Terrace Holding Company jobs - 26 jobs

The primary objective of the Physical Therapy Assistant is to assist with assessing, planning, implementing and documenting Client's physical therapy program under the direction and supervision of the physical therapist. Follow corporate guidelines, objectives and policies to maintain standards of treatment consistent with legal and accrediting requirements. ESSENTIAL FUNCTIONS: ASSESSMENT Upon receiving PT screening request, review client's current situation and screens individual for intervention. Communicates screening results to client and appropriate family and/or staff. Complete required screening documentation. PLANNING Plan appropriate therapeutic activities to meet client's goals. Communicate treatment plan and goals to client and family. Communicate significant issues in treatment planning to PT on ongoing basis. Collaborate with health care team members to begin planning for appropriate and timely discharge or transfer. IMPLEMENTATION Demonstrate ability to prioritize treatment procedures according to patient's needs and MD requests. Implement interventions according to plan of care. Communicate purpose of treatment procedures to client/family according to client's level of understanding and modifies plan accordingly. Communicate ongoing treatment issues/plan to interdisciplinary health care team members. Communicate ongoing treatment issues with PT. Complete required documentation regarding daily intervention. Demonstrate awareness of precautions regarding client diagnosis and treatment techniques. EVALUATION Review and evaluate effectiveness of interventions toward achieving patient outcomes and discuss need for changes to PT. Document appropriate reassessment and changes in plan of care. Communicate significant changes in client status and therapeutic intervention to client/family and health care team members. Complete required documentation for discharge. OTHER DUTIES Perform other related duties as assigned. Support and participate in changes and suggestions made by Director of Rehab. GENERAL FUNCTIONS: Maintain confidentiality of resident, employee and facility information. Follow Resident's Rights policies at all times maintaining privacy, confidentiality and respect. Ability to understand and comply with applicable Federal, State and local regulations as they apply to this job. Attend all required department and/or facility meetings. Adhere to applicable laws, rules, regulations and Code of Conduct directed by Corporate Compliance Program, conduct business using ethical standards, and report any suspect or actual event or circumstance to the Compliance Officer. Understand and comply with use and disclosure rules of resident Protected Health Information (PHI) as required by the HIPAA Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA). Use the proper equipment for each job and report any missing or damaged equipment to supervisor immediately. Follow facility safety program, identify and report unsafe equipment, environment or procedures to supervisor. Read and follow instructions on Safety Data Sheets (SDS) when handling or using chemicals. Assume accountability for data contained in the employee handbook. Observe all facility policies and procedures. Report to work as scheduled and consistently demonstrate dependability and punctuality. Come to work in neat, clean attire and consistently present an appropriate professional appearance. Perform all duties in an effective, timely and professional manner. Work cooperatively with all community members* and willingly accept assigned duties. Report any possible problem or concern regarding community members* to supervisor immediately. Communicate applicable information to community members* in an effective and efficient manner. Exhibit hospitality by displaying courtesy, support, gratitude and respect to all community members*. Complete employee training courses as assigned by due date. Perform any other related duties as directed by supervisor. *community members (staff, residents, families and vendors) QUALIFICATIONS: Must be at least eighteen (18) years of age. Must have current physical examination showing freedom from certain types of communicable diseases. Must be a graduate of an accredited PTA program. Must hold a valid Florida license to practice as a Physical Therapy Assistant. Must have strong organizational and excellent customer service skills. Must be able to follow directions clearly and efficiently. Must have previous work experience operating standard office equipment (e.g., copier, computer, etc.). Intermediate working knowledge of Microsoft Products such as Outlook, Windows, Excel and Word preferred. Must have current Cardio Pulmonary Recitation Card (CPR) issued by recognized provider such as American Heart Association or American Red Cross that includes hands-on practice and in-person skills assessment or be able to obtain CPR training and card within 30-days of hire date. ********************************

The primary purpose of your job position is to provide assistance in all dietary functions as directly instructed and in accordance with established dietary policies and procedures. Delegation of Authority As the Dietary Aide, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties docs not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Work with the facility's dietician as necessary and implements recommended changes as required. Ensure that all dietary procedures are followed in accordance with established policies. Others as deemed necessary and appropriate, or as may be directed. Personnel Functions Develop and maintain a good working rapport with inter-departmental personnel, as well as with other departments within the facility, to assure that food service can be properly maintained to meet 1he needs of the residents. Create and maintain an atmosphere of warmth, personal interest, and positive emphasis as well as a calm environment throughout the department. Wear protective clothing/devices when handling infectious waste and/or blood/body fluids. Report missing/illegible labels and/or MSDSs to your supervisor. Equipment and Supply Functions Ensure that food and supplies for the next meal are readily available. Assist in inventorying and storing incoming food, supplies, ect., as necessary. Resident Rights Maintain confidentiality of all pertinent resident care infom1ation. Knock before entering a resident's room. Treat all residents, families, and visitors with respect and dignity Report complaints to the Director of Food Services. Miscellaneous Make only authorized food substitutions. Assist in food preparation for special meals, for parties, etc. Working Conditions Works in well-lighted/Ventilated areas. Atmosphere is warm for cooking. Moves intermittently during work hours. ls subject to frequent interruptions. ls involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, etc. Communicates with the medical staff, nursing staff, and other department supervisors. Works beyond normal working hours, weekends and holidays and on other shift/positions as necessary. ls subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. ls subject to injury from falls, burns from equipment, odors, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to sudden temperature changes when entering refrigerator. May be exposed to heat/cold temperatures in kitchen/storage area. ls subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. Maintains a liaison with other department supervisors to adequately plan for food services/activities. May be subject to the handling of and exposure to hazardous chemicals. Education Must possess, as a minimum, an 12 th grade education or equivalent. Experience No experience required, “on the job” training provided Specific Requirements Must possess and maintain an “Eligible” ACHA Background Screening status. ******************************** Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must possess willingness to work harmoniously with other personnel. Must maintain the care and use of supplies, equipment, etc., and maintain the appearance of dietary service areas in accordance with the facility's established procedure. Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move frequently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must be able to bend and stoop frequently. Must be able to push, pull, move, &/or lift a minimum of 35 lbs. to a minimum height of 5 fl & be able to push, pull, move, &/or carry such weight a minimum of 450 ft. Must meet the general health requirements set forth by the policies of this facility which may include a medical and physical examination.

