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  3. Assistant Director of Nursing - SNF
West River Health Services logo

Assistant Director of Nursing - SNF

West River Health Services·Hettinger, North Dakota

$34 - $42/hr·Full Time·On Site·2-5 yrs
·
Posted 1 month ago
Practice for this role

About the role

This role is responsible for leading the facility’s Infection Prevention and Control Program, which includes surveillance, trend tracking, and staff education according to CMS regulations. The nurse will also support the Quality Assurance and Performance Improvement (QAPI) program, assisting with audits and collaborating on resident safety initiatives.

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 facility’s 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 facility’s 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.

Starting salary range

$33.84 - $41.75

Requirements

Candidates must possess a current Registered Nurse (RN) license in North Dakota. Experience in long-term care and training or willingness to obtain infection prevention certification are preferred qualifications for this position.

  • bachelor degree
  • Audits
  • Regulatory Compliance
  • Infection Control
  • Quality Improvement
  • Infection Prevention
  • Quality Monitoring
  • Staff Education
  • Resident Safety
  • QAPI
  • Infection Surveillance
  • Survey Preparedness

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$34 - $42/hr
Location
Hettinger, North Dakota
Posted
Jun 15, 2026
Closes
Sep 13, 2026
Application
Employer website
West River Health Services logo

Hiring organization

West River Health Services

Providing access to quality medicine in a rural environment has been the vision and goal of this medical system since its inception.

Salary listed on 7 jobs
IndustryHospitals and Health Care
TypeNonprofit
Size201-500 employees
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Market context

North Dakota nursing roles remain in demand

Nursing roles in North Dakota are typically shaped by steady demand across hospitals, clinics, and long-term care settings, with employers often screening first for an accredited nursing degree and an unencumbered RN license. These positions can be competitive because preferred BSN preparation, structured residency programs, and strong onboarding are common differentiators, alongside benefits such as sign-on bonuses and technology investment. Review the AI-summarized requirements and benefits on this platform to save time, then confirm your license status and tailor your application to the employer’s preferred education and training fit.

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