JOB SUMMARY: 11pm-7am $34.00-$38.00

The primary purpose of the Registered Respiratory Therapist position is to perform critical and non-critical respiratory care procedures and/or diagnostic procedures through physician directives and to assure resident safety.

JOB DUTIES & RESPONSIBILITIES: 

·         Possess an in-depth knowledge of cardiopulmonary patho-physiology and clinical applications of respiratory care principles essential to allow employee to assist the physician in assessing the efficacy or therapy and devising an effective therapy care plan.

·         Effective communication skills in dealing with patients of all ages, staff members and physicians.

·         Numerical ability to evaluate statistical data and make various computations.

·         Clerical ability to read reports and utilize data accurately.

·         Ability to follow various respiratory care and to recognize possible hazards and toxic effects of gases and therapy.

·         Ability to plan and organize work in an efficient manner.

JOB REQUIREMENTS: 

Education

·         Certificate of completion from an AMA approved Respiratory Therapy Program and Registered by the AARC.

Experience      

·         Two years or more.

·         Licensed by the state in which you work as a Registered Respiratory Therapist.

Specific Requirements

·         Must be able to read, write, speak, and understand the English language.

·         Must possess the ability to make independent decisions.

·         Must possess the ability to deal tactfully with associates, residents, family members, visitors, government agencies/personnel and the general public.

·         Must have advanced training in long-term care administration.

·         Must be proficient in the use of personal computers and Microsoft Windows applications.

·         Must have general knowledge of computer systems, electronic medical records

·         Must be knowledgeable of reimbursement regulations and nursing practices and procedures, as well as laws, regulations, and guidelines pertaining to long-term care administration.

·         Must possess the ability to work harmoniously with and supervise others.

·         Must possess the ability to plan, organize, develop, implement, and interpret the program, goals, objectives, policies and procedures, etc., that are necessary for providing quality long-term care and maintaining a sound operation.

·         Must be thoroughly familiar with laws, regulations, and guidelines governing personnel administration.

Email resume to PFHR@VanguardHC.com AFTER YOU APPLY NO CALLS PLEASE

JOB SUMMARY: Full Time 4/2 or 3/2 Split

The primary purpose of the Certified Nursing Assistant position is to provide each assigned resident with excellent daily nursing care and services to assure resident safety in accordance with the resident’s assessment and plan of care, and as may be directed by your supervisor.

 JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

• Identify residents before administering treatments, serving meals, etc. as necessary.
• Record all entries on flow sheets, notes, charts, etc. in an informative and descriptive manner.
• Use only authorized abbreviations established by this facility when recording information.
• Report all changes in the resident’s condition to the RN Team Leader as soon as possible.
• Report and provide statement for all events, accidents and incidents you observe on the shift as they occur.

Admission, Transfer, and Discharge Functions

• Ensure that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.)
• Greet residents and escort them to their room.
• Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.
• Make resident comfortable (i.e., put to bed, get water, etc.)
• Inventory and mark the resident’s personal possessions as instructed.
• Store resident’s clothing.
• Assist residents with packing their personal belongings when they are being transferred or discharged.
• Transport residents to new rooms or to the receiving area.
• Assist with loading/unloading residents from vehicles as necessary.

JOB REQUIREMENTS: 

 Education

• Must possess a high school diploma or GED.
• Must be a Certified Nursing Assistant in accordance with the laws of this state.
• Possess some computer skills and understanding of documentation software program preferred.

NO CALLS PLEASE Email PFHR@VanguardHC.com for follow ups

JOB SUMMARY: 7a-3p M-F | 7a-7p Baylor $27.25 - $31.75

The primary purpose of the LPN Wound Care Nurse position is to provide wound care prevention and treatment to residents and to assure resident safety under the direction of a Registered Nurse, attending physicians and/or Medical Director and consistent with established wound care protocols. 

JOB DUTIES & RESPONSIBILITIES:

·        Implement and maintain established wound care policies and protocols.  Interpret these protocols to the supervising RN, physicians, residents, family members and others as appropriate.

·        Make recommendations to the attending RN, physician, Medical Director, DON and Regional Director of Clinical Operations concerning the wound care protocols, preventive measures and specialty care of residents.

·        Participate in facility surveys made by authorized government agencies as requested by the Director of Nursing.