The primary purpose of your job is to coordinate and supervise the nursing care of all residents to ensure that the therapeutic regimen is implemented & documented according to federal, state & local regulations; to coordinate the orientation and in-service education of the facility employees; and to identify, investigate, evaluate and implement plans of correction and preventative measures to reduce risk and improve the quality of care and life of the residents. Delegation of Authority As the Assistant Director of Nursing/Staff Development/ Risk Manager, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. In the absence of the Director of Nursing Service, you are charged with carrying out the resident care policies established by this facility. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Assist the Director of Nursing implementing, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current laws, rules, regulation, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing department. Ensure that reference material (i.e., PDR's, Federal and State Regulations, etc.) maintained at the nurses' station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by the facility. Develop and periodically update nursing objectives and statements of philosophy. Assist in developing and implementing a nursing service organization structure. Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing department. Periodically review the department's policies, procedure manuals, s, etc. Make recommendations for revisions of policies, procedures, etc. to the Director of Nursing. Ensure that the Policy and Procedure manuals are reviewed by the QA Committee annually and that the acknowledgement of acceptance is maintained in the Manuals. Ensure that the signature page is printed out December 15 th and ensure that it is singed by the Medical Director, Administrator, DON, and Risk Manager Replace these sheets in all Policy and Procedure binders throughout the facility. Maintain a folder with all previous acknowledgements. Ensure that all policy and procedure manuals throughout the facility are updated each time a new policy and procedure is developed and implemented. Review manuals at least quarterly for completeness. Ensure binders are maintained in the DON's, Administrator's and your office as well as on each unit. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care. Ensure that all nursing personnel are following their respective s. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing department. Participate in facility surveys (inspections) made by authorized government agencies. Maintain and update QIS Survey Staff Interview Log and distribute to unit managers weekly when the facility is in their survey window (9 to 15 months since last Recertification Survey) Participate in developing, implementing, and periodically updating the resident's written discharge plan. Assist the resident in planning the nursing portion of the resident's discharge plan. Enter and/or Verify New Employees have been entered into the EMR system. Ensure that “title” is completed on employees (i.e. RN, LPN, CNA) and assign and/or verify Units are assigned to CNAs Remove employees that are no longer employed out of the EMR system. Reset passwords for Employees/Service Providers/Medical Staff who lock themselves out of the EMR system Provide in-service to all new nurses on how to use the EMR System and assign e-learning courses. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. as necessary. Maintain weekly inventory checks of the EDK. Investigate discrepancies and document findings. Run weekly activity reports and completed other associated tasks as directed. Investigate and report, if necessary, all adverse/or potential adverse incidents. Maintain documentation of the investigation and findings. Track and trend incidents to identify potential problems and develop a plan of correction. Maintain a log of each incident. Maintain files for all investigations and/or surveys completed by authorized governmental agencies (APS, AHCA, OSHA, etc.) Complete special chart audits to identify potential areas of improvement and for any problems in the provision of care or documentation, as directed. Investigate, log and track all accidents which occur in the facility from residents, staff, visitors or other service providers. Maintain documentation of the investigation Committee Functions Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Safety Quality Assurance & Assessment, etc.) as directed Serve on the Quality Assurance and Assessment Committee and the Quality Assurance and Performance Improvement committee as directed. Serve on the Compliance and Ethics Committee Assist the Director in preparing written and/or oral reports of the nursing programs and activities to submit to such committee(s). Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies. Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan team as required or as may be necessary. Evaluate and implement recommendations from established committees as they may pertain to nursing services. Personnel Functions Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing perso1mel to be employed. Assist the Director in the recruitment and selection of nursing service personnel. Maintain and update the Nurse Manager On-Call schedule Ensure that a sufficient number of licensed practical and/or registered nurses are available for each shift to ensure that quality care is maintained and staffing regulations are met. Ensure that a sufficient number of certified nursing assistants are available for each shift to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident and staffing regulations are met. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse, if applicable. Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing and conducting performance and competency evaluations, as directed. Participate in the development and implementation of performance evaluations for the nursing department. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards and report findings to Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times and report problem areas to the Director. Monitor the professional nurses' licensing status to ensure that they remain current and inform nurses at least 30 days in advance of their license expiration date. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as necessary. Ensure that all nursing personnel participate in the facility's TB testing program. Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents. Conduct new employee, random, directed and Work Place Incident Drug Screen Testing. Order supplies from the Lab; call in specimen collections for pickup. Review all test results (if any positive finding - advise HR immediately).Maintain files with Drug Screen Results. Implement the Employee Flu Vaccine Administration program; Obtain and Maintain signature forms to receive or decline the vaccine; Post administration date(s) for which the Employee vaccine will be available and the cost of the vaccine. Complete new and annual employee PPD administration; Ensure availability of solution; Order solution as necessary; Maintain files with PPD documentation and any other health issues of the employee. Nursing Care Functions Participate in the interviewing and selection of residents for admission to the facility, including the PASRR screenings. Provide the Director with the information relative to the nursing needs of the resident and to the nursing department's ability to meet those needs. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission and escort them to their rooms as necessary. Make rounds with physicians as necessary. Inform the Director when physician visits are not made in a timely manner. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to the Director and assist in developing and implementing corrective action. Authorize the use of restraints when necessary and in accordance with our established policies and procedures. Ensure that residents who are unable to call for help are checked frequently. Assist the Pharmacy Consultant by printing active Inventory Reports with Expiration Dates for the EDK Machine for signature during monthly visit; providing a copy of the months falls for review; providing a list of Nurses for which DON or ADON want a Medication pass review completed; and as necessary.. Staff Development Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing department. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses. Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs and schedule times as appropriate. Assist the Director in developing and revising the nursing assistant training curriculum used by the facility. Assist the Director in planning and conducting universal precautions in-service training. Develop annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards. Develop advance directive in-service training program for the staff and community. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing department. Develop in-service training programs for the nursing staff and ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Design, plan, and provide education programs on all shifts and for all departments. Participate in staff evaluation process by providing attendance records and observation of employees performance. Maintain current education records of classes and content of in-services conducted, attendance and performance of facility employees. Develop an annual training calendar which meets the state, federal and local laws, regulations and requirements. Ensure that the training calendar is approved by the QA committee yearly Schedule and post a monthly calendar of education programs for employees. Ensure that the most current Federal and State regulations are included in the new hire orientation and annual in-service/ training packets. Create lesson plans containing objectives, course content, method of instruction, and method of evaluation. Know, apply and teach the principles of body mechanics, body alignment, pressure ulcer prevention and nutrition awareness. Participate in, and possibly conduct, fire and disaster drills to ensure all staff posses knowledge of fire and disaster procedures, including evacuation. Observe medication passes and treatment procedures. Assume duties of Charge Nurse on an as needed basis. Ensure all employees are entered into Health Care Academy (HCA) System (eLearning). Assign all new employee, annual, and monthly (ongoing) trainings in HCA as required. Ensure 100% compliance with completion of assigned trainings. Follow facility disciplinary policies as necessary. Maintain employee training files. Print all certifications of completion of trainings from HCA in the employee's training file which is to be maintained in the ADON office. Assign and/or provide training on the Code of Conduct - Corporate Compliance Plan -upon hire and quarterly thereafter to all employees. Ensure 100% completion. Ensure that employees compete and sign the required pages in the Compliance Program manual along with a completed and signed Attestation and Declaration form. Copies of these forms are to be sent to the compliance officer (consultant). Maintain the originals in a binder for the Corporate Compliance Program. Safety and Sanitation/Infection Control Functions Assist the Safety Officer in developing safety standards for the nursing department assist the Director in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or; use safety equipment and supplies (e.g., gait belts, mechanical lifts, etc.) when moving or lifting a resident. