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Nurses

Assistant Director of Nursing (ADON) - RN/LVN

Wellsential HealthSmithville, TXFull timePosted 2mo agoStill open, checked every night
  • LPN / LVN license

How this pay compares

This posting does not state an hourly rate. Directors of nursing employed in Texas earn a median of $54.88 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Directors of nursing in Texas: pay by town and employer

The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly

What Texas law says about nurse staffing and overtime

  • Nurse staffing committee or plan: Texas hospitals must keep a nurse staffing committee, at least 60 percent direct care nurses, that recommends the nurse staffing plan. Tex. Health & Safety Code § 257.004(a) (source: Tex. Health & Safety Code § 257.004(a))
  • Limits on mandatory overtime: Hospitals may not require nurses to work mandatory overtime or use on-call time as a substitute, with exceptions for disasters, declared emergencies, unforeseen events and procedures in progress (covers registered and vocational nurses in hospitals). Tex. Health & Safety Code § 258.003 (source: Tex. Health & Safety Code § 258.003)

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Registered nurse and LPN jobs in our research

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  • Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 136
  • How often these jobs state their pay: Jobs stating any pay 54.8% · Stating an hourly rate 34.1%

From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Registered nurse and LPN jobs

About the job

Primary Responsibilities

The Assistant Director of Nursing (ADON) will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care.

Essential Functions

Administrative Functions

  • Handle and/or assist the Director of Nurses in planning, developing, organizing, implementing, evaluating and directing the day-to-day functions of the nursing department in accordance with current rules, regulations and facility policies that govern the facility.

Quality of Care

  • Handle and/or assist in developing and regularly evaluating methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care in accordance with nursing home regulations and applicable nursing facility standards and practices.
  • Communicate with attending physician and medical director regarding resident care issues as needed.
  • Communicate with families regarding resident care issues when appropriate

Staffing

  • Handle and/or assist the DON in determining the staffing needs of the nursing service department.
  • Handle and/or assist the DON in the recruitment, hiring and training of nursing service personnel.
  • Verify that a sufficient number of nursing staff members are available for each shift to ensure that nursing care is provided to meet the daily nursing care needs of each resident.
  • Develop work assignments and schedules. Participate in supervising staff to ensure assigned tasks are completed and performed.

Quality Assurance

  • Assist in the facility daily start up process.
  • Participate in the development, maintenance and implementation of the facility's quality assurance program for the nursing service department.
  • Serve on the Quality Assurance Committee as assigned.

Other

  • Assist in the review of resident clinical records as needed.
  • Assist in the review of consultant reports and implementation of any plans of corrections as needed.
  • May be periodically required to assist with MDS assessments and care plans if and as needed.
  • Assist in the review of and implement appropriate compliance action regarding pertinent regulatory reports.
  • Participate in the facility's nursing on-call schedule.
  • Perform any other duties deemed reasonable and necessary by the Director of Nurses.

Educational/Training Requirements

  • Must have completed an RN/LVN program at an accredited vocational schools, college, or university

Licensing Requirements

  • Must possess a current Texas RN or LVN Licensure.

Experience Requirements

  • Must have experience working in a skilled nursing facility for at least 3 years
  • Preferred to possess a current RUG certification

Physical Demands

The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Lifting- 1-25 lbs - Frequently
  • Lifting - 25-50 lbs - Occasionally
  • Lifting - 50+ lbs - Occasionally
  • Carrying - 1-25 lbs - Frequently
  • Carrying - 25-50 lbs - Occasionally
  • Carrying - 50+ lbs - Occasionally
  • Pushing/Pulling - 1-25 lbs - Frequently
  • Pushing/Pulling - 25-50 lbs - Frequently
  • Pushing/Pulling - 50+ lbs - Frequently
  • Sliding/Transferring - 1-25 lbs - Frequently
  • Sliding/Transferring - 25-50 lbs - Occasionally
  • Sliding/Transferring - 50+ lbs - Occasionally
  • Standing - Frequently
  • Sitting - Rarely
  • Walking - Frequently
  • Speaking - Frequently
  • Driving - Rarely
  • Balancing/Climbing - Rarely
  • Stooping/Kneeling - Rarely
  • Crouching/Crawling - Rarely
  • Reaching - Occasionally
  • Hearing/Listening - Frequently
  • Seeing - Frequently
  • Turning/Twisting/Leaning - Occasionally

Regency Integrated Health Servicesis an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

#BTXNM

Regency Integrated Health Services, Wellsential Health, Senior Solutions Pharmacy, Nurse Practitioner Services of Texas, and Texas Independent Health Care Plan are all an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

From Wellsential Health's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Wellsential Health

Wellsential Health operates 67 (source: CMS Nursing Home Provider Information) Medicare- and Medicaid-certified nursing homes in Texas. Its job board posts jobs for nurses, nursing assistants and therapists. Source: CMS Nursing Home Provider Information

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