Skilled Nursing Assistant Director of Nursing

Full-Time | Clinical Leadership

At Spring River Rehabilitation & Care Center, joining our leadership team means more than accepting a management position—it means having the opportunity to directly influence clinical quality, staff development, resident outcomes, and the overall culture of nursing.

The ADON works alongside the Director of Nursing and nursing leadership to strengthen clinical systems, support frontline staff, and ensure consistent nursing oversight throughout the facility. Spring River is a skilled nursing and rehabilitation community in Roswell, New Mexico.

✔ Collaborative nursing leadership environment
✔ Opportunity to directly influence clinical outcomes and quality
✔ Leadership role with hands-on involvement in nursing operations
✔ Opportunities for professional growth and advancement
✔ Meaningful work developing and supporting nursing staff

Spring River Rehabilitation & Care Center is seeking an experienced, motivated, and resident-focused Assistant Director of Nursing (ADON) to join our clinical leadership team.

The ADON is a key nursing leader responsible for assisting the Director of Nursing (DON) with the planning, coordination, implementation, and evaluation of nursing services throughout the facility. This position provides daily clinical leadership while supporting nursing operations, staffing, regulatory compliance, employee development, quality improvement, and resident-centered care.

The ADON should be a highly visible and engaged leader who is comfortable working directly with nursing staff, residents, families, providers, and members of the interdisciplinary team. The position requires a balance of clinical expertise, leadership, accountability, problem-solving, and staff development.

• Assist the Director of Nursing with the daily management and oversight of nursing services

• Provide visible clinical leadership throughout the facility and regularly round on nursing units

• Monitor resident care and nursing practices to ensure established standards of care are maintained

• Support consistent nursing operations across shifts, units, weekends, and changing resident needs

• Serve as a clinical resource for RNs, LPNs, CNAs, and other nursing personnel

• Assist nursing staff with complex resident-care situations and changes in condition

• Promote timely communication with physicians/providers, residents, families, and interdisciplinary team members

• Participate in admissions, transfers, discharges, and significant changes in condition as appropriate

• Assist with emergency response and clinical decision-making when necessary

• Assume nursing leadership responsibilities in the absence of the Director of Nursing as assigned

• Assist with evaluating nursing staffing levels based on resident census, acuity, and facility needs

• Work collaboratively with nursing leadership and scheduling personnel to maintain appropriate coverage

• Identify staffing gaps and assist with developing timely solutions

• Support efforts to minimize unnecessary overtime and agency utilization while maintaining appropriate resident care

• Assist with interviewing, selecting, onboarding, and retaining nursing employees

• Participate in nursing orientation and ensure new employees receive appropriate clinical support

• Provide coaching, counseling, and performance feedback to nursing staff

• Assist with attendance, performance, and accountability concerns in collaboration with the DON and Human Resources

• Promote employee engagement, teamwork, accountability, and retention within the nursing department

• Monitor resident outcomes and identify opportunities for clinical improvement

• Review changes in condition, hospital transfers, falls, wounds, infections, weight changes, medication concerns, and other clinical indicators as appropriate

• Assist with identifying residents at increased risk and ensure appropriate interventions are implemented

• Participate in clinical meetings and resident risk reviews

• Assist with root-cause analysis and development of corrective interventions following adverse outcomes

• Monitor implementation and effectiveness of resident care plans

• Promote evidence-based clinical practices and resident-centered care

• Work collaboratively with nursing, therapy, dietary, social services, MDS, pharmacy, and medical providers to improve resident outcomes

• Conduct routine clinical audits to evaluate documentation accuracy, completeness, and compliance

• Review nursing documentation, medication and treatment records, physician/provider orders, assessments, and care-related records as assigned

• Identify documentation deficiencies and provide timely education and follow-up

• Assist with ensuring physician/provider orders are appropriately implemented and followed

• Monitor completion of required nursing assessments and documentation

• Support accurate and timely communication of resident information across the interdisciplinary team

• Assist with corrective action plans when documentation or clinical practice concerns are identified

• Assist the Director of Nursing with maintaining ongoing survey readiness

• Support nursing practices consistent with applicable federal, state, and facility requirements

• Participate in facility rounds and identify potential clinical or regulatory concerns

• Assist with preparation for regulatory surveys and other external reviews

• Participate in survey processes and assist with responding to identified concerns

• Support implementation and monitoring of plans of correction when applicable

• Ensure nursing staff understand and consistently follow facility policies, procedures, and clinical expectations

• Promote resident rights, dignity, privacy, safety, and freedom from abuse, neglect, and exploitation

• Participate actively in the facility's Quality Assurance and Performance Improvement (QAPI) program