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Record, track, and trend infection control reports. Prepare monthly and quarterly reports Equipment and Supply Functions Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on premises at all times to adequately meet the need of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing department. Care Plan Functions Encourage the resident and his/her family to participate in the development and review of the resident's plan of care. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Review and revise care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive care plan. Be sure that staff members are providing care that reflects the wishes of the resident. Budget and Planning Functions Participate in the preparation of and planning of the nursing department's budget and submit to the Director for his/her review, recommendation, and/or approval. Keep abreast of economic conditions/situation, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing department. Resident Rights Maintain the confidentiality of all resident information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral reports to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievance that indicates the action taken to resolve the complaint and the current status of the complaint. Follow the facility's established procedures Ensure that appropriate notices are received by the resident before his/her room or roommate is changed. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Follow facility's established procedures. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that refusal of treatment requests are in accordance with the facility's policies governing advance directives. Review the facility's advance directive policies and procedures with resident and/or family members as necessary. Working Conditions Works in office areas as well as throughout the facility. Moves intermittently during work hours. Is subject to frequent interruptions. Works beyond normal working hours, weekends and holidays and on other shift/positions as necessary. This position is subject to being on call 24 hours per day, 7 days per week. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.). Attends and participates in continual educational programs. Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Communicates with the medical staff, nursing personnel, and other department supervisors. Is subject to hostile and emotionally upset residents, family members, persom1el, and visitors. Is involved in community, civic health matters, and projects as appropriate. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Education Requirements Must possess, as a minimum, a Nursing Degree from an accredited nursing school, college or university. Must possess a current State of Florida nursing license. Must possess current CPR certification. Experience Must have, as a minimum, one (1) year of experience as a supervisor in a hospital, long term care facility, or other related health care facility. Must have, as a minimum, six (6) months training experience in rehabilitative and restorative nursing practices. Specific Requirements Must posses a current, unencumbered, active license to practice as a Registered Nurse in this state. An unencumbered, current, active Licensed Practical Nurse License from this state may be considered in buildings with 120 or less beds. Must possess and maintain an “Eligible” ACHA Background Screening status. ******************************** Knowledge of laws, rules, regulations, and guidelines pertaining to Long Term Care Facilities. Knowledge of ADA and OSHA laws and regulations. Knowledge of HIPAA and HITECH Laws and regulations. Knowledge of the Nurse Practice Act and other laws, rules and regulations governing nursing practice. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pe1iain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet. May be required to lift, or assist with lifting of, residents. May be necessary to assist in the evacuation of residents during emergency situations.

The primary purpose of your job position is to prepare food in accordance with current applicable, federal, state, and local standards, guidelines and regulations, with our established policies and procedures, and as directed by the Head Cook and/or Director of Food Services, to assure that quality food service is provided at all times. Delegation of Authority As cook, you are delegated the administrative authority, responsibility; and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Review menus prior to preparation of food Inspect special diet trays to assure that the correct diet is served to the resident. Perform administrative requirements such as completing necessary forms, reports, etc., and submit to the Director of Food Services. Coordinate food service with other departments as necessary. Work with the facility's dietician as necessary and implement recommended changes as required. Ensure all food procedures are followed in accordance with established policies. Assist in standardizing the methods in which work will be accomplished. Assume the authority, responsibility and accountability of Cook. Assist in establishing food service production line, etc., to assure that meals are prepared on time. Process diet changes. Others as deemed necessary and appropriate, or as directed. Personnel Functions Develop and maintain a good working rapport with inter-department personnel as well as with other departments within the facility to assure that food service can be properly maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest, and positive emphasis as well as a calm environment throughout the facility. Report all occupational accidents, exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Report known or suspected incidents of fraud to the Administrator. Staff Development Participate in in-service training classes that provide instructions on ''how to do the job”. Participate in training programs, as appropriate. Attend and participate in annual HazCom, blood-borne pathogens, OSHA, HIPAA, TB and other in-service training programs as directed. Food Service Prepare meals in accordance with planned menus. Prepare and serve meals that are palatable and appetizing in appearance. Serve food in accordance with established portion control procedures. Prepare food for therapeutic diets in accordance with planned menus. Prepare food in accordance with standardized recipes and special diet orders. Prepare and serve bedtime snacks. Be sure that appropriate equipment and utensils are provided with the resident's meal tray. Prepare and serve substitute foods to residents who refuse foods served. Safety and Sanitation Prepare food in accordance with sanitary regulations as well as our established policies and procedures. Ensure that safety regulations and precautions are followed at all times by all personnel. Follow established infection control precautions policies and procedures when performing daily tasks. Assist/direct or schedule cleaning duties in accordance with established policies and procedures. Ensure that the department is maintained in a clean and safe manner by assuring that necessary equipment and supplies are maintained. Report hazardous conditions/equipment to the Director of Food Services immediately. Report all accidents/incidents as established by department policies. Fill out and file reports as directed. Dispose of food and waste in accordance with established policies. Wear protective clothing and equipment when handling infectious waste and/or blood/body fluids. Report missing/illegible labels or MSDSs to the Director of Food Services. Equipment and Supply Functions Ensure that food and supplies for the next meal are readily available. Assist in inventorying and storing in-coming food, supplies, etc., as necessary Recommend to the Director of Food Services the equipment and supply needs of the department. Resident Rights Maintain the confidentiality of all resident care information. Knock before entering a resident's room. Maintain all resident's rights, including the right of refusal. Report complaints and grievances made by the resident and make a written/oral report to the Director of Food Services. Follow facility's established procedures. Miscellaneous Assist in serving meals as necessary and on a timely basis. Make only authorized food substations. Assist in food preparation for special meals, for parties, etc. Working Conditions Works in well-lighted/ventilated areas. Atmosphere is warm for cooking. Is subjected to sudden temperature changes when entering and exiting refrigerator and freezer areas. Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, etc. Communicates with the medical staff, nursing staff, and other department supervisors. Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. Maintains a liaison with other department supervisors to adequately plan for dietary services/activities. May be subject to the handling of and exposure to hazardous chemicals. Education Must possess, as a minimum, an 8th grade education. Experience One (1) year food experience in a supervisory or cooking capacity in a hospital, nursing facility, or other related medical facility preferred (but, not necessary). Specific Requirements Must be able to cook a variety of foods in large quantities. Must possess and maintain an “Eligible” ACHA Background Screening status. ******************************** Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of food procedures. Must possess leadership ability and willingness to work harmoniously with other personnel. Must be able to follow oral and written instructions. Must maintain the care and use of supplies, equipment, the appearance of work areas, and perform regular inspections of food service areas for sanitation, order, safety, and proper performance of assigned duties. Must have patience tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Most posses the ability to seek out new methods and principles and be willing to incorporate them into existing food practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to taste and smell food to determine quality and palatability. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must be able to push, pull, move, &/or lift a minimum of 35 lbs. to a minimum height of 5 fl & be able to push, pull, move, &/or carry such weight a minimum of 450 ft. Must meet the general health requirements set forth by the policies of this facility which may include a medical and physical examination.

