigned.

 

Perform a variety of general laundry tasks.

  • Wash, dry and fold garments and linens.
  • Ironing duties as assigned.
  • Handle clean and soiled laundry in accordance with established policies and procedures.
  • Assemble supply packs for departments and place linen stacks in carts for distribution.
  • Record requests for linens and deliver linens promptly in accordance with established policies and procedures.
  • Identify and report to supervisor any garments or linens in need of repair.
  • Distribute garments to residents’ rooms in accordance with established policies and procedures.
  • Perform other duties as assigned.

 

  Perform duties in a safe manner and comply with established policies and procedures.

  • Perform all duties in compliance with established safety and infection control policies and procedures.
  • Actively participate in fire, safety and disaster preparedness drills.
  • Maintain safe working conditions and practices and follow established safety regulations in the use of equipment and supplies.

 

DEGREE OF SUPERVISION:

The Housekeeper reports to and receives supervision from the Housekeeping Supervisor (When Applicable) or The Director of Environmental Services.

 

QUALIFICATIONS:

  • Knowledge of and ability to operate floor cleaners, buffers, vacuums and related equipment.
  • Knowledge of various cleaning agents and/or chemicals.
  • Ability to use various cleaning hand tools and supplies.
  • Ability to understand and effectively carry out oral and written instructions.
  • Ability to work with strong cleaning and disinfecting solutions.
  • Ability to learn routine tasks quickly.
  • Ability to perform a variety of repetitive manual tasks that require agility and manual dexterity.

 

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to push, pull, move and/or lift a minimum of 30 pounds to a height of 2.5 feet and able to push, pull, move and/or carry such weight a minimum distance of 50 feet.
  • Must be able to stand and walk for long periods of time.
  • Must be able to reach, stoop, kneel, bend, lift and move intermittently throughout the work day throughout the facility.
  • Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
  • Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.

 

WORKING ENVIRONMENT:

Works in office areas as well as throughout the facility.  Works beyond normal duty hours, on weekends and holidays when necessary.  Interacts with residents, family members, and staff under all conditions and circumstances.  Exposure to housekeeping cleaning agents and/or chemicals.  May be exposed to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

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Dietary Aide – Fincastle

JOB DESCRIPTION

               Position / Title: Dietary Aide                

 

 

SUMMARY: 

The dietary aide seeks to enhance the qualify of life of our residents by providing high quality food and food service to residents, visitors and employees in accordance with established dietary policies and procedures.  The dietary aide maintains the kitchen and dining areas in sanitary condition.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Preparation and delivery of high quality food.

  • Prepare and serve meals that are palatable and appetizing in appearance.
  • Prepare all menu items using established departmental policies and procedures.
  • Assure menu items are prepared in sufficient quantities to satisfy volumes.
  • Assist with the training of new employees.
  • Assist the cook in preparing meals.
  • Assure all food and departmental supplies are ordered and received in a timely manner to maintain adequate inventory levels.

 

Serve menu items and prepare for daily operations.

  • Assure presentation of all meals according to established departmental policies and procedures.
  • Provide service to residents, visitors and staff in a friendly and efficient manner.
  • Serve meals on a timely basis.
  • Serve food in proper pre-determined portion sizes.
  • Serve food that is the correct serving temperature and quality.
  • Assist in checking diet trays before distribution.
  • Bring any sub-standard quality food to the attention of the Director of Culinary Services and properly discard.
  • Prepare and deliver snacks.
  • Receive food deliveries as assigned.

 

Maintain work area in sanitary condition.

  • Assist in daily or scheduled cleaning duties in accordance with established policies and procedures.
  • Clean work surfaces, meat blocks, refrigerators and freezers.
  • Assist with floor maintenance for the kitchen and dining room. Sweep and mop floors as directed.
  • Wash, dry and store utensils, dishes, trays and supplies.
  • Clean and maintain all kitchen equipment in accordance with established policies and procedures.
  • Assist in maintaining food storage areas in a clean and properly arranged manner at all times.
  • Dispose of food and waste in accordance with established policies.
  • Maintain the care and use of supplies and equipment.
  • Maintain the appearance of the dietary services area.
  • Performs regular inspections of the dietary services area for sanitation, order, safety and proper performance of assigned duties.

 

 

DEGREE OF SUPERVISION:

The Dietary Aide reports to and receives supervision from The Director of Culinary Services.