• Review clinical trends and performance indicators with nursing and facility leadership

• Assist with developing measurable improvement plans when opportunities are identified

• Monitor the effectiveness and sustainability of corrective actions

• Participate in facility quality, risk-management, and clinical meetings as assigned

• Help translate identified quality concerns into education and operational improvements for frontline nursing staff

• Identify nursing education and competency needs

• Collaborate with nursing leadership and Staff Development to provide education and training

• Provide hands-on coaching and mentorship to nursing staff

• Assist with competency evaluations and clinical skills validation

• Support new graduate nurses and employees transitioning into skilled nursing

• Promote continuing education and professional development

• Develop emerging nursing leaders and encourage advancement within the organization

• Foster a culture of Caring, Truthful, Excellence, Outcome Oriented, and Willingness to Learn

• Develop positive relationships with residents and families

• Respond professionally and promptly to clinical questions and concerns

• Participate in resident and family meetings when nursing leadership involvement is appropriate

• Assist with resolving concerns before they escalate whenever possible

• Communicate significant clinical concerns to appropriate leadership

• Promote resident choice, dignity, independence, and person-centered care

• Graduate of an accredited school of nursing

• Current Registered Nurse (RN) license in the State of New Mexico in good standing

• Current CPR/BLS certification preferred

• Previous skilled nursing, long-term care, rehabilitation, or post-acute nursing experience strongly preferred

• Previous nursing leadership, supervisory, Charge Nurse, Unit Manager, or ADON experience preferred

• Strong clinical assessment and critical-thinking skills

• Knowledge of skilled nursing clinical operations and regulatory expectations

• Strong leadership, coaching, and employee-development abilities

• Ability to address performance and accountability concerns professionally and consistently

• Strong organizational and time-management skills

• Ability to manage multiple priorities in a fast-paced clinical environment

• Strong written and verbal communication skills

• Experience with electronic health record systems

• Ability and willingness to provide hands-on clinical leadership when necessary

A current Spring River ADON posting likewise identifies an active New Mexico RN license as a qualification and emphasizes skilled nursing experience, leadership, clinical oversight, staff development, and regulatory compliance.

Caring – We approach residents, families, and one another with compassion and empathy.

Truthful – We communicate openly, respectfully, and honestly.

Excellence – We maintain high standards for clinical care, leadership, and professional accountability.

Outcome Oriented – We focus our efforts on measurable improvements in resident care, staffing, quality, and operations.

Willingness to Learn – We encourage continued education, mentorship, professional development, and continuous improvement.

• Competitive compensation

• 401(k) retirement plan

• Health, dental, and vision insurance

• Paid Time Off (PTO)

• Care Cash Program

• Employee Referral Bonus Program

• Education and training opportunities

• Professional development and leadership support

• Opportunities for continued career advancement

Spring River's current clinical postings advertise benefits including 401(k), PTO, health/dental/vision coverage, referral opportunities, and professional advancement.

The Assistant Director of Nursing position is an opportunity for an experienced RN to expand their leadership capabilities while directly influencing nursing operations and resident outcomes.

At Spring River, we want our nursing leaders to do more than manage—we want them to teach, mentor, develop staff, strengthen systems, and build the next generation of clinical leaders.

For an RN seeking continued advancement toward broader nursing leadership responsibilities, the ADON position provides meaningful exposure to clinical operations, staffing, regulatory compliance, quality improvement, employee development, and facility leadership.

Spring River Rehabilitation & Care Center proudly serves the Roswell, New Mexico community, providing skilled nursing, rehabilitation, long-term care, and post-acute services.

Our mission is simple:

We believe achieving that mission begins with strong nursing leadership, supported employees, consistent clinical standards, and an unwavering commitment to resident-centered care.

If you are an experienced RN who is ready to take the next step in nursing leadership and wants the opportunity to directly influence staff development, clinical quality, and resident outcomes, we encourage you to apply.

Join Spring River Rehabilitation & Care Center and help us build a nursing team focused on accountability, growth, quality, and making every resident feel cared for.

Spring River Rehabilitation & Care Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to any protected characteristic in accordance with applicable federal, state, and local laws.

Spring River Rehabilitation & Care Center is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and hiring process. Applicants requiring assistance should contact Human Resources.

• Ability to regularly move throughout the facility and nursing units

• Ability to stand and walk for extended periods while conducting clinical rounds

• Ability to assist with resident care, transfers, and repositioning using appropriate assistance and equipment when necessary

• Ability to respond promptly to resident needs and emergency situations

• Ability to perform direct clinical nursing responsibilities when necessary

• Ability to perform the essential functions of the position with or without reasonable accommodation