Description: Unit Manager Unit Manager Job Purpose: Promotes and restores patients' health by developing day-to-day management and long-term planning of the patient care area; directing and developing staff; collaborating with physicians and multidisciplinary professional staffs; providing physical and psychological support for patients, friends, and families. Unit Manager Job Duties: Identifies patient service requirements by establishing personal rapport with potential and actual patients and other persons in a position to understand service requirements. Maintains nursing guidelines by writing and updating policies and procedures. Maintains nursing operations by initiating, coordinating, and enforcing program, operational, and personnel policies and procedures. Assures quality of care by developing and interpreting hospital and nursing division's philosophies and standards of care; enforcing adherence to state board of nursing and state nurse practice act requirements and to other governing agency regulations; measuring health outcomes against standards; making or recommending adjustments. Maintains nursing staff by orienting, and training nurses and auxiliary staff. Completes patient care requirements by scheduling and assigning nursing and staff; following up on work results. Maintains nursing staff job results by coaching, counseling, and disciplining employees; planning, monitoring, and appraising job results. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient's independence by establishing patient care goals; teaching and counseling patient, friends, and family and reinforcing their understanding of disease, medications, and self-care skills. Provides information to patients and health care team by answering questions and requests. Resolves patient needs by utilizing multidisciplinary team strategies. Maintains safe and clean working environment by implementing procedures, rules, and regulations; calling for assistance from other health care professionals. Protects patients and employees implementing infection-control policies and protocols; enforcing medication administration, storage procedures, and controlled substance regulations. Maintains patient confidence and protects operations by monitoring confidential information processing. Maintains documentation of patient care services by auditing patient and department records. Ensures operation of medical and administrative equipment by verifying emergency equipment availability; completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.. Maintains nursing supplies inventory by studying usage reports; identifying trends; anticipating needed supplies; approving requisitions and cost allocations. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. Contributes to team effort by accomplishing related results as needed Performs all other duties as assigned or directed. Complete Annual performance evaluations on your staff in a timely manner. Complete Annual Competencies test upon hire and annually for all your staff. Attends all meetings as necessary, assigned or as directed. Skills/Qualifications: Must utilize Good Judgment in all related work activities, Demonstrate Effective Supervisory skills Demonstrate Effective Communication Skills, Maintains Nursing Skills in accordance with current standards of practice, Must maintain a current and valid Florida RN/LPN license at all times Must maintain a Safe and Effective Work Environment, Must demonstrate a Teamwork Approach, Utilize Effective Listening Skills, Knowledge of Current Standards of Practice related to Pain Management, Administering Medication, and Adult Health. Knowledge of current state and federal regulations related to care of residents in a nursing facility Maintains compliance with and helps to implement the Facility's Corporate Compliance and Code of Conduct Plan. ******************************** FACILITY NAME and all affiliated entities are Equal Employment Opportunity and Affirmative Action employers. FACILITY NAME provides equal employment opportunity (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, actual or perceived disability, marital status, genetic information, amnesty, or status as covered veterans in accordance with applicable federal, state, and local laws.

