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The Assistant Director of Nursing plays a pivotal role in healthcare facilities, overseeing nursing staff and ensuring quality patient care. The average salary for this position is $82,674 per year, translating to approximately $40 per hour. Salaries can vary widely depending on geographical location, years of experience, and specific healthcare settings.
For instance, states like California and New York typically offer higher salaries due to the increased cost of living and demand for qualified nursing leadership. Additionally, experience in specialized fields such as geriatric care or surgical nursing can lead to higher compensation.
Job seekers exploring opportunities in this field can find numerous positions across hospitals, nursing homes, and healthcare organizations. Online job boards like Zippia provide valuable insights into current openings and salary estimates, helping prospective employees make informed decisions about their career paths. As the demand for healthcare services continues to rise, the need for skilled Assistant Directors of Nursing remains strong, offering job security and growth potential.
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The highest-paying states for assistant directors of nursing are California, Rhode Island, and New York. The lowest average assistant director of nursing salary states are Mississippi, Alabama, and Iowa.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | West Virginia | $92,852 | $44.64 |
| 2 | Rhode Island | $94,472 | $45.42 |
| 3 | New York | $94,141 | $45.26 |
| 4 | Maine | $86,634 | $41.65 |
| 5 | New Mexico | $88,481 | $42.54 |
| 6 | Pennsylvania | $87,257 | $41.95 |
| 7 | New Hampshire | $85,747 | $41.22 |
| 8 | Ohio | $92,556 | $44.50 |
| 9 | Kansas | $85,366 | $41.04 |
| 10 | Wisconsin | $89,160 | $42.87 |
| 11 | Nevada | $92,251 | $44.35 |
| 12 | California | $97,674 | $46.96 |
| 13 | New Jersey | $87,351 | $42.00 |
| 14 | South Dakota | $78,505 | $37.74 |
| 15 | Washington | $92,627 | $44.53 |
| 16 | Indiana | $80,993 | $38.94 |
| 17 | Missouri | $85,993 | $41.34 |
| 18 | Wyoming | $88,066 | $42.34 |
| 19 | Massachusetts | $83,920 | $40.35 |
| 20 | North Dakota | $78,044 | $37.52 |
| 21 | Maryland | $86,342 | $41.51 |
| 22 | Montana | $82,258 | $39.55 |
| 23 | District of Columbia | $93,258 | $44.84 |
| 24 | Delaware | $81,243 | $39.06 |
| 25 | Arkansas | $75,058 | $36.09 |
| 26 | Connecticut | $80,250 | $38.58 |
| 27 | Virginia | $82,302 | $39.57 |
| 28 | Oregon | $78,870 | $37.92 |
| 29 | Kentucky | $75,536 | $36.32 |
| 30 | Idaho | $78,321 | $37.65 |
| 31 | Utah | $81,026 | $38.95 |
| 32 | Arizona | $79,498 | $38.22 |
| 33 | Michigan | $78,969 | $37.97 |
| 34 | Illinois | $77,525 | $37.27 |
| 35 | Hawaii | $83,173 | $39.99 |
| 36 | Louisiana | $70,038 | $33.67 |
| 37 | South Carolina | $76,861 | $36.95 |
| 38 | Colorado | $77,134 | $37.08 |
| 39 | Mississippi | $68,592 | $32.98 |
| 40 | North Carolina | $74,694 | $35.91 |
| 41 | Alaska | $76,671 | $36.86 |
| 42 | Iowa | $65,402 | $31.44 |
| 43 | Tennessee | $73,512 | $35.34 |
| 44 | Minnesota | $71,073 | $34.17 |
| 45 | Texas | $74,961 | $36.04 |
| 46 | Oklahoma | $63,443 | $30.50 |
| 47 | Nebraska | $68,884 | $33.12 |
| 48 | Alabama | $66,009 | $31.74 |
| 49 | Vermont | $71,768 | $34.50 |
| 50 | Georgia | $63,829 | $30.69 |
| 51 | Florida | $63,851 | $30.70 |
The highest-paying cities for assistant directors of nursing are Fairfield, CA, New York, NY, and Washington, DC.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Fairfield, CA | $104,097 | $50.05 |
| 2 | New York, NY | $94,482 | $45.42 |
| 3 | Washington, DC | $93,312 | $44.86 |
| 4 | Cincinnati, OH | $90,685 | $43.60 |
| 5 | Washington, UT | $88,377 | $42.49 |
| 6 | Philadelphia, PA | $87,799 | $42.21 |
| 7 | Trenton, NJ | $87,456 | $42.05 |
| 8 | Saint Louis, MO | $86,739 | $41.70 |
| 9 | Baltimore, MD | $86,466 | $41.57 |
| 10 | Overland Park, KS | $85,508 | $41.11 |
| 11 | Newton, MA | $83,847 | $40.31 |
| 12 | Newport News, VA | $82,461 | $39.64 |
| 13 | Anderson, IN | $81,330 | $39.10 |
| 14 | Medford, OR | $81,308 | $39.09 |
| 15 | Fairfield, CT | $80,724 | $38.81 |
| 16 | Detroit, MI | $79,098 | $38.03 |
| 17 | Tucson, AZ | $78,497 | $37.74 |
