Assistant Director of Nursing - SNF

  • West River Health Services
  • Hettinger, North Dakota
  • Full Time
Assistant Director of Nursing (ADON)

Location: Western Horizon Living Center
Position Type: Full-Time (Part-Time Considered)
Reports To: Director of Nursing (DON)

Position Summary

Western Horizon Living Center is seeking a dedicated and experienced Registered Nurse (RN) to serve as the Assistant Director of Nursing (ADON) for our 40-bed skilled nursing facility. This leadership role supports the Director of Nursing in overseeing daily clinical operations while also functioning as the facilitys Infection Preventionist and Quality Nurse .

The ADON plays a vital role in ensuring the delivery of high-quality, resident-centered care, maintaining regulatory compliance, and fostering a culture of safety and continuous improvement. Responsibilities include supervision of nursing staff, coordination of the Infection Prevention and Control Program (IPCP) , and leadership within the Quality Assurance and Performance Improvement (QAPI) program in accordance with CMS and state regulations (42 CFR 483) .

Key Responsibilities Assistant Director of Nursing (ADON)
  • Assist the Director of Nursing in the overall management and supervision of nursing services.
  • Provide clinical leadership and support to nursing staff, including mentoring, coaching, and performance management.
  • Participate in staff scheduling, staffing coordination, and competency validation.
  • Conduct rounds to monitor resident care, ensuring adherence to care plans and clinical standards.
  • Support hiring, onboarding, orientation, and ongoing education of nursing personnel.
  • Serve as acting DON in their absence.
  • Promote effective communication among interdisciplinary team members.
  • Assist with policy development and implementation consistent with regulatory standards.
Infection Preventionist (IP)
  • Lead and manage the facilitys Infection Prevention and Control Program (IPCP) in accordance with CMS 483.80 , CDC, and state guidelines.
  • Conduct ongoing infection surveillance, data collection, analysis, and trending of healthcare-associated infections.
  • Develop and implement infection prevention policies and procedures.
  • Provide staff education and competency validation related to infection prevention practices.
  • Oversee outbreak investigation and response, including coordination with public health authorities.
  • Monitor antibiotic stewardship initiatives in collaboration with the medical director and pharmacy consultant.
  • Ensure compliance with employee health requirements, including immunizations and exposure follow-up.


Job ID: 517178144
Originally Posted on: 4/13/2026

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