The primary objective of the Speech Language Pathologist is to plan, organize, implement and evaluate a progressive therapy program geared to improvement of clients' physical functions, psychological, social and economic well being. Supervise certified therapy assistants and rehab assistants. Follow facility guidelines, objectives and policies to maintain standards of treatment consistent with legal and accrediting requirements. ESSENTIAL FUNCTIONS: ASSESSMENT Upon receiving ST orders, review client's history and completes thorough assessment, including precautions. Upon receiving ST screening request, review client's current situation and screens individual for intervention. Communicate assessment/ screening results to client and appropriate family and/or staff. Complete required assessment/screening documentation. PLANNING Identify and prioritize needs based on assessment and establish appropriate plan with goals Communicate treatment plan and goals to client and family Collaborate with health care team members to begin planning for appropriate and timely discharge or transfer. IMPLEMENTATION Demonstrate ability to prioritize treatment procedures according to patient's needs and MD requests. Implement interventions according to plan of care. Communicate purpose of treatment procedures to client/family according to client's level of understanding and modify plan accordingly. Communicate treatment plan/appropriate interventions with assistants, initially and ongoing Communicate ongoing treatment issues/plan to interdisciplinary health care team members. Complete required documentation regarding daily intervention. EVALUATION Review and evaluate effectiveness of interventions toward achieving patient outcomes Document appropriate reassessment and changes in plan of care. Communicate significant changes in intervention to client /family and health care team members. Complete required documentation for discharge. OTHER DUTIES Perform other related duties as assigned Support and participate in changes and suggestions made by Director of Rehab GENERAL FUNCTIONS: Maintain confidentiality of resident, employee and facility information. Follow Resident's Rights policies at all times maintaining privacy, confidentiality and respect. Ability to understand and comply with applicable Federal, State and local regulations as they apply to this job. Attend all required department and/or facility meetings. Adhere to applicable laws, rules, regulations and Code of Conduct directed by Corporate Compliance Program, conduct business using ethical standards, and report any suspect or actual event or circumstance to the Compliance Officer. Understand and comply with use and disclosure rules of resident Protected Health Information (PHI) as required by the HIPAA Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA). Use the proper equipment for each job and report any missing or damaged equipment to supervisor immediately. Follow facility safety program, identify and report unsafe equipment, environment or procedures to supervisor. Read and follow instructions on Safety Data Sheets (SDS) when handling or using chemicals. Assume accountability for data contained in the employee handbook. Observe all facility policies and procedures. Report to work as scheduled and consistently demonstrate dependability and punctuality. Come to work in neat, clean attire and consistently present an appropriate professional appearance. Perform all duties in an effective, timely and professional manner. Work cooperatively with all community members* and willingly accept assigned duties. Report any possible problem or concern regarding community members* to supervisor immediately. Communicate applicable information to community members* in an effective and efficient manner. Exhibit hospitality by displaying courtesy, support, gratitude and respect to all community members*. Complete employee training courses as assigned by due date. Perform any other related duties as directed by supervisor. *community members (staff, residents, families and vendors) QUALIFICATIONS: Must be at least eighteen (18) years of age. Must have current physical examination showing freedom from certain types of communicable diseases. Must be a graduate of an accredited Speech Language Pathology program with a BS degree. Must hold a valid certification by the ASHA and state of Florida. Must have fieldwork experience in geriatrics or hospital acute/sub-acute/rehab. Must have strong organizational and excellent customer service skills. Must be able to follow directions clearly and efficiently. Must have previous work experience operating standard office equipment (e.g., copier, computer, etc.). Intermediate working knowledge of Microsoft Products such as Outlook, Windows, Excel and Word preferred. Must have current Cardio Pulmonary Recitation Card (CPR) issued by recognized provider such as American Heart Association or American Red Cross that includes hands-on practice and in-person skills assessment or be able to obtain CPR training and card within 30-days of hire date. ********************************

The primary purpose of your job position is to assist the Activity Director to plan, organize, develop and implement activity programs in accordance with current federal, state, and local standards, guidelines and regulations governing our facility, and as may be directed by the Administrator, to assure that an on-going program of activities is provided to meet the interests and the physical, mental, and psychosocial well being of each resident. Delegation of Authority As Activity Assistant, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Job Function Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Assist in the planning, development, organization and implementation of activity programs. Coordinate activities with other related departments (i.e., Nursing, Dietary, Housekeeping, etc.) to ensure that adequate space is available for the planned activity. Ensure that any supplies need for activities are obtained and set-up. Clean up activity supplies and areas upon completion of activities. Implement and facilitate activities. Ensure activities begin at the scheduled times. Involve residents and families in planning facility activity programs. Remind staff and residents of scheduled activities. Assist in transporting residents to and from the activity area. Follow instructions on how to implement the scheduled activity. If problems are identified, notify the Activity Director. Notify nursing of any change in the resident's behavior, emotional or physical status. Observe and document residents' responses to the activity provided Be aware of the resident's cognitive, emotional, and psychological impairments. Interact appropriately at all times with residents, families and visitors. Provide one to one (1:1) activities to residents as indicated in the resident's plan of care and as needed or directed. Document the activity provided, length of time resident was engaged in the activity, and the resident's response to the activity. Implement the activity program in the absence of the Activity Director. Chaperone any scheduled activities off facility grounds. Make recommendations to the Activity Director of possible improvements or new activities. Assist with putting up, taking down, and storing seasonal decorations. Assist the Director in the development of the Activity Calendar. Deliver a copy of the monthly calendar to each resident. Address, stamp, stuff and mail monthly calendars to responsible parties or family members as directed. Deliver mail to residents as requested and provide assistance with opening, and reading the mail if specifically requested by the resident. Assist the Director in obtaining and documenting information about the residents and their activity preferences/interests, as directed. Assist the Director in maintaining current records of residents' activity likes and dislikes Assist residents, in conjunction with the Director, to obtain needed supplies for independent activities of the resident's choice. Document the activity and resident's response. Report all accidents/incidents to the Administrator or designee immediately. Report any abuse and/or neglect of residents to the Abuse Coordinator and/or Administrator immediately upon identification and in accordance with the facility's policies and procedures Participate in facility inspections (surveys) made by authorized government agencies Document all resident complaints and grievances and report the complaint to the Grievance Coordinator or Social Service Director. Follow facility's established procedures. Assist the Director in arranging transportation for field trips when necessary. Implement and facilitate activities Implement resident-centered Activity Plans of Care which accurately reflect and address the resident's needs and upholds the resident's rights Assist in Discharge Planning for the activity services portion of the resident's discharge plan. Participate in facility surveys (inspections) made by authorized government agencies. Assist the Director in interviewing residents or family members, as directed, to assure resident satisfaction. Report any abuse and/or neglect of residents to the Abuse Coordinator and/or Administrator immediately upon identification and in accordance with the facility's policies and procedures Others activities as deemed necessary and appropriate, or as may be directed by the Administrator. Staff Development Attend and participate in annual in-service training programs. Attend and participate all Activity Department in-services and trainings as directed. Attend and participate in all mandatory facility in-services. Attend and participate in annual OSHA and CDC in-service training programs for hazard communications, TB management, and bloodbome pathogens standards. Safety and Sanitation Follow all safety standards for the Activity Department. Review and maintain knowledge of material safety data sheets (MSDSs) for hazardous chemicals used or stored in the activity department. Follow established safety regulations in the use of equipment and supplies. Ensure that activity storage and work areas are maintained in a clean, safe and sanitary manner. Follow established departmental policies and procedures, including appropriate dress codes. Participate in all fire safety and disaster preparedness drills in a safe and professional manner. Ensure use of appropriate protective clothing/devices when handling infectious waste and/or blood/body fluids. Follow established infection control procedures when isolation precautions become necessary. Follow all Infection Control policies and procedures. Immediately report hazardous conditions or equipment to the Director or Administrator Ensure use of safety precautions and equipment when performing tasks that could result in bodily injury. Equipment and Supply Functions Implement procedures for the safe operation of all activity equipment. Do not utilize any equipment until trained and/or authorization to utilize equipment has been given. Operate activity equipment in a safe manner. Ensure that activity supplies are used in an efficient manner to avoid waste. Report missing/illegible labels and MSDSs to the safety officer or other designated person Resident Rights Maintain the confidentiality of all resident information. Knock before entering a resident's room. Respect the resident's right to privacy. Ensure knowledge of and respect the residents' rights, including the right of refusal. Treat all residents, resident representatives, family and visitor is dignity and respect. Miscellaneous Be prepared to handle emergencies as they occur (i.e., rescheduling work assignments and work schedules, etc.). Assist with movies, parties, and games/activities for residents. Encourage residents to participate in hobbies and crafts. Provide materials as necessary. Provide reading in Braille, tapes, and records as necessary. Make routine visits to residents and perform assistance with crafts, projects, etc., as necessary. Working Conditions Works in office areas as well as throughout the facility. Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, etc. Communicates with the medical staff, nursing staff, and other department supervisors and personnel. Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. Maintains a liaison with other department supervisors to adequately plan for dining services/activities. May be subject to the handling of and exposure to hazardous chemicals. Position Requirements Must, at minimum, have completed high school. Associates or Bachelor Degree in an activity or social work related field preferred. Experience No experience required. “On the job” training provided. Specific Requirements Must possess a current, active and unencumbered Certified Nursing Assistant Certification. Must possess and maintain a current “Eligible' AHCA Background Screening Status ******************************** Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. Must be knowledgeable of activity practices and procedures as well as the laws, regulations and guidelines governing Long Term Care Facilities. Must possess leadership ability and willingness to work harmoniously with other personnel. Must have the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, procedures, etc., of the Activity Department. Must maintain the care and use of supplies, equipment, etc., and maintain the appearance of the facility' areas. Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 35 lbs. to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet. May be necessary to assist in the evacuation of residents during emergency situations.