Direct Care Functions

·        Confer with RN Team Leaders to identify residents at risk for wounds or those who require assessment of wounds and treatment interventions.

·        Provide on-site assessment of residents to determine status and develop plan of care.

·        Implement preventive measures and wound care, based on resident assessment and established protocols.

·        Provide educational health care services.  Make recommendations to the resident concerning nutrition, hydration, positioning, prevention of skin breakdown, management of chronic conditions, etc.

·        Document wound care assessments, treatments rendered and communication with residents, families and physicians in the electronic medical record.

Committee Functions

·        Participate in Interdisciplinary Care Plan Team to develop a comprehensive care plan for residents.

·        Serve on the Quality Assurance Performance Improvement (QAPI) Committee to assess the facility wound care status and improvement plan.

·        Attends morning clinical meetings.

·        Participates in High Risk weekly meetings.

Personnel Functions

·        Cooperate with other associates to achieve departmental objectives and maintain good interdepartmental and public relations.

·        Maintain an effective, professional working relationship with physicians, consultants, family members, residents and associates.

Safety and Sanitation Functions

·        Assist in establishing an inventory of medical supplies and equipment to meet the needs of residents.

·        As appropriate, use personal protective equipment and clothing when treating residents.

·        Report occupational exposures to blood, body fluids, infectious materials and hazardous chemicals according to facility policy and procedures

JOB REQUIREMENTS:  

Education

·        Must possess a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN diploma program.

Experience           

·        Must have a minimum of one (1) year experience in a long-term care, hospital, home health or other health related organization.

·        Must have previous experience in wound care or as a treatment management.

·        Certification as a specialist in wound care management is preferred.

JOB SUMMARY: M-F $33.50-$41.50 NO CALLS PLEASE to follow up on your application please email HR: PFHR@VanguardHC.com

The primary purpose of this position is to oversee the facility’s risk management and patient safety programs. The Risk Manager is responsible for identifying, evaluating, and reducing risks to residents, staff, and the organization. This position works closely with leadership to ensure compliance with state and federal regulations and to promote a culture of safety, quality improvement, and accountability throughout the facility.

JOB DUTIES & RESPONSIBILITIES:

Administrative Functions

• • Develop, implement, and maintain the facility’s risk management program.
• • Monitor facility practices to ensure compliance with federal, state, and local regulations, including standards established by the Centers for Medicare & Medicaid Services.
• • Serve as a resource to leadership and department managers regarding risk management issues.
• • Participate in facility surveys conducted by regulatory agencies and assist in responding to findings and implementing corrective actions.
• • Maintain records and documentation related to incidents, investigations, and risk management activities.
• • Participate in interdisciplinary meetings as necessary to address risk-related concerns.

Incident and Event Management

• • Oversee the facility-wide incident and accident reporting system.
• • Review, investigate, and document all reported incidents and adverse events.
• • Conduct Root Cause Analysis (RCA) for significant or serious events.
• • Identify contributing factors and recommend corrective actions to prevent recurrence.
• • Ensure timely reporting of incidents according to facility policy and regulatory requirements.
• • Ensure appropriate communication and disclosure to residents and families when required. 

Staff Development Functions:

• • Assist in the development, planning, scheduling and conducting of timely in service training the IDT regarding assessment skills and techniques for completing the MDS. Such training would include but not be limited to interviewing residents, rehabilitation principles, psychotropic drugs, care plan documentation and functions, etc.
• • Attend continuing education programs designed to keep abreast of changes in your profession, as well as to maintain your license.

Staff Education Functions

• • Develop and provide training programs related to risk prevention, abuse recognition, resident safety, and regulatory compliance.
• • Educate staff on proper incident reporting procedures. • Assist department heads in implementing safety initiatives and best practices. 04/04/2026
• • Participate in in-service training programs and continuing education to remain current with regulatory and risk management practices.

JOB REQUIREMENTS: 

• • Must be a graduate from an accredited Nursing school or possess a Nursing Degree from an accredited college or university. 

Experience

• • Must possess a current, unencumbered, active license to practice as a RN in this state.
• • At least one (1) year experience in rehabilitative and restorative nursing or as a staff nurse in a health care facility. Experience in long-term care required.

