Assistant Director of Nursing (ADON) – Long-Term Care Location:  Waterloo, NY Direct Hire Full-time Excellent Benefits Package Competitive Salary:  Salary Based on Years of Leadership Experience in LTC - $99,300.00-$115,150.00. Position Summary: Skilled nursing and long-term care facility located in Waterloo, New York, committed to providing high-quality, compassionate, resident-centered care. As part of a collaborative healthcare system, they value excellence in nursing practice, regulatory compliance, staff development, and continuous quality improvement. Under the administrative guidance of the Long-Term Care (LTC) Director of Nursing (DON), the Assistant Director of Nursing (ADON) establishes, maintains, and enhances clinical and operational systems to achieve positive outcomes for residents, families, and staff. This role is responsible for planning, implementing, and evaluating strategies that ensure nursing competency, excellence in practice, effective use of technology, and high levels of customer satisfaction. The ADON supports fiscal responsibility through budgeting, financial analysis, cost control, and revenue enhancement while maintaining a strong focus on quality resident care. The ADON holds 24-hour responsibility and accountability for the facility and actively participates in and/or chairs committees related to nursing operations and organizational performance. Essential Duties & Responsibilities

Under the administrative guidance of the LTC DON, duties include but are not limited to:

• Oversee the facility’s Performance Improvement Program, ensuring care delivery meets regulatory standards and organizational expectations aligned with the mission, vision, and values; participate in the LTC divisional Performance Improvement Committee
• Provide oversight of the PRI and MDS processes to maximize reimbursement and support financial sustainability
• Represent the Nursing Department on the LTC Safety Committee and coordinate employee safety initiatives
• Coordinate and oversee the LTC attendance procedure process
• Provide daily supervisory oversight of nursing staff and clinical operations
• Assume Nurse Manager responsibilities in the absence of another Nurse Manager
• Participate in the recruitment and interview process for Certified Nursing Assistant (CNA) candidates

Education

Minimum:
• Graduate of an accredited school of Registered Professional Nursing
• Bachelor of Science in Nursing (BSN) required

Preferred:
• Masters of Science in Nursing 

Licensure

Required:
• Current New York State Registered Professional Nurse (RN) license

Work Experience

Minimum:
• Four (4) years of managerial experience and two (2) years of nursing experience with demonstrated leadership abilities in a Long-Term Care setting
• Knowledge and application of New York State Department of Health (NYSDOH) regulations, including successful experience with the survey process

Preferred:
• Prior experience at the Assistant Director of Nursing level

Skills & Competencies

Required:
• Proven ability to build and maintain effective working relationships with medical staff, department leaders, residents, families, and the public in a resident- and family-centered environment
• Ability to function effectively in high-stress or challenging situations
• Strong organizational and multitasking skills
• Ability to manage confidential information with discretion and professionalism
• Computer proficiency, including word processing, spreadsheets, and presentation software

Preferred:
• PRI and MDS knowledge and/or experience
• Proficiency with Microsoft Word, Excel, and PowerPoint

Schedule & Compensation

• Schedule: Full-time, day shift (hours may vary based on operational needs)
• On-call: As required; 24-hour accountability applies
• Compensation: Competitive salary commensurate with experience
• Benefits: Comprehensive benefits package including medical, dental, vision, retirement plan, paid time off, and professional development opportunities

Why Join This Long Term Care Facility?

• Supportive leadership and collaborative culture
• Opportunity to make a meaningful impact in Long-Term Care
• Commitment to quality improvement and staff development
• Stability within a respected healthcare organization

About the area: 

Living and working in Waterloo, NY, offers a quiet, affordable, and historically rich lifestyle, and a relaxed, suburban atmosphere in Seneca County. Key benefits include access to Finger Lakes recreation, a central location, near Rochester, NY, and a close-knit community.  Affordable Housing & Living: Median home values are significantly low, making homeownership accessible, with a cost of living that is much lower than the New York state average. Small-Town Atmosphere: Features a sparse suburban feel, often preferred by families and retirees, allowing for a relaxed pace of life. Central Location: Situated in the heart of the Finger Lakes region, offering easy access to outdoor recreation, wineries, and larger cities like Geneva. Historical Significance: Known as the official birthplace of Memorial Day, providing a deep sense of local history and community. Employment Opportunities: Key industries include manufacturing, healthcare, and educational services, with local retail opportunities. Close Community: Residents often enjoy a strong, conservative-leaning, and quiet community environment.