| 18 | Chicago, IL | $77,782 | $37.40 |
| 19 | Littleton, CO | $77,169 | $37.10 |
| 20 | Jacksonville, NC | $75,655 | $36.37 |
An assistant director of nursing's salary ranges from $61,000 a year at the 10th percentile to $111,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $111,000 | $9,250 | $53 |
| 75th Percentile | $96,000 | $8,000 | $46 |
| Average | $82,674 | $6,890 | $40 |
| 25th Percentile | $70,000 | $5,833 | $34 |
| 10th Percentile | $61,000 | $5,083 | $29 |
The highest paying types of assistant directors of nursing are medical director, director of professional services, and service director.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Unit Manager | $60,561 | $5,047 | $29.12 | 366,932 |
| Nursing Home Administrator | $80,880 | $6,740 | $38.88 | 137,786 |
| Nurse Manager | $83,684 | $6,974 | $40.23 | 380,264 |
| Clinical Services Director | $90,816 | $7,568 | $43.66 | 127,948 |
| Registered Nurse Supervisor | $74,174 | $6,181 | $35.66 | 640,040 |
| Managed Care Director | $84,817 | $7,068 | $40.78 | 93,987 |
Top companies hiring assistant directors of nursing now:
Assistant director of nursing salaries at Waters and Tenet Healthcare are the highest-paying according to our most recent salary estimates. In addition, the average assistant director of nursing salary at companies like Northwell Health and Senior Living Properties are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Waters | $111,368 | $53.54 |
| 2 | Tenet Healthcare | $106,424 | $51.17 |
| 3 | Northwell Health | $101,763 | $48.92 |
| 4 | Senior Living Properties | $101,347 | $48.72 |
| 5 | University of Maryland Medical System | $101,204 | $48.66 |
| 6 | Belle Fountain Nursing & Rehab | $99,200 | $47.69 |
| 7 | Favorite Healthcare Staffing | $98,545 | $47.38 |
| 8 | Acadia Healthcare | $98,489 | $47.35 |
| 9 | CHRISTUS Health | $98,473 | $47.34 |
| 10 | Alameda Health System | $98,259 | $47.24 |
| 11 | Community Health Systems | $97,795 | $47.02 |
| 12 | Concord Hospital | $97,699 | $46.97 |
| 13 | BridgePoint Healthcare | $97,091 | $46.68 |
| 14 | Careerstaff Unlimited - A Genesis Healthcare Company | $97,059 | $46.66 |
| 15 | Therapy Resources Management | $97,012 | $46.64 |
| 16 | Signature Healthcare | $96,373 | $46.33 |
| 17 | Henry Ford Health System | $96,301 | $46.30 |
| 18 | University Hospitals | $95,864 | $46.09 |
| 19 | Montefiore Mount Vernon Hospital | $95,211 | $45.77 |
| 20 | One Brooklyn Health | $95,020 | $45.68 |
The average assistant director of nursing salary has risen by $14,175 over the last ten years. In 2014, the average assistant director of nursing earned $68,499 annually, but today, they earn $82,674 a year. That works out to a 8% change in pay for assistant directors of nursing over the last decade.
Compare assistant director of nursing salaries for cities or states with the national average over time.
Compare assistant director of nursing salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2026 | $82,700 | $39.75 | +3.2% |
| 2025 | $80,100 | $38.49 | +1.2% |
| 2024 | $79,100 | $38.01 | +1.4% |
| 2023 | $78,000 | $37.49 | +1.8% |
| 2022 | $76,500 | $36.80 | +2.1% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Wellpath | Assistant Director of Nursing (RN) | West Palm Beach, FL | 06/30/2025 | $76,752 |
| Sanford Health | Nursing Assistant Trainee, Long Term Care (LTC) | Tyndall, SD | 06/30/2025 | $31,305 |
| Sanford Health | Nursing Assistant Trainee-Days | Syracuse, NE | 06/30/2025 | $31,305 |
| Advanced Recovery Systems | Assistant Director of Nursing RN-Behavioral Health | Indianapolis, IN | 06/29/2025 | $93,600 |
| Get It-Executive | Assistant Director of Nursing-Remote | WFH | North Providence, RI | 06/29/2025 | $115,000 |
| Oakviewwaverlyhall | Assistant Director of Nursing | Commerce, GA | 06/29/2025 | $87,654 |
| Live Oak Healthcare and Rehabilitation | Assistant Director of Nursing (Adon) | Live Oak, FL | 06/29/2025 | $105,000 |
| Ga Medgroup | Assistant Director of Nursing | Commerce, GA | 06/29/2025 | $87,654 |
| Genesis Healthcare LLC | Assistant Director of Nursing, RN | Lanham, MD | 06/28/2025 | $149,000 |
| Bethesda Health | Assistant Director of Nursing (Adon-Rn) | Saint Louis, MO | 06/28/2025 | $63,943 |
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