JOB SUMMARY: $10:00-$13.00 NO CALLS PLEASE to follow up on your application please email HR: PFHR@VanguardHC.com

The primary purpose of the Laundry Aide position is to perform the day-to-day activities of the Laundry Department and as may be directed by your supervisor and to assure resident safety.

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

• Ensure that work/cleaning schedules are followed as closely as practical.
• Assist in coordinating daily laundry services with nursing and activity services when performing routine assignments in resident living areas.
• Attend department and staff meetings as directed.
• File complaints/grievances with your supervisor.
• Turn in all lost and found articles to your supervisor.
• Maintain a lost and found area in the laundry department.

Laundry Services Functions

• Perform day-to-day laundry functions as assigned.
• Perform specific tasks according to daily work assignments.
• Perform assigned tasks according to established laundry procedures.
• Collect, sort, count and/or weigh soiled laundry, linen, garments, etc. and place in appropriate containers or assigned areas.
• Separate items that require special stain removal/treatment.
• Press/iron garments as instructed.
• Fold, count, stack, hang, label and distribute clean laundry to residents daily or as instructed.
• During emergency conditions, assure that clean laundry, linen, garments, etc., are distributed to designated areas as instructed.
• Clean floors, including sweeping, dusting, and mopping as requested.
• Keep laundry area clean and sanitary.
• Remove dust, dirt, grease, etc. from equipment and/or floor surfaces as necessary.
• Discard waste/trash into proper containers and reline receptacle with plastic liner.

Staff Development Functions

• Participate in department projects as directed.
• Attend in-service programs and on-the-job training classes as directed.
• Attend annual OSHA and CDC in-service programs for hazard communication, TB management and blood borne pathogens standards.

JOB REQUIREMENTS: 

 Education

• Must possess a minimum, a tenth (10th) grade education.

Experience           

• None required. On-the-job training provided.

JOB SUMMARY: Part time & Full Time $33 - $41.50

The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by licensed practical nurses and nursing assistants. 

JOB DUTIES & RESPONSIBILITIES: 

·        Organize and assign all jobs to be done on tour of duty so that workload is evenly distributed among nursing personnel on the basis of staff qualifications, size and physical layout of the facility.

·        Periodically review department policies, procedures and job descriptions and make recommendations for revisions.

·        Implement established policies and procedures.

·        Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.

·        Meet with your assigned nursing staff and support personnel to plan appropriate services, programs and activities for your shift.

·        Assist in updating the resident care plans as instructed by the MDS/Care Plan Coordinator and/or Director of Nursing.

·        Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care.

·        Document status of each resident on the chart at least weekly, more often if significant change occurs or as directed. Follow up with monthly and quarterly summaries as instructed.

·        Make rounds with physician, as directed, and record visits in resident’s chart.

·        Transcribe, accurately and promptly, all physician’s orders.

·        Direct documentation and make weekly detailed evaluation of all resident documentation so that chart reflects progress and condition of resident at all times.

·        Approve and sign charts when observations are made.

·        Insure that all medications and treatments are charted and signed following administration of the medication/treatment, by the administering person.

·        Implement and maintain established nursing objectives and standards.

·        Make rounds at least every two (2) hours to ensure that certified nursing assistants are properly administering prescribed care assignments.

·        Make general observation and evaluation of the resident’s physical and emotional status. Make note of any significant changes and communicate those changes to the ADON/DON according to facility policy and protocol.

·        Ensure that direct nursing care is provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.

·        Cooperate with and coordinate social and activity programs with nursing service schedules.

·        Notify the resident’s physician and/or next of kin when the resident is involved in an accident/incident or if there is a significant change in the resident’s condition.

·        Cooperate with restorative and rehabilitative programs as requested.

·        Inspect the treatment areas to ensure they are maintained in a clean and safe manner.

·        Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings, packs colostomy and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc. as required.

·       Administer restraints for residents in accordance with physician’s orders, established policies and procedures.

JOB REQUIREMENTS: 

 Education

·        Must possess a Nursing Degree from an accredited college or university, or be a graduate of an approved school of professional nursing.

 Experience           

·        A minimum of one year nursing experience required.

·        Supervisory experience with Nursing Assistants.

·        Long Term Care and MDS/RAI experience strongly desired.

·        Must possess a current, unencumbered, active license to practice as an RN in this state.

