Assistant Director of Nursing - LTC

Waterloo, NY

Assistant Director of Nursing (ADON) – Long-Term Care

  • Location: Penn Yan, NY (Beautiful Finger Lakes Region of New York State)
  • 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

Why Penn Yan & the Finger Lakes Region?

Living and working in Penn Yan means enjoying the best of both worlds: a tight-knit community with access to world-class recreation and culture.

  • Breathtaking lakes : Keuka, Seneca, Cayuga, and Canandaigua—perfect for boating, fishing, kayaking, and sailing

  • Wine country : Over 100 wineries and breweries with scenic vineyard views

  • Four-season outdoor fun : Skiing, hiking, biking, and golf nearby

  • Rich culture : Festivals, theaters, museums, and historical landmarks

  • Affordable lifestyle : Lower housing costs compared to major cities

  • Proximity : Short drive to Rochester, Ithaca, and Syracuse for additional cultural and academic resources

Posted 2026-02-18

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