Assistant Director of Nursing - ADON

Buckingham Senior Living · Houston, TX Full Time
$69906 – $69906 / year
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Job Description

The Buckingham is the premier not for profit, Life Care retirement community in the greater Houston region. Our mission is to enrich each resident’s life through exceptional experiences provided within an environment of comfort, elegance, exceptional hospitality and compassionate care. We offer a competitive salary and benefits including medical, dental and vision coverage, 401k with match, PTO, tuition reimbursement and meal programs. We are seeking an experienced professional with the skills, dedication and compassion to join our team and help achieve the mission and vision of The Buckingham. Position Summary: The Assistant Director of Nursing is responsible for assisting the Director of Nursing in maintaining the standards of resident care, advising the medical staff, department heads, and administrator in matters related to nursing services. This person will assist the Director of Nursing in establishing policies, interpreting policies according to the standards of nursing practice, and general staff development. Responsibilities: Assist the DON in administration of policies and procedures of the Health Center Department. Assist the DON in planning, organizing, and supervising the Health Center Department in order to insure competent nursing care for the residents. Assist or maintain an active staff development program. Encourages increased competency and skill in all levels of the Health Center Department staff. Advises the DON of any problems related to resident care. Monitors the resident medical and nursing history for completeness and inclusion in the medical record. May serve as care plan coordinator to conduct care plan conferences and maintains each conference interdisciplinary. Participates in QAA. Establishes and maintains good public relations. Assists the DON to maintain the standards of care. Other duties as assigned by the Supervisor. Qualifications : Registered Nurse with a current license in good standing. Three years experience in long-term care preferred. Previous management experience preferred. Knowledgeable of standards of care and practices applicable to the delivery of geriatric services, complex medical conditions, multiple medical diagnoses, including preventive measures, rehabilitation, and promoting independence. The Buckingham is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, The Buckingham will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with The Buckingham.

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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.

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).

Entry Level (10th) $72,987/yr
Houston Median $119,995/yr
Experienced (90th) $205,400/yr
vs. National Median +1.7%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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