1. At least six (6) months as a staff nurse in a long-term care facility.

JOB SUMMARY: $27.25-$31.75- NO CALLS PLEASE to follow up on your application please email HR: PFHR@VanguardHC.com

The primary purpose of the Licensed Practical Nurse position is to provide direct nursing care and services to assure resident safety to residents as a member of an interdisciplinary team of care providers and to plan, supervise and evaluate the day-to-day nursing activities performed by nursing assistants. 

 JOB DUTIES & RESPONSIBILITIES:

·         Plan, assign, supervise and evaluate all responsibilities to be performed by members of the nursing staff under your supervision, so that care and services are provided on the basis of staff qualifications, resident acuity, required duties and physical layout of the facility.

·         Provide leadership, mentoring and guidance to associates for whom you are responsible.

·         As requested by the Director of Nursing or designee, assist in reviewing department policies, procedures and job descriptions and making recommendations for revisions.

·         Implement and monitor compliance with all established policies and procedures.

·         Meet regularly with your assigned nursing staff and support personnel to plan and communicate appropriate care-related services and activities for your residents, communicate residents’ concerns and needs and discuss other vital information related to resident care and facility practices. Develop staff assignments as indicated.

·         Cooperate with other resident services to ensure that residents’ individual care plans are being followed.

·         Participate in the facility’s quality improvement to discuss resident, personnel and facility related business.

·         Meet with other nursing service and facility personnel on a regularly scheduled basis, to assist in identifying and correcting problem areas and/or improve services.

·         Review complaints made by your assigned personnel and communicate such information to the Director of Nursing or designee, as appropriate.

·         Participate in facility surveys made by authorized regulatory agencies.

·         Participate in the admission, transfer and discharge of residents as required.

JOB REQUIREMENTS: 

 Education

·         Must be a graduate from an accredited school for Licensed Practical Nurses with a current, unencumbered, active license to practice as an LPN.

·         CPR Certified 

NO CALLS PLEASE Email resume to PFHR@VanguardHC.com for follow ups

JOB SUMMARY: 7:30am-3:30pm

The primary purpose of the Housekeeper position is to perform the day-to-day activities of the Housekeeping Department and as may be directed by your supervisor. Assist in maintaining a positive physical and positive environment for the residents and to assure resident safety.

Housekeeping Functions

·         Perform daily housekeeping tasks as assigned

·         Perform specific tasks according to daily work assignments

·         Empty and sanitize ash trays daily

·         Clean/polish furnishings, fixtures, ledges, room heating/cooling units, etc. in resident rooms, recreational areas, etc. daily

·         Clean, wash, sanitize, and/or polish bathroom fixtures. Ensure that water marks are removed from fixtures

·         Clean windows/mirrors in resident rooms, recreational areas, bathrooms and entrance/exit ways

·         Clean floors, to include sweeping, dusting, damp/wet mopping, stripping, waxing, buffing, disinfecting, etc.

·         Ensure that appropriate caution/safety signs are properly set up prior to performing duties

·         Clean carpets, to include vacuuming, shampooing, deodorizing, and disinfecting

·         Clean walls, ceilings by washing, wiping, dusting, spot cleaning, disinfecting, deodorizing

·         Remove dirt, dust, grease, film, etc. from general surfaces throughout the facility

·         Clean hallways, stairways, and elevators

·         Discard waste/trash into proper containers and reline trash receptacles with plastic liners

·         Clean vacant rooms as assigned

·         Ensure that work/assignments areas are clean and that equipment, tools, supplies, etc., are properly stored at all times, as well as before leaving such areas for breaks, meal times, and end of the workday

·         Perform isolation cleaning procedures in accordance with established infection control procedures

·         Discard infectious wastes into appropriate containers

Working Conditions

·         Works in all areas of the facility.

·         Moves intermittently during work hours.

·         Is subject to frequent interruptions and may need to reschedule cleaning activities.

·         Is involved with residents, personnel, visitors, government agency personnel, etc. under all conditions and circumstances.

·         Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·         Communicates with other housekeeping personnel, nursing personnel and other department personnel.

JOB REQUIREMENTS: 

 Education

• Must possess a high school diploma or GED.