 

 

QUALIFICATIONS:

  • Must be able to read, write, speak, and understand the English language.
  • Must possess the ability to deal tactfully with personnel, residents, and family members.
  • Must be able to follow oral and written instructions.
  • Must possess knowledge of elementary math. (ex. Counting trays)

 

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to push, pull, move and/or lift a minimum of 30 pounds to a height of 2.5 feet and able to push, pull, move and/or carry such weight a minimum distance of 50 feet.
  • Must be able to stand, bend, lift and move intermittently throughout the workday in the dietary services area and throughout the facility.
  • Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
  • Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.

 

WORKING ENVIRONMENT:

Works in well-lit / ventilated area.  Works beyond normal duty hours, on weekends and holidays and in other positions temporarily, when necessary.  Is subject to falls, burns from equipment, odors, etc. throughout the workday.  Is subject to sudden temperature changes.  Is exposed to heat/cold temperatures in kitchen/storage areas.  Interacts with residents, family members, and staff under all conditions and circumstances.  May be exposed to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

 

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Assistant Director of Nursing (ADON) – Fincastle

JOB DESCRIPTION

Position / Title:  Assistant Director of Nursing          

 

 

SUMMARY: 

The Assistant Director of Nursing reports to and receives general direction from the Director of Nursing and is responsible for assisting compliance with current applicable federal, state, and local standards, guidelines, regulations that govern long-term care facilities, and established policies and procedures to enhance the quality of life of our residents by planning, organizing, developing and directing the overall operations of the Nursing Department.  The Assistant Director of Nursing provides professional and technical guidance to subordinate nursing staff  with regard to clinical practice, team development, quality assurance, and strategic input to assure each resident receives the necessary nursing, medical, and psychosocial services to attain and maintain the highest possible mental and physical functional status.

 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Assist with the supervision of Nursing Staff in fulfillment of department programs and activities within budget, with high quality and on schedule.

  • Supervise nursing staff with direct and indirect responsibilities for interviewing, selection, training, motivating, wage and salary recommendations, and performance appraisals.
  • Review nursing department punch detail reports on a daily basis. Promptly research and submit missed punch forms, PTO requests, etc. as needed to correct daily punches.  Sign all punch detail reports, missed punch forms, and PTO requests to authorize payment.
  • Enhance company posture on EEO/ADA by making a good faith effort to recruit, select, develop, and retain protected class employees.
  • Assure all nursing staff attends required training
  • Determine appropriate staffing levels and approve PTO requests for all direct reports.
  • Complete and maintain a staffing schedule which ensures the provision of quality care within established budgetary guidelines.
  • Orient and train staff in proper work practices upon hire.
  • Conduct and evaluate retraining and refresher training for all nursing staff, as needed.
  • Monitor department staff to assure that they are following established safety and infection control policies and procedures.
  • Monitor nursing staff’s adherence to Employee Handbook policies and procedures. Provide appropriate counseling and discipline as needed.
  • Ensure the nursing staff actively participants in fire, safety and disaster preparedness drills.
  • Maintain safe working conditions and practices throughout the department.
  • Interpret and explain the facility’s policies and procedures to employees, residents, family members, visitors, government agencies, etc. as necessary.
  • Promote an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment, throughout the facility.
  • Represent the facility at, and participates in, community events.
  • Maintain good public relations that serve the best interest of both the facility and the community.
  • Maintain positive relations with residents, their families, and support staff to assure that residents’ needs are continually met.

 

Verify appropriate assessment, planning, implementation, and evaluation of the resident’s care.    Actively participate in the assessment, planning, implementation and evaluation, when necessary.                                            

  • Review and validate new admission and ongoing assessment data.
  • Review and validate compliance and accuracy of the initial care plan.
  • Perform ongoing assessments and revise care plan based on new data and changes in resident’s condition.
  • Monitor documentation for accuracy and compliance with ongoing assessments of resident status. Document resident care which reflects nursing intervention, resident response to care provided, resident needs, problems, capabilities, limitations and progress toward goals.
  • Communicate with physicians regarding resident needs, the nursing assessments, and recommendations as needed. Collaborate with other nurses and nursing department staff to ensure the resident’s well being.

 

Oversee development and implementation of care plans and assessments.

  • Assess residents and analyze information to develop appropriate interventions to prevent decline.  Record signs of change in condition.
  • Observe conditions which indicate possible need for restorative nursing programs and notify appropriate staff of the need for evaluation.
  • Inform the physician of changes in assessment as appropriate.
  • Ensure all nursing notes convey specific care provided and the resident’s response or lack of response to the care provided.
  • Assist in the oversight of nursing services in accordance with the individualized care plan.
  • Honor the resident’s refusal of treatment request.  Document such requests.
  • Develop preliminary and comprehensive assessments of the nursing needs of each resident.
  • Develop a written plan of care that identifies the nursing needs of the resident and the goals to be accomplished for each nursing need identified.
  • Ensure that all nursing personnel are aware of the care plans and that care plans are used in providing daily nursing services to the residents.
  • Review nurses notes and monitor residents to ensure the care plans are being followed and that residents’ needs are being met.
  • Review and revise care plans and assessments as necessary.

