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LionStone Healthcare
Middletown, Ohio

Assistant Director of Nursing RN/Infection Preventionist

Registered NurseNo nightsFull-Time

Listed compensation

$93k-$98k

The week · per this posting

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

Posted 1h ago · Verified live

Job Description

Job Details: Job Location: Hawthorn Glen Care Community - Middletown, OH, Position Type: Full-Time, Education Level: Bachelor Degree, Salary Range: $93000.00 - $98000.00Salary/year, Travel Percentage: Negligible, Job Shift: First Shift, The Assistant Director of Nursing (ADON) works closely with the Director of Nursing (DON) to manage and oversee the nursing department in a healthcare or long-term care facility.

The ADON assists in maintaining the highest standards of patient care, ensuring regulatory compliance, supervising nursing staff, and providing support in daily operations.

This role is essential in fostering a positive work environment, promoting clinical excellence, and ensuring residents or patients receive compassionate and effective care.

Key Responsibilities

Nursing Leadership and Supervision: Assist the Director of Nursing in managing the nursing department, ensuring the provision of high-quality care and adherence to facility policies. Supervise nursing staff, including RNs, LPNs, and CNAs, providing guidance, support, and oversight of clinical duties.

Assist in recruiting, training, and evaluating nursing staff to ensure competence and professional development. Serve as a leader and role model, promoting a culture of teamwork, respect, and dedication to patient care.

Resident Care and Clinical Oversight: Monitor the health status of residents or patients and collaborate with healthcare providers to adjust care plans as needed.

Assist in the development, implementation, and evaluation of individualized care plans, ensuring that they align with medical recommendations and residents’ needs. Ensure that nursing staff follow best practices in administering medications, treatments, and therapies, with a focus on patient safety and care quality.

Respond to medical emergencies and assist in providing care, working with staff to ensure the best outcomes for residents. Regulatory Compliance and Documentation: Assist the Director of Nursing in ensuring the facility is compliant with state and federal regulations governing nursing and patient care.

Maintain accurate and up-to-date records for resident care, staffing, and other regulatory requirements. Prepare for and participate in regulatory inspections and audits, ensuring that the facility meets or exceeds standards for care delivery.

Quality Improvement: Participate in quality improvement initiatives aimed at enhancing the level of care provided and improving patient outcomes. Monitor and assess clinical practices, identifying areas for improvement and implementing necessary changes.

Review incident reports, track key performance indicators (KPIs), and assist in developing action plans to address areas of concern. Staff Development and Training: Assist in organizing and conducting staff training sessions on clinical care, safety procedures, infection control, and regulatory compliance.

Monitor staff competencies and provide ongoing education to enhance nursing skills and promote professional growth. Provide mentorship and coaching to nursing staff to improve clinical performance and ensure high standards of care.

Resident and Family Communication: Serve as a point of contact for residents and their families, addressing any concerns, questions, or issues related to care. Foster positive relationships with residents and families, ensuring clear communication about care plans, treatment changes, and facility policies.

Assist in family meetings, offering support and guidance on care-related matters. Collaboration and Coordination: Collaborate with other departments, including administration, therapy, and dietary teams, to ensure holistic and coordinated care.

Participate in interdisciplinary care team meetings, providing nursing insight to help develop and implement care strategies. Assist the Director of Nursing in managing daily operations and filling in for them during absences.

Qualifications

Education: Associate’s degree in Nursing (BSN) required; a Bachelor's or Master’s degree in Nursing or Healthcare Administration is preferred. Licensure: Active Registered Nurse (RN) license.

Experience: Minimum of 5 years of nursing experience, with at least 2-3 years in a supervisory or leadership role, preferably in a long-term care or healthcare setting. Skills: Strong leadership and team management skills. Excellent clinical nursing knowledge and skills.

In-depth understanding of healthcare regulations, compliance standards, and best practices in nursing. Exceptional communication, problem-solving, and interpersonal skills.

Ability to work effectively in a fast-paced, dynamic environment. #LIONSTONE123 People-Centered Rewards: Health benefits including Medical, Dental & Vision 401k with company match Early Pay via Tapcheck!

Employee Perks & Discount program PTO + Company Holidays + Floating Holidays Referral Bonus Program Mentorship Programs Internal/Upskilling Growth Opportunities Continued Education Loan Repayment Program powered by Clasp

Key Responsibilities

The Assistant Director of Nursing manages the nursing department, supervises staff, and ensures high-quality patient care and regulatory compliance. This role also involves collaborating with healthcare providers, conducting staff training, and fostering positive communication with residents and their families.

Requirements

Candidates must hold an active Registered Nurse (RN) license and possess at least 5 years of nursing experience, including 2-3 years in a leadership role. A Bachelor's degree in Nursing or Healthcare Administration is preferred, though an Associate's degree is the minimum requirement.

Qualifications

Experience
5+ years of experience

Key Skills

Staff supervisionInfection preventionCare planningMedication administration

Nursing Leadership — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 26% are remote, 56% have no call, 88% require no weekends.

The cost-of-living index for Ohio is 92.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$96k midpoint carries the purchasing power of roughly $103k in an average-cost state. 61.3% of Ohio clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Registered Nurse Jobs

19 matches · ranked by pay

Salary Distribution19 jobs · 17 employers

7
<$100k
5
$100k-125k
4
$125k-150k
3
$150k-175k

Annual compensation range

Benefits & Perks17 jobs

401k / retirement match
88% this job
CME allowance
29%
Sign-on bonus
24%
Loan repayment
12% this job
PSLF eligible
6%

Share of similar jobs offering each benefit

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#4

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Work-life snapshot

median 1.5this job 5.1
Among the best 10% of Nursing Leadership (RN) listings for work-life

Listing-based score, 0–10, across 100 comparable listings. Shaded area = the share scoring below this one.

  • No nights

Living in Middletown

Typical 3-bedroom home value
$252k≈ 2.7× annual pay
Typical market rent
$1,317/mo≈ 17% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
95.4
State income tax
Up to 4%
Sources & methodology

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

BEA 2024 · Cincinnati, OH-KY-IN metro prices. Housing figures are city-level.

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

LionStone Healthcare logo

About LionStone Healthcare

Hospitals and Health Care
Cleveland, Ohio
51-200 employees

Benefits & Perks

Health Insurance
Dental
Vision
401k with company match
Early Pay via Tapcheck
Employee Perks & Discount program
PTO
Company Holidays