Assistant Director of Nursing - ADON
Job Description
Join our team as an Assistant Director of Nursing (ADON) in a vital leadership role. You'll ensure quality resident care, support nursing staff, and maintain regulatory compliance in a dynamic healthcare environment.
What You'll Do
- Support floor staffing needs and assist with direct resident care as needed
- Oversee MDS, care planning, Performance Improvement, and Infection Control programs
- Hire, train, evaluate, and delegate nursing duties based on census and budget
- Review and maintain accurate, up-to-date resident records and documentation
- Collaborate with physicians and teams to develop individualized care plans
Requirements
- Current nursing license in good standing with State Board of Nursing
- Proven leadership and management experience with strong technical skills
- Background in geriatric or long-term care nursing preferred
- Strong assessment, communication skills, and restorative care philosophy
- Working knowledge of nursing home regulations and compliance standards
Benefits
- Health, Dental, Vision Insurance, AD&D, Short-Term Disability, and Life Insurance
- Tuition Reimbursement for continued professional education
- Paid Time Off and immediate 401(k) eligibility
- Exceptional corporate resources and support
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
View Full Job Details & Apply →What Most Job Listings Don’t Tell You
General overview for this role type — specific duties and requirements vary by employer.
Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.
What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the Houston market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the Houston area.
A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.
Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.
About This Employer
Afton Oaks Nursing and Rehabilitation Center is a Nursing — SNF/NF located in Houston, TX at 7514 Kingsley Street. This facility holds a 3.7-star Google rating based on 72 reviews. It has earned a 2 out of 5 CMS quality rating from the Centers for Medicare & Medicaid Services.
View Full Afton Oaks Nursing and Rehabilitation Center Profile → See all openings at Afton Oaks Nursing and Rehabilitation Center →Employer profile provided by Houston Senior Living Guide
Houston Area Salary Data
According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the Houston metro area earn a median wage of $57.69/hr ($119,995/yr). The typical range is $45.94 – $73.58/hr (25th–75th percentile).
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.
Facility Snapshot
7514 Kingsley Street, Houston, TX 77087
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