Summary/Objective: To direct the day-to-day functions of the whole house in accordance with current federal,
state and local standards governing long-term care facilities, and as may be directed by the Director or Assistant
Director of Nursing Services, to ensure that the highest degree of quality care can be provided to the residents at
all times. Assess resident needs, develop individual care plans, administer nursing care, evaluate nursing care, and
supervise Licensed Nurses (LPNs / LVNs), Certified Nursing Assistants (CNAs) and other personnel in the
delivery of nursing care.
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions.

• Resident Assessment:

o Adhere to state rules and regulations concerning delivery of care and assure that effective quality
nursing care is delivered which is outcome focused through utilization of the nursing process.
Effectively interview the resident/responsible party to obtain information required for developing
and implementing a plan of care.
o Demonstrate ability to perform physical assessment through observation, inspection, palpation,
percussion and auscultation. If applicable, is involved in and accurately complete the RAI process.
o Identify needs and provide input for discharge planning and follow-up throughout length of stay.

• Develops Plan of Care:

o Develop individualized plan of care in collaboration with the resident/responsible party and
interdisciplinary care team by documenting problems, statements, goals and approaches.
o Define realistic and obtainable long and short-term goals for the residents. Initiate appropriate
nursing interventions with time frames for outcome evaluations and document appropriately in
medical record.
o Revise plan of care with input from resident/responsible party and interdisciplinary care team.
Implement teaching with resident/responsible party consistent with interdisciplinary plan of care.

• Implements Plan of Care:

o Implement plan of care consistently, effectively and cost efficiently with focus on resident centered
outcomes.
o Identify rationale and anticipated outcomes for each nursing intervention.
o Assume responsibility for care interventions consistent with skill level and professional standards
of care.
o Utilize time efficiently to assure completion of duties and responsibilities in allotted time frame.
2022
o Utilize all appropriate, available resources for resident/family/responsible party counseling and
discharge planning.
o Follow company policies and procedures to ensure a safe, caring, comfortable and clean
environment.
o Keep physician and/or other health care professionals (Nurse Practitioner, Physician Assistant,
podiatrist, dentist, etc.) informed of resident's condition; and notify physician and/or other
healthcare professionals immediately of significant changes of condition.
o Question and seek clarification of unclear orders.

• Evaluates Plan of Care:

o Elicit feedback from individual being served and/or family or responsible party to determine that
their needs are being met.
o Evaluate effectiveness of the plan of care in conjunction with the interdisciplinary care plan team.

• Delivers Resident Care:

o Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills
of current nursing practices.
o Transcribe physician and/or other health care professionals’ orders appropriately and accurately.
Ask for clarification of questionable orders from the ordering physician and/or other health care
professionals. Notify physician and/or other health care professionals if orders are not carried out
and document event appropriately.
o Perform only those activities which are within the scope of RN nursing practice.
o Follow company, facility and departmental policies and procedures, and appropriately utilize
nursing judgment.
o Ensure accurate documentation of all medical records and reporting forms.
o Promptly respond to call lights and other resident needs.

• Supervision:

o Supervise License Nurses, Certified Nursing Assistants and other personnel. May supervise other
Nurses, including other RNs. Coach, counsel and assign Certified Nursing Assistants and other
Nurses to provide quality resident care.
o Independently evaluate the job skills and work performance of the Certified Nursing Assistants
and other Nurses through the formal performance evaluation process. Appropriately discipline or
participate in the discipline of Certified Nursing Assistants and other Nurses for violations of
work rules, policies or poor performance, including the recommendation of suspensions and
terminations.
o Recognize Certified Nursing Assistants and other Nurses for exceptional care and job
performance on a regular basis and as part of their formal performance evaluation.
o Assign Certified Nursing Assistants and other Nurses specific duties for resident care and direct
their work. Assign hours, breaks and meal periods to Certified Nursing Assistants and other
Nurses. Ensure proper staffing by calling in replacement employees for Certified Nursing
Assistants and other Nurses not reporting for work and by transferring or reassigning Certified
Nursing Assistants and other Nurses to ensure adequate staffing levels. Revise work schedules of
Certified Nursing Assistants and other Nurses as necessary. Train and/or assist in the orientation
of new employees.
o Attempt to effectively resolve Certified Nursing Assistant and other Nurses’ problems/complaints
and grievances. Build a team environment to meet resident needs.
o Attend and participate in supervisory meetings. Support and follow through with management
team goals.
2022

• Customer Service:

o Provide compassionate resident care services.
o Establish and maintain positive interactions with internal and external customers, including coworkers and direct reports.
o Promptly respond to call lights.
o Take responsibility for resolving Certified Nursing Assistant, Nurse, and other customers’ issues
and concerns striving for a win-win outcome. Customers include residents, families, vendors and
other employees.