The MDS Nurse is responsible for completion of Minimum Data Sets (MDS) and associated processes in the development of the individualized plan of care and the appropriate financial reimbursement for each patient. Delegation of Authority As a MDS Nurse, you are delegated the authority, responsibility, and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position Duties and Responsibilities Administrative Functions Ensures the completion of the Minimum Data Sets (MDS) and Plan of Care in an accurate and timely manner, in accordance with Nursing Department policies and procedures, State and Federal requirements, and following the established interdisciplinary process. Adheres to the schedule for completion of the MDS. Ensures the timely completion of the MDS process in accordance with OBRA and PPS regulations. Completes designated nursing sections of MDS, reviews the MDS for completion, and transmits MDS to the state. Completes the CAA summary, CAA notes, Medicare Assessment tracking form, discharge, and re-entry tracking forms, as applicable; Gathers pertinent information regarding patients/residents from personal observations, discussions with nursing staff, patient/resident family members, other members of the interdisciplinary team, etc., and ensures all information is included in the MDS; Coordinates managed care updates and seeks highest reimbursement, as directed; Provides assistance to the UR team during MDS reviews, as directed; Facilitates weekly Medicare meetings, PPS, participates in committees/action plans to further develop the care planning process, and attends all other meetings as directed to assess the need for patient/resident significant changes. Serves as an educator regarding MDS information, ADL coding, skilled documentation, and all discipline documentation needed for MDS. Serves as an active and visible member on each unit, and as a resource, observer, and listener to obtain an accurate picture of each patient/resident's care status. Participates in regularly scheduled reviews of the discharge plans and makes such plans available to the Care Plan Committee as required or as may be necessary. Assists in ensuring compliance with State and Federal standards and regulations. Interacts regularly with Director of Nursing, Nursing Department staff, etc., to develop and monitor indicators to assess the effectiveness of the care planning process. Effectively collaborates with all staff members, clinical care, and interdisciplinary team members to work towards the provision of maximum quality care for patients/residents. Follows all established departmental policies and procedures at all times; Performs other duties as assigned or as necessary. Remains flexible and adaptable in work schedules and work assignments as defined by departmental and organizational needs. Committee Functions Attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assurance & Assessment, etc.) as required. Serve on the Quality Assurance and Assessment (QA) and Quality Assurance and Performance Improvement (QAPI) Committees as directed. Serves on the Compliance and Ethics Committee Provide information to the QA and QAPI Committees as requested Assist in preparing written and/or oral reports of MDS programs and activities to submit to such committee(s) as directed. Participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and makes such plans available to the Care Plan Committee as required or as may be necessary. Implements recommendations from established committees as instructed by the Director of Nursing. Attends all other meetings as necessary or as directed. Resident Rights Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Promote resident rights and responsibilities, including the right to refuse treatment. Report complaints or grievances made by the resident to the Director of Nursing and/or grievance coordinator in accordance with the facility's established procedures. Report all allegations of resident abuse, neglect, mistreatment and/or misappropriation of resident property and follow facility policies on Abuse Prohibition. Working Conditions Works in office area(s) as well as throughout the nursing service area (i.e., dining rooms, nurses' stations, resident rooms, etc.). Moves intermittently during work hours; Is subject to frequent interruptions. ls involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. ls subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours, weekends and holidays when necessary. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.). Is involved in community, civic health matters, and projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains, and acts as a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Education Requirements Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an accredited Nursing program as a Registered Nurse (RN). Experience At least one (1) year of experience in MDS coding Minimum of two (2) to four (4) years of experience working in a Long Term Care Center Specific Requirements Must posses and maintain a current, unencumbered, active license to practice as a Registered Nurse or Licensed Practical Nurse in this state. Must possess and maintain a current “Eligible' AHCA Background Screening Status ******************************** RAC-CT 3.0 preferred Knowledge of rehabilitation and restorative care required Effective communication, interpersonal, and organization skills required Computer proficiency required Experience with computerized MDS system and current MDS/RAI guidelines required Knowledge of the Matrix system is preferred. Must speak and understand English Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess ability and the willingness to work harmoniously with other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 35 lbs. to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet. May be necessary to assist in the evacuation of residents during emergency situations.