NO CALLS PLEASE Email resume to PFHR@VanguardHC.com for follow ups

JOB SUMMARY: 5am-1:30pm $10.00-$14.50

The primary purpose of the Dietary Aide position is to provide assistance in all dietary functions as directed and to assure resident safety.

Dietary Service Functions

·        Prepare meals that are tasty and appetizing in appearance.

·        Assist in serving meals as necessary and on a timely basis.

·        Serve food according to established portion and control procedures.

·        Work in various line functions as assigned.

·        Assist in daily or scheduled cleaning duties as assigned.

·        Clean worktables, meat blocks, refrigerators/freezers, etc.

·        Sweep and mop floors as directed.

·        Carry soiled utensils, dishes, glass, etc. to wash area.

·        Return clean utensils to proper storage areas.

·        Wash and clean utensils as directed.

·        Carry out garbage and keep work areas clean, dry and free of hazardous equipment, supplies, etc.

·        Set up meal trays, food carts, dining room, etc. as instructed.

·        Assist cook in preparing meals.

·        Distribute and collect menus as necessary.

·        Obtain food supplies for next meal.

·        Assist in checking diet trays before distribution.

·        Deliver food carts, trays, etc., to designated areas.

·        Serve food in dining room as instructed.

·        Perform dishwashing/cleaning procedures. Assure that utensils, dishes, glasses, etc. are ready for next meal.

·        Remove food trays from carts, dining rooms, etc. and take to dishwashing area.

·        Prepare and deliver snacks, etc. as instructed.

·        Make only authorized food substitutions.

·        Assist in food preparation for special meals, parties, etc.

JOB REQUIREMENTS: 

 Education

·        Must possess, as a minimum, a tenth (10th) grade education.

·        High School diploma or GED preferred.

 Experience           

·        On-the-job training provided.

·        Some experience in food service helpful.

NO CALLS PLEASE Email resume to PFHR@VanguardHC.com for follow ups

JOB SUMMARY: 12pm-8pm $13.00-$16.00

 The primary purpose of the Dietary Cook position is to prepare food for the residents at the facility and to assure resident safety.

Dietary Service Functions

·        Prepare meals according to planned menus.

·        Prepare and serve meals that are tasty and appetizing in appearance.

·        Serve food in accordance with established portion control procedures.

·        Prepare food for therapeutic diets according to planned menus.

·        Prepare food according to standardized recipes and special diet orders.

·        Prepare and serve nutritional supplements and snacks.

·        Be sure that appropriate equipment and utensils are provided with the resident’s meal tray.

·        Review care plans to assure that current dietary information is consistent with food served.

·        Prepare and serve substitute foods to residents who refuse foods served.

·        Make only authorized food substitutions.

·        Assist in serving meals when necessary.

·        Assist in food preparation for special meals, parties, etc.

JOB REQUIREMENTS: 

 Education

·        Must possess, as a minimum, a tenth (10^th) grade education.

·        High School diploma or GED preferred.

 Experience           

·        Must have one (1) year of experience as a cook or in food preparation.

Experience in a health care facility is preferred

NO CALLS PLEASE Email resume to PFHR@VanguardHC.com for follow ups

JOB SUMMARY: 11am-7pm

 The primary purpose of the Floor Technician position is to perform assigned floor care functions based on the facility’s standards and procedures as directed by your supervisor and the housekeeping department and to assure resident safety.

Floor Tech Functions

• Keep the resident environment clean at all times using standard procedures in cleaning and maintenance of rooms, offices and common areas
• Perform specific tasks according to daily work assignments
• Clean up spills, soiled areas, and other conditions as observed or directed
• Ensure cleaning schedules are followed
• Perform preventative maintenance check on all equipment prior to use
• Secure work area and post proper safety notices for other users of the space prior to beginning work
• Clean floors, to include sweeping, dusting, damp/wet mopping, stripping, waxing, buffing and burnishing, disinfecting, etc. in order to maintain a high gloss finish on all hard floors
• Clean vacant rooms as assigned
• Ensure that work/assignments areas are clean and that equipment, tools, supplies, etc., are properly stored at all times, as well as before leaving such areas for breaks, mealtimes, and end of the workday
• Perform isolation cleaning procedures in accordance with established infection control procedures
• Discard infectious wastes into appropriate containers
• Remove gum from floors as quickly as possible
• Ensure hard floors remain free of dust and marks
• Routinely check corners and edgings, ensuring they are kept dust free
• Ensure baseboards are kept free of wax
• Clean behind doors and equipment 

JOB REQUIREMENTS: 

 Education

• Must possess a high school diploma or GED.

