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Nurses

Assistant Director of Nursing (RN)

Wellsential HealthFull timePosted 3d agoStill open, checked every night
  • RN license

Open in 15 locations

Wellsential Health posts this job separately for each location. Apply to the one where you can work: the unit, shifts, schedule and pay can differ between locations.

Texas

15 open

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)

Every state's nurse staffing law, in its own words

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

The Assistant Director of Nursing (ADON) plays a vital leadership role in supporting the delivery of safe, compassionate, and high-quality care that promotes each resident’s highest practicable physical, mental, and psychosocial well-being. Working closely with the Director of Nursing, the ADON helps lead the nursing team, strengthen clinical outcomes, support regulatory compliance, and foster a culture where residents receive the care, dignity, and attention they deserve.

The ADON serves as a hands-on resource for clinical staff, residents, and families while helping ensure the nursing department is appropriately staffed, organized, and prepared to meet the changing needs of the residents we serve. Through clinical leadership, staff development, quality assurance, and collaboration with physicians and interdisciplinary team members, the ADON helps create a nursing environment built on accountability, teamwork, and a commitment to excellence.

Administrative Functions

  • Handle and/or assist the Director of Nursing 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.

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.
  • Verify that a sufficient number of nursing staff members are available for each shift to ensure nursing care meets each resident's daily needs.
  • Develop work assignments and schedules. Participate in supervising staff to ensure assigned tasks are completed and performed.
  • Assist in the interview and recruitment process, ensuring a good candidate experience and hiring of qualified professionals.

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.

Other

  • Assist with reviewing resident clinical records as needed.
  • Assist in reviewing consultant reports and implementing any plans of correction as needed.
  • May be periodically required to assist with MDS assessments and care plans if and as needed.
  • Assist in reviewing and implementing appropriate compliance actions related to pertinent regulatory reports.
  • Participate in the facility's nursing on-call schedule.
  • Perform any other duties deemed reasonable and necessary by the Director of Nursing.

Educational/Training Requirements

  • Must have completed an RN program at an accredited vocational school, college, or university

Licensing Requirements

  • Must possess a current Texas RN license.

Experience Requirements

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

Physical Job Requirements

Lifting 1–50 lbs - Frequent

Lifting 50+ lbs - Occasionally

Carrying 1–25 lbs - Frequent

Carrying 25–50+ lbs - Occasionally

Pushing / Pulling 1–50 lbs - Frequent

Pushing / Pulling 50+ lbs - Occasionally

Sliding / Transferring 1–50 lbs - Frequent

Sliding /Transferring 50+ lbs - Occasionally

Standing / Walking - Frequently

Sitting / Balancing / Crouching / Crawling - Rarely

Speaking / Hearing / Seeing - Frequently

Stooping / Kneeling - Occasionally

Reaching - Occasionally

Turning / Twisting / Leaning - Occasionally

Driving - Rarely

#ATXNM

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 for Georgetown, TX, 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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