The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with the Florida Nurse Practice Act current federal, state & local standards, guidelines, and regulations that govern our facility, and as may be directed by the Director of Nursing or Nurse Supervisor/Unit Manager to ensure that the highest degree of quality care is maintained at all times. Delegation of Authority As a Registered Nurse/ Floor Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulation, and guidelines that govern the long-term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Participate and cooperate in facility surveys (inspections) by local, state and federal governmental agencies. Admit, transfer, and discharge residents in accordance with facility protocols, as required. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services/departments when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Participate in facility surveys (inspections) made by authorized government agencies as may be required Periodically review the resident's written discharge plan. Participate in updating the resident's written discharge plan as required. Assist in planning the nursing service portion of the resident's discharge plan as necessary. Complete accident/incident reports as necessary. Submit to the Director of Nursing or designee. Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. Receive telephone orders from physicians and record in the EMR system. Transcribe physician's orders to resident charts, card-ex, medication cards, treatment care plans in electronic format or paper as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders. Forward information to the Dietary Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor/Unit Manager. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Drug Administration Functions Prepare and administer medications as ordered by the physician in accordance with federal, state and local laws and regulations and facility policy. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report need to the Nurse Supervisor/Unit Manager. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotics are handled in accordance with federal, state and local laws and facility policies. Ensure that narcotic's records are accurate for you shift. Notify the Nurse Supervisor/Unit Manager of all drug and narcotic discrepancies noted on your shift. Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. Notify the attending physician of automatic stop orders prior to the last dosage being administered. Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor/Unit Manager concerning employee dismissals, transfers, etc. Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. Report absentee call-ins to the Nurse Supervisor/Unit Manager. Develop work assignments, and/or assist in completing and performing such assignments. Monitor Nursing Assistants to ensure that care and services are being provided to residents in accordance with the resident's plan of care. Report problem areas to the Nurse Supervisor/Unit Manager. Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis as well as a calm environment throughout the unit and shift. Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor/Unit Manager as required or as may be necessary. Follow facility's established procedures. Receive/give the nursing report upon reporting in and ending shift duty hours. Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents. Nursing Care Functions Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission and escort them lo their rooms as necessary. Conduct and document a thorough assessment of each patient's medical status upon admission and throughout the patient's course of treatment. Participate in the orientation of new residents/family members to the facility. Make rounds with physicians as necessary. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. Consult with the resident's physicians in providing the resident's care, treatment, rehabilitation, etc., as necessary. Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary. Implement and maintain established nursing objectives and standards. Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. Ensure that direct nursing care is provided in accordance with the resident's plan of care and wishes. Notify the resident's attending physician when the resident is involved in an accident or incident. Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. Carry out restorative and rehabilitative programs, to include self-help and care. Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, range of motion exercises, and care for the dead/dying, etc., as required. Use restraints only when prescribed and in accordance with established policies and procedures. Obtain sputum, urine and other specimens for Jab tests as ordered. Take and record TPRs, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Check food brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor/Unit Manager and Dietary Supervisor. Promptly respond to call bells. Promptly and courteously respond to requests for assistance from residents, staff, resident family members and visitors Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problems to the Nurse Supervisor/Unit Manager. Admit, transfer and discharge residents as necessary. Assist in arranging transportation of discharged residents as necessary. Ensure that discharged residents are escorted to the pick-up area. Inform family members of the death of the resident. Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Act in compliance with established regulatory and professional standards and guidelines. Staff Development Attend and participate in all facility in-service trainings/programs, as required. Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards. Attend and participate in advance directive in-service training program for the staff and community. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that established departmental policies and procedures are followed by self and assigned personnel. Ensure that your assigned work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner. Ensure that your unit's resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that you and your assigned personnel follow established safety polices and procedures. Ensure that you and your assigned personnel follow established hand-washing procedures. Ensure that you and your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Ensure that you and your assigned personnel follow established infection control procedures when isolation precautions become necessary. Ensure that you and your assigned personnel follow established infection control procedures. Ensure that you and your assigned personnel wear and/or use safety equipment and supplies (e.g., gait belts mechanical lifts, etc.) when moving or lifting a resident. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Nurse Supervisor/Unit Manager the equipment and supply needs of your unit/shift. Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on your shift at all times to adequately meet the need of the resident. Ensure that only trained and authorized personnel operate your unit/shift's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Care Plan and Assessment Functions Review care plans daily to ensure that appropriate care is being rendered. Inform the Nurse Supervisor/Unit Manager of any changes that need to be made on the care plan. Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that your assigned Licensed Practical Nurses (LPN) and certified nursing assistants (CNAs) are aware of the resident care plans and carry out the resident's care plan. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers, as directed. Resident Rights Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of resident rights and responsibilities, including the right to refuse treatment. Review complaints or grievances made by the resident and make a written/oral report to the Nurse Supervisor/Unit Manager indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievances that indicates the action to resolve the complaint and the current status of the complaint. Report all allegations of resident abuse and/or misappropriation of resident property. Honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives. Miscellaneous Adhere to facility and departmental policies and procedures. Other duties as assigned. Working Conditions Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.), as well as other parts of the facility. Moves intermittently during work hours. ls subject to frequent interruptions Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours, weekends and holidays when necessary. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Education Requirements Graduate of an accredited school of nursing. Experience None. On-the-job training provided. One (1) year of experience as a nurse in a health care facility preferred. Specific Requirements Must possess and maintain an “Eligible” ACHA Background Screening status Valid and current license as a Registered Nurse in the State of Florida. Excellent communication and interpersonal skills. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess leadership ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak, read and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to' relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to twist and turn all extremities and at the waist Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet. Hours and days may be varied at times as necessary to maintain good nursing care. May be necessary to assist in the evacuation of residents during emergency situations.