Experience              

·         Must have one (1) year experience in floor care; one (1) year in health care preferred.

The primary purpose of your position is to provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by licensed practical nurses and nursing assistants. 

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

• Organize and assign all jobs to be done during a tour of duty so that the workload is evenly distributed among nursing personnel based on staff qualifications, the size of the facility, and its physical layout.
• Periodically review department policies, procedures, and job descriptions and make recommendations for revisions.
• Implement established policies and procedures.
• Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
• Meet with your assigned nursing staff and support personnel to plan your shift's appropriate services, programs, and activities.
• Cooperate with other resident services when coordinating nursing services to ensure the resident’s care plans are followed.
• Participate in developing, maintaining, and implementing the facility’s quality assurance program.

JOB REQUIREMENTS: 

Education

• Must possess a Nursing Degree from an accredited college or university or graduate from an approved school of professional nursing.

Experience           

• A minimum of one year’s nursing experience required.
• Supervisory experience with Nursing Assistants.

The primary purpose of the Shift Supervisor position is to supervise the nursing activities and facility operations to assure resident safety for the whole facility for one shift.

The primary purpose of the Shift Supervisor position is to supervise the nursing activities and facility operations to assure resident safety for the whole facility for one shift.

JOB DUTIES & RESPONSIBILITIES: 

-Administrative Functions

• Assist the Director of Nursing (or designee) and facility administrator in directing the day-to-day functions of the facility’s nursing services and other areas of facility operations, as assigned.
• Participate in developing, maintaining and updating written policies and procedures that govern day-to-day functions of the nursing department.
• Ensure that reference materials (i.e. PDR’s, Federal and State Regulations, etc.) are maintained at the nurses’ station and are kept current.
• Ensure that a copy of the Nursing Policies & Procedures Manual is available at each nursing station, is current and reflects the day-to-day nursing procedures performed at this facility.
• Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Policies & Procedures Manual.
• Make written and oral reports/recommendations to the DON or designee concerning operation of the nursing department.
• Periodically review the department’s policies, procedures and job descriptions, and make recommendations for revision to the DON or designee.
• Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ plans of care.
• Participate in the development, implementation and evaluation of the facility’s quality improvement program.
• Participate in facility surveys made by authorized government agencies as requested.
• Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required.
• Meet with the nursing staff, and other departmental representatives, to plan and coordinate departmental and facility-wide services, programs and activities.
• Assist with the admission, transfer, and discharge residents as required.
• Respond to reports of resident, employee and/or visitor accidents, incidents or unusual circumstances.  Ensure that appropriate documentation is made and that the initial investigation is completed and reported to appropriate persons.
• Interpret department and facility policies and procedures to personnel, residents, visitors, and government personnel as required.
• Make daily rounds of the units to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards of practice and in accordance with all federal and state licensure regulations.
• Perform other administrative duties as requested by the DON or designee.

Committee Functions

• Participate actively in various committee meetings of the department and/or facility as requested by the DON or designee.
• Communicate and assist with implementation of recommendations from established committees.

Human Resource Functions

• Ensure that a sufficient number of qualified RNs, LPNs and CNAs are available to ensure quality care is delivered.
• Develop or assist in the development of work assignments for nursing service personnel.
• Assist in meeting staffing needs for other facility departments, as requested by the facility administrator or department heads.
• Participate in the Orientation program for new associates.
• Delegate to each Charge Nurse the authority, responsibility and accountability necessary to perform his or her assigned duties.
• Assist the Nurse Educator in developing and presenting in-service programs.  Ensure that these programs meet the continuing education requirements necessary for continued licensure and certification.
• Monitor absenteeism based on absentee reports for individual associates.
• Review complaints and grievances made by department personnel.
• Develop and maintain a good working rapport with other departments to ensure that nursing services are coordinated with other resident services with the goal of meeting the residents’ needs.
• Meet with your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and to assist in the improvement of services.
• Review and evaluate nursing service staffing patterns and make recommendations to the DON or designee for revisions, as appropriate.
• Participate in associate performance evaluations as requested.
• Ensure that departmental disciplinary action is administered fairly and in compliance with established disciplinary procedures.
• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm, quiet environment throughout the facility
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures.

