The Associate Director of Nursing Services (ADNS) assists the Director of Nursing Services in planning, organizing, directing, and evaluating the overall clinical operations of the Nursing Department within a Skilled Nursing Facility (SNF). The ADNS ensures delivery of high-quality resident-centered care in compliance with federal, state, and local regulations governing long-term care facilities, including Centers for Medicare & Medicaid Services (CMS) requirements.
The ADNS serves as a clinical leader, mentor, and resource to nursing staff and supports regulatory readiness, quality improvement initiatives, infection prevention, and staff development.
· Assist in directing daily functions of nursing services to ensure quality of resident care.
· Oversee and supervise Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
· Ensure implementation of individualized care plans and physician orders.
· Conduct routine clinical rounds to evaluate resident conditions and nursing practices.
· Monitor wound care, medication administration, treatments, and documentation for accuracy and timeliness.
· Participate in admissions, re-admissions, transfers, and discharges.
· Review incident reports, investigate concerns, and implement corrective actions.
· Provide hands-on clinical support when necessary.
· Ensure compliance with federal regulations under the Centers for Medicare & Medicaid Services (CMS), state licensing requirements, and facility policies.
· Maintain survey readiness at all times.
· Assist during state surveys and federal inspections.
· Develop and monitor Plans of Correction (POC) when deficiencies are cited.
· Ensure adherence to F-Tags related to quality of care, medication management, infection control, and resident rights.
· Conduct internal audits and mock surveys.
Infection Prevention & Control
· Assist in overseeing the Infection Prevention and Control Program.
· Monitor infection surveillance, tracking, trending, and reporting.
· Ensure compliance with hand hygiene, PPE usage, isolation protocols, and transmission-based precautions.
· Participate in outbreak investigation and management.
· Provide ongoing infection control education and competency validation.
· Ensure antibiotic stewardship practices are implemented.
· Maintain required infection control logs and reports for Quality Assurance meetings and survey review.
· Participate in QAPI meetings and initiatives.
· Collect, analyze, and interpret clinical data (falls, pressure injuries, infections, hospital readmissions, etc.).
· Identify trends and implement performance improvement plans.
· Monitor compliance with care standards and best practices.
· Collaborate with interdisciplinary team members to improve outcomes.
· Coordinate orientation and ongoing in-service education programs.
· Provide leadership training and clinical mentorship.
· Ensure staff are trained on regulatory updates and policy changes.
· Support professional development and continuing education efforts.
· Current Registered Nurse (RN) license in good standing in the state of practice.
· CPR / BLS certification required.
· Infection Preventionist certification
· Knowledge of CDC CMS and state infection control standards.
· Experience
· Minimum of 3–5 years of nursing experience in a Skilled Nursing Facility (SNF) or long-term care setting.
· At least 1–2 years of supervisory or leadership experience.
· Demonstrated experience with regulatory surveys and CMS compliance.
· Strong knowledge of geriatric and post-acute care practices.
· Working knowledge of CMS regulations and state survey process.
· Proficiency in electronic medical record (EMR) systems.
· Strong leadership, communication, and conflict resolution skills.
· Ability to analyze clinical data and implement quality improvements.
Associate Director of Nursing • Staten Island, NY
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