 

Ensure nursing involvement in quality improvement initiatives and health/safety programs.

  • Assist in leading nursing participation in the development of facility-wide quality improvement processes and procedures.
  • Assist in leading nursing participation in processes relating to health and safety issues.
  • Support quality improvement training and development for nursing staff.  Encourage wide participation in activities and projects.
  • Implement and oversee comprehensive clinical audit programs.
  • Oversee and maintain a comprehensive, organized clinical documentation system.
  • Ensure appropriate protocols and clinical practice guidelines and documents are regularly reviewed.
  • Serve on and/or chair various committees within the facility (e.g. High Risk, Quality Assurance) and provide written/oral reports as directed or as necessary.

 

Perform direct patient care utilizing established procedures, policies and standards, when necessary.

  • Administer medications, IV’s, treatments and procedures in accordance with physician’s orders.
  • Observe and document resident’s response to medications and treatments.
  • Ensure proper disposal of all drugs and medications.
  • Ensure adequate levels of medication, supplies and equipment is available at all time.
  • Maintain the comfort, privacy, and dignity of each resident in the delivery of services.
  • Interact with residents in a manner that displays warmth and promotes a caring environment.
  • Comprehensive understanding and adherence to all aspects of residents’ rights, including the right to be free of restraints and free of abuse.
  • Promptly report to Chief Administrative Officer all incidents or evidence of resident abuse or violation of residents’ rights.
  • Assure residents have call lights at hand and answer resident’s call lights promptly and courteously.
  • Assist with orienting residents and their families to the nursing facility upon admission.
  • Receive the nursing report upon reporting for duty each shift. Give the nursing report to relief personnel before departing at the end of each shift.
  • Communicate and interact effectively, courteously, and tactfully with residents, visitors, family members, peers, and supervisors.
  • Thoroughly wash hands before and after performing any service for the resident.
  • Make rounds frequently and check each resident routinely to ensure his/her nursing care needs are being met.
  • Respond to inquiries or requests from residents and family members in a prompt and courteous manner.
  • Promote positive public relations with residents, family members and guests.
  • Maintain the confidentiality of all resident care information.
  • Respond to emergencies; assess the condition of the resident; decide on type of medical attention; call appropriate ambulance service if needed.
  • Admit, transfer, or discharge residents as necessary.
  • Notify family when resident is transferred or admitted to the hospital.
  • Supervise certified nursing assistants and nurses. Determine work procedures, prepare work schedules, expedite workflow, evaluate, and counsel as appropriate.
  • Insure that certified nursing assistants and nurses adhere to standard job requirements.
  • Review the missing treatments report prior to the end of each shift. Take appropriate corrective action to ensure missing treatments are given and documented; and that any treatments not given are properly documented including reason.

 

Perform duties in a safe manner in accordance with established policies and procedures.

  • Practice careful, efficient, and no-waste use of supplies and linens in accordance with established policies and procedures.
  • Perform all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials.
  • Actively participate in fire, safety and disaster preparedness drills
  • Maintain safe working conditions and practices and follow established safety regulations in the use of equipment and supplies.

 

Timely and accurately record nursing notes in an informative and description manner.

  • Record all entries on notes, charts, etc. in an informative and descriptive manner.
  • Use only authorized abbreviations established by the facility when recording information.
  • Properly document all care, responses to care, vitals, changes in condition, etc. in accordance with established policies and procedures.

DEGREE OF SUPERVISION:

The Assistant Director of Nursing reports to and receives general direction from the Director of Nursing.

 

QUALIFICATIONS:

  • Graduate of an accredited school of Nursing
  • Must possess a current, unencumbered Registered Nurse License issued by the State.
  • Previous nursing supervision experience in a long-term care facility, preferred.

 

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to push, pull, move and/or lift a minimum of 50 pounds.
  • Must be able to stand and walk for long periods of time.
  • Must be able to reach, stoop, kneel, bend, lift and move intermittently throughout the work day throughout the facility.
  • Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands
  • Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.

 

WORKING ENVIRONMENT:

Works in office areas, as well as throughout the facility.  Works beyond normal duty hours, on weekends and holidays when necessary.  Interacts with residents, family members, and staff under all conditions and circumstances.  Is subject to hostile and emotionally upset residents, family members, and visitors.   Exposure to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

CLICK HERE TO APPLY