Elderwood logo
Elderwood
North Creek, New York

ADON - Assistant Director of Nursing SNF

Registered NurseFull-Time

Listed compensation

$82k-$112k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 47m ago · Verified live

Job Description

Salary

$ 81,510 / yr - $ 111,540 / yr

Overview

Assistant Director of Nursing (RN)

Lead with purpose. Support with compassion. Grow with Elderwood.

Elderwood is seeking a dedicated and dynamic Assistant Director of Nursing (ADON – RN) to join our leadership team. This is an opportunity to make a meaningful impact by guiding nursing excellence, supporting a talented team, and ensuring the highest quality of care for our residents.

As ADON, you’ll partner closely with our Director of Nursing and Administrator to drive quality initiatives, support staff development, and uphold regulatory excellence - all within a community known for teamwork, respect, and clinical pride.

Why Elderwood

Reputation for Excellence: A trusted name in long-term care and rehabilitation, known for compassionate care and clinical integrity.

Collaborative Leadership: Work alongside an experienced Administrator and DON who value mentorship and open communication.

Growth & Support: Enjoy a strong network of clinical leaders across the Elderwood family, with access to training, development, and advancement opportunities.

Mission-Driven Culture: Every day, you’ll see the impact of your leadership in residents’ lives and staff success stories.

Proudly Rated 4 Stars by CMS!

Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)—exceeding both the New York state average (3.33) and the national average (3.32). This distinction reflects our commitment to quality care, strong staffing,

What You’ll Do

Partner with the Director of Nursing to oversee daily nursing operations and ensure exceptional resident outcomes.

  • Supervise and develop nursing staff - fostering engagement, accountability, and professional growth.
  • Serve as Infection Control Preventionist, leading compliance and safety initiatives.
  • Participate in audits, quality improvement, and interdisciplinary care planning.
  • Step in as Director of Nursing when needed to ensure continuity of leadership and care.

Support staffing, onboarding, and training - helping maintain 24-hour nursing coverage and high-quality service.

Benefit Preview

NEW! Gas Allowance Stipend for qualifying commuters!

  • Full Suite of Health Benefits - Medical, Dental, Vision
  • Tuition Reimbursement and PAID Continued Education
  • 401K with Employer Matching
  • Full Suite of Health Benefits - Medical, Dental, Vision
  • Employee Referral Bonus - UP TO $2,000
  • Generous PTO & Holiday Package
  • Flexible Scheduling
  • And more!

Join a Team That Feels Like Family

At Elderwood, we know that strong leadership builds strong teams - and strong teams create better outcomes. If you’re a nurse leader who thrives on mentorship, collaboration, and meaningful work, we’d love to meet you.

Apply today and take the next step in your leadership journey with Elderwood.

Responsibilities

Assistant Director of Nursing (RN) Responsibilities

  • Assume duties of the Director of Nursing in his/her absence under the direction of the Administrator.
  • Assist the resident and Social Services in planning the nursing services portion of the resident discharge plan.
  • Assumes duties of personnel within nursing department as needed or directed by DON and/or Administrator.

Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Recruit, interview, select, hire, train, schedule, supervise, and evaluate nursing personnel, delegating as necessary. This also includes counseling and recommending suspension or termination of employees to Director of Nursing or Administrator as necessary, maintaining documentation to support the same.

  • Ensure adequate 24-hour nursing coverage in the facility.
  • Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
  • Assist the DON in determining the staffing needs of the nursing service department.
  • Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
  • Recommend to the DON the number and level of nursing personnel to be employed.

Resolve personnel problems and build into the nursing program maximum employee motivation, keeping employees informed of current changes that effect their ability in providing quality patient care.

Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing or performing such tasks.

Delegate to the Charge Nurse(s) and Nurse Supervisor(s) the administrative authority, responsibility, and accountability to perform their assigned duties.

Nursing Care Functions

  • Supervise all admissions and readmissions for eligibility or denial of Medicare Skilled services regulations.
  • Notify all providers, in writing, within 24 hours of resident status of eligibility for skilled services and changes.
  • Ensure that written physician certification for skilled services per Medicare guidelines are obtained.

Coordinate therapeutic services, Physical Therapy, Occupational Therapy, Speech Therapy, etc., for residents with therapeutic needs.

In addition, be responsible for monitoring resident progress and eligibility when no longer are eligible for Medicare skilled services. Notification will be timely -- within 24-hours upon determination.

Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignment in accordance with acceptable nursing standards. Report findings to DON.

  • Provide residents with a comfortable, clean, orderly, and safe environment.
  • Assess resident's condition and care needs through daily resident rounds.
  • Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
  • Report medication errors per policy.
  • Provide direct nursing care as necessary.
  • Ensures that residents who are unable to call for help are checked frequently.
  • From
  • Up to

Qualifications

Assistant Director of Nursing (RN) Qualifications

  • Must possess, as a minimum, a degree in Nursing from an accredited school.
  • Must possess a current, unencumbered, active license to practice as in state.
  • Baccalaureate degree preferred.

Working knowledge of the needs of geriatric complex care requiring long term care, the principles of management, supervision, organizational behavior and structure, and communication systems.

A physical examination and/or evidence from a physician indicating free of communicable disease to be available upon employment.

  • Must be in good physical and mental health.
  • Ability to work independently or part of a group.
  • Effectively communicate with others.

If expected to drive company vehicle- must have valid driver's license with good driving record and be at least 21 years of age. (In order to comply with company Driving Standards P&P).

Must have, as a minimum, 2 years of experience as a supervisor in a hospital, long-term care facility, or other related health care facility.

  • Previous long-term care experience is desirable.
  • Computer knowledge preferred.

This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

EOE Statement

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Qualifications

Experience
2+ years of experience

Key Skills

Nursing leadershipStaff supervisionRegulatory complianceClinical operationsGeriatric careMedicare regulationsInterdisciplinary collaborationPerformance evaluationMedication administrationRecruitment

Nursing Administration — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 32% are remote, 62% have no call, 84% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$97k midpoint carries the purchasing power of roughly $89k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Registered Nurse Jobs

31 matches · ranked by pay

Salary Distribution31 jobs · 23 employers

9
<$105k
8
$105k-125k
9
$125k-145k
4
$145k-165k
1
$165k

Annual compensation range

Benefits & Perks22 jobs

401k / retirement match
82% this job
Sign-on bonus
27% this job
CME allowance
18%
Loan repayment
14%
PSLF eligible
5%

Share of similar jobs offering each benefit

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+ 29 more · ranked by pay

Work-life snapshot

median 1.5this job 2.8
Better work-life than 60% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

Living in North Creek

Typical 3-bedroom home value
$321k≈ 3.9× annual pay
Median resident rent
$905/mo≈ 13% of gross pay
Residents’ average commute
20 min
Metro price indexU.S. average = 100
94.9
State income tax
Up to 10.9%
Sources & methodology

Sources: Zillow home values (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Glens Falls, NY metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Elderwood logo

About Elderwood

Hospitals and Health Care
Buffalo, New York
1,001-5,000 employees

Benefits & Perks

Gas Allowance Stipend for qualifying commuters
Full Suite of Health Benefits - Medical, Dental, Vision
Tuition Reimbursement and PAID Continued Education
401K with Employer Matching
Employee Referral Bonus - UP TO $2,000
Generous PTO & Holiday Package
Flexible Scheduling