• Resident’s Rights:

o Knows Resident Rights. Helps the residents/residents exercise and/or protect their rights.
o Reports resident/resident complaints to management.
o Maintains confidentiality of resident/resident information.
o Understand, comply with and promote all rules and regulations regarding residents’ rights.
o Support resident autonomy and choice.
o Promote a restraint-free environment.
o Demonstrate both sensitivity and appropriate responsiveness to each resident’s “end of life”
wishes.

• HIPAA:

o Follows and adheres to Facility’s policies and procedures implementing HIPAA requirements for
the privacy and security of protected health information.
o Uses and/or discloses only minimum amount of Protected Health Information necessary to
complete assigned tasks.
o Reports all suspected violation of company’s HIPAA policies or procedures to Facility Privacy
Designee.

• Pharmacy Knowledge:

o Maintain an updated knowledge base in pharmacology.
o Demonstrate knowledge of policies governing medication administration and documentation.
o Demonstrate a knowledge of drug reactions and sensitivities and nursing interventions.
o Assure that narcotics are accounted for properly.

• Lab Values:

o Recognize normal and abnormal lab values and communicate same in appropriate manner to
physician and other interdisciplinary team members as appropriate.

• Continuing Education:

o Participate in facility/department in-services and quality improvement activities.
o Attend continuing education programs.
o Attend facility/department/staff meetings as required.

• Safety:

o Knows and follows all Company policies, regulations and requirements.
o Demonstrate safe practices in regard to resident's comfort and safety by applying knowledge of
proper body alignment for self and resident.
o Practice and promote adherence to institutional safety codes.
o Follows facility dress and hygiene policies.
o Demonstrates proper use of equipment. Reports equipment needs or repairs.
o Follows facility smoking policies.
2022
o Reports and documents any incidents or accidents of residents, staff or visitors to the appropriate
facility personnel.
o Reports all hazardous conditions/equipment to Supervisor.
o Performs duties, which may include transportation of residents, as assigned in Facility Disaster
Plan.
o Uses required protective equipment.
o Follows infection control standards, policies and procedures.
Competencies

• Initiative
• Leadership
• Time Management
• Decision Making
• Communication Proficiency
• Organizational Skills

Supervisory Responsibility
This position manages employees of the department and is responsible for the performance management of the
employees within that department.
Other Responsibilities
Must adhere to Code of Conduct and Business Ethics policy, including documentation and reporting
responsibilities.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as
computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully
perform the essential functions of this job.
The responsibilities of this position involve significant physical activities including standing, lifting (up to 50
pounds unassisted), bending, stooping, pushing, pulling and twisting. All employees of skilled nursing facilities
may be required to provide lifting and transfer assistance to residents. Lifting and/or transferring some residents
will require use of a lifting device and /or assistance of other staff. While performing the duties of this job, the
employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to
finger, handle or feel; and reach with hands and arms.
Required Education and Experience

• Current RN license with the State.
• Ability to adapt to a flexible work schedule.
• Ability to relate positively, effectively and appropriately with residents, families, community members,

volunteers and other facility staff.

• Possess special interest in, and a positive attitude about, working with long-term care residents and the

elderly.

• Ability to read, write, speak and understand English.

2022

• Meet all health requirements, as required by law.
• Demonstrate basic computer knowledge and ability with an aptitude to learn company applications.
• Demonstrate understanding of State and Federal rules and regulations that govern the practices within the

facility.
Preferred Education and Experience

• Experience in a fast-paced environment.
• Post-acute care or health care experience preferred.

Other Duties
This job description is not designed to cover or contain a comprehensive listing of activities, duties or
responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at
any time with or without notice.