Nursing Care Functions

• Implement and maintain established facility objectives, consistent with federal and state licensure regulations and nursing standards of practice.
• Follow the facility’s policies and procedures governing the provision of direct care to residents, including the administration of medications, treatments and other care in accordance with physicians’ orders and the residents’ care plans.
• Encourage attending physicians to sign progress notes, physician’s orders, etc. on a timely basis and according to regulations.
• Inform the DON or designee when physician visits are not made in a timely manner.
• Consult with the resident, his or her family, the resident’s physician and other members of the interdisciplinary care team in planning the resident’s care, treatment, rehabilitation, etc.
• Visit residents on a regular basis in order to observe and evaluate each resident’s physical, mental, cognitive, psychosocial and emotional status and notify the resident’s attending physician and responsible party when there is a significant change in a resident’s condition.
• Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes.

• Provide direct nursing care support to nurses and CNTs, as appropriate.
• Report problem areas to the DON or designee and assist in developing corrective action.
• Keep the DON or designee informed of the status of residents and other related matters through written/oral reports.
• Monitor seriously ill and/or residents with complex needs.
• Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies.
• Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
• Review medication orders for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies.
• Inspect the treatment carts and medication carts/rooms on at least a weekly basis to ensure that they are maintained in a clean, safe and appropriately stocked condition.
• Meet with residents, and/or family members, as necessary. Report complaints/concerns to the DON or designee.

Care Plan and Assessment Functions

• Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary.
• Participate in the development and/or revision of a written plan of care for each resident that identifies the problems/needs of the resident, goals and interventions.
• Ensure that all personnel involved in providing resident care are adhering to the resident’s care plan.

Safety and Sanitation Functions

• Assist the Safety Officer in developing safety standards for the nursing department as necessary.
• Assist the DON or designee in identifying, evaluating and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
• Ensure that all personnel who are performing tasks that involve potential exposure to blood/body fluids participate in appropriate training prior to performing such tasks and that nursing personnel follow established Universal Precautions and safety procedures.
• Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel.
• Ensure that personnel follow established procedures for the use and disposal of personal protective equipment.
• Monitor personnel to ensure that they are following established safety procedures in the use of equipment and supplies.
• Ensure that work areas are maintained in a clean and sanitary manner.
• Participate in the development, implementation and maintenance of the infection control program.

Equipment and Supply Functions

• Recommend to the DON or designee the equipment and supplies needed by the department and ensure that an adequate level of medications, medical supplies, equipment, etc. is maintained on the unit at all times.
• Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department’s equipment and supplies in a safe and operable manner.
• Monitor nursing procedures to ensure that nursing supplies are used in an appropriate and efficient manner to avoid waste.

Resident Rights Responsibilities

• Maintain the confidentiality of all resident information.
• Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity and respect.
• Ensure that all nursing care is provided in accordance with HIPAA and regulatory standards.

• Ensure that all nursing service personnel are knowledgeable of the residents’ responsibilities and rights including the right to refuse treatment.
• Review complaints and grievances made by the resident and make a written/oral report to the Director of Nursing indicating what action(s) were taken to resolve the complaint or grievance. 
• Document, report and investigate all allegations of resident abuse, neglect and/or misappropriation of resident property.
• Ensure that nursing staff honors the resident’s refusal of treatment requests. Ensure that such requests are in accordance with the facility’s policies governing advance directives.

Working Conditions

• Works throughout the nursing service area (medication rooms, nurses’ station, resident rooms, etc.)as well as other areas of the facility.
• Moves intermittently during work hours.
• Is subject to frequent interruptions.
• Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.
• Is subject to hostile and emotionally upset residents, family members, personnel and visitors.
• Communicates with the medical staff, nursing personnel and other department supervisors.
• Works beyond normal working hours and in other positions temporarily, when necessary.
• Is subject to callback during emergency conditions.
• Attends and participates in continuing educational programs.
• Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.
• May be subject to the handling of and exposure to hazardous chemicals.
• Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

Staff Development Functions

• Evaluates staff competency during care delivery and provides individual, small group and large group education as indicated.
• Reports to DON.
• Reports identified educations needs to Nurse Educator.