Assistant Director of Nursing - ADON

Texoma Healthcare Center · Sherman, TX Full Time

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Job Description

Join Our Team as an Assistant Director of Nursing Support Nursing Excellence and Resident Care We’re seeking a dedicated and reliable Assistant Director of Nursing (ADON) to join our team! This leadership role plays a vital part in ensuring quality resident care, staff support, and regulatory compliance. Success in this position requires dependability, strong clinical judgment, and the ability to multitask and collaborate in a dynamic environment. Your Impact as an Assistant Director of Nursing In this role, you will: Support Staffing Needs : Step in to assist floor staffing when needed Oversee Resident Care : Contribute to MDS, care planning, Performance Improvement, and Infection Control programs Manage Nursing Staff : Hire, train, evaluate, assign, and delegate nursing duties based on census and budget needs Ensure Accurate Documentation : Review and maintain up-to-date and accurate resident records Develop Care Plans : Collaborate with physicians, nursing teams, and consultants to design individualized care plans Support Staff Resources : Ensure timely access to equipment, supplies, and other care resources Uphold Infection Control : Conduct assessments and implement effective infection control measures What Makes You a Great Fit We’re looking for someone who: Is a licensed nurse in good standing with the State Board of Nursing Has strong technical skills and proven leadership/management experience Brings a background in geriatric or long-term care nursing Embraces a restorative care philosophy with strong assessment and communication skills Has working knowledge of nursing home regulations and compliance standards Benefits (Full-Time) Comprehensive Coverage : Health, Dental, and Vision Insurance Extra Protection : AD&D, Short-Term Disability, Cancer, Critical Illness, and more Life Insurance : Whole and Term Policies Professional Growth : Tuition Reimbursement for continued education Time to Recharge : Paid Time Off Retirement Planning : Immediate 401(k) eligibility Unwavering Support : Exceptional corporate resources Equal Opportunity Employer Creative Solutions in Healthcare is proud to be an Equal Opportunity Employer. We are committed to fostering a diverse, inclusive, and respectful work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity, or any other protected status under applicable law.

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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 DFW 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 DFW 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.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the DFW metroplex area earn a median wage of $58.48/hr ($121,638/yr). The typical range is $44.34 – $75.25/hr (25th–75th percentile).

Entry Level (10th) $65,520/yr

DFW Median $121,638/yr

Experienced (90th) $204,838/yr

vs. National Median -1.8%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.