The primary objective of the Occupational Therapist is to plan, organize, implement and evaluate a progressive therapy program geared to improvement of clients' physical functions, psychological, social and economic well being. Supervise certified therapy assistants and rehab assistants. Follow facility guidelines, objectives and policies to maintain standards of treatment consistent with legal and accrediting requirements. ESSENTIAL FUNCTIONS: ASSESSMENT Upon receiving OT orders, review client's history and completes thorough assessment, including precautions. Upon receiving OT screening request, review client's current situation and screens individual for intervention. Communicate assessment/ screening results to client and appropriate family and/or staff. Complete required assessment/screening documentation. PLANNING Identify and prioritize needs based on assessment and establish appropriate plan with goals Communicate treatment plan and goals to client and family Collaborate with health care team members to begin planning for appropriate and timely discharge or transfer. IMPLEMENTATION Demonstrate ability to prioritize treatment procedures according to patient's needs and MD requests. Implement interventions according to plan of care. Communicate purpose of treatment procedures to client/family according to client's level of understanding and modify plan accordingly. Communicate treatment plan/appropriate interventions with assistants, initially and ongoing. Communicate ongoing treatment issues/plan to interdisciplinary health care team members. Complete required documentation regarding daily intervention. EVALUATION Review and evaluate effectiveness of interventions toward achieving patient outcomes Document appropriate reassessment and changes in plan of care. Communicate significant changes in intervention to client /family and health care team members. Complete required documentation for discharge. OTHER DUTIES Perform other related duties as assigned Support and participate in changes and suggestions made by Director of Rehab GENERAL FUNCTIONS: Maintain confidentiality of resident, employee and facility information. Follow Resident's Rights policies at all times maintaining privacy, confidentiality and respect. Ability to understand and comply with applicable Federal, State and local regulations as they apply to this job. Attend all required department and/or facility meetings. Adhere to applicable laws, rules, regulations and Code of Conduct directed by Corporate Compliance Program, conduct business using ethical standards, and report any suspect or actual event or circumstance to the Compliance Officer. Understand and comply with use and disclosure rules of resident Protected Health Information (PHI) as required by the HIPAA Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA). Use the proper equipment for each job and report any missing or damaged equipment to supervisor immediately. Follow facility safety program, identify and report unsafe equipment, environment or procedures to supervisor. Read and follow instructions on Safety Data Sheets (SDS) when handing or using chemicals. Assume accountability for data contained in the employee handbook. Observe all facility policies and procedures. Report to work as scheduled and consistently demonstrate dependability and punctuality. Come to work in neat, clean attire and consistently present an appropriate professional appearance. Perform all duties in an effective, timely and professional manner. Work cooperatively with all community members* and willingly accept assigned duties. Report any possible problem or concern regarding community members* to supervisor immediately. Communicate applicable information to community members* in an effective and efficient manner. Exhibit hospitality by displaying courtesy, support, gratitude and respect to all community members*. Complete employee training courses as assigned by due date. Perform any other related duties as directed by supervisor. *community members (staff, residents, families and vendors) QUALIFICATIONS: Must be at least eighteen (18) years of age. Must have current physical examination showing freedom from certain types of communicable diseases. Must be a graduate of an accredited Occupational Therapy program with a BS degree. Must be approved and hold a valid certification by the NBCOT and state of Florida. Must have fieldwork experience in geriatrics or hospital acute/sub-acute/rehab. Must have strong organizational and excellent customer service skills. Must be able to follow directions clearly and efficiently. Must have previous work experience operating standard office equipment (e.g., copier, computer, etc.). Intermediate working knowledge of Microsoft Products such as Outlook, Windows, Excel and Word preferred. Must have current Cardio Pulmonary Recitation Card (CPR) issued by recognized provider such as American Heart Association or American Red Cross that includes hands-on practice and in-person skills assessment or be able to obtain CPR training and card within 30-days of hire date.

The primary purpose of your job position is to prepare food in accordance with current applicable, federal, state, and local standards, guidelines and regulations, with our established policies and procedures, and as directed by the Head Cook and/or Director of Food Services, to assure that quality food service is provided at all times. Delegation of Authority As cook, you are delegated the administrative authority, responsibility; and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Review menus prior to preparation of food Inspect special diet trays to assure that the correct diet is served to the resident. Perform administrative requirements such as completing necessary forms, reports, etc., and submit to the Director of Food Services. Coordinate food service with other departments as necessary. Work with the facility's dietician as necessary and implement recommended changes as required. Ensure all food procedures are followed in accordance with established policies. Assist in standardizing the methods in which work will be accomplished. Assume the authority, responsibility and accountability of Cook. Assist in establishing food service production line, etc., to assure that meals are prepared on time. Process diet changes. Others as deemed necessary and appropriate, or as directed. Personnel Functions Develop and maintain a good working rapport with inter-department personnel as well as with other departments within the facility to assure that food service can be properly maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest, and positive emphasis as well as a calm environment throughout the facility. Report all occupational accidents, exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Report known or suspected incidents of fraud to the Administrator. Staff Development Participate in in-service training classes that provide instructions on ''how to do the job”. Participate in training programs, as appropriate. Attend and participate in annual HazCom, blood-borne pathogens, OSHA, HIPAA, TB and other in-service training programs as directed. Food Service Prepare meals in accordance with planned menus. Prepare and serve meals that are palatable and appetizing in appearance. Serve food in accordance with established portion control procedures. Prepare food for therapeutic diets in accordance with planned menus. Prepare food in accordance with standardized recipes and special diet orders. Prepare and serve bedtime snacks. Be sure that appropriate equipment and utensils are provided with the resident's meal tray. Prepare and serve substitute foods to residents who refuse foods served. Safety and Sanitation Prepare food in accordance with sanitary regulations as well as our established policies and procedures. Ensure that safety regulations and precautions are followed at all times by all personnel. Follow established infection control precautions policies and procedures when performing daily tasks. Assist/direct or schedule cleaning duties in accordance with established policies and procedures. Ensure that the department is maintained in a clean and safe manner by assuring that necessary equipment and supplies are maintained. Report hazardous conditions/equipment to the Director of Food Services immediately. Report all accidents/incidents as established by department policies. Fill out and file reports as directed. Dispose of food and waste in accordance with established policies. Wear protective clothing and equipment when handling infectious waste and/or blood/body fluids. Report missing/illegible labels or MSDSs to the Director of Food Services. Equipment and Supply Functions Ensure that food and supplies for the next meal are readily available. Assist in inventorying and storing in-coming food, supplies, etc., as necessary Recommend to the Director of Food Services the equipment and supply needs of the department. Resident Rights Maintain the confidentiality of all resident care information. Knock before entering a resident's room. Maintain all resident's rights, including the right of refusal. Report complaints and grievances made by the resident and make a written/oral report to the Director of Food Services. Follow facility's established procedures. Miscellaneous Assist in serving meals as necessary and on a timely basis. Make only authorized food substations. Assist in food preparation for special meals, for parties, etc. Working Conditions Works in well-lighted/ventilated areas. Atmosphere is warm for cooking. Is subjected to sudden temperature changes when entering and exiting refrigerator and freezer areas. Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, etc. Communicates with the medical staff, nursing staff, and other department supervisors. Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. Maintains a liaison with other department supervisors to adequately plan for dietary services/activities. May be subject to the handling of and exposure to hazardous chemicals. Education Must possess, as a minimum, an 8th grade education. Experience One (1) year food experience in a supervisory or cooking capacity in a hospital, nursing facility, or other related medical facility preferred (but, not necessary). Specific Requirements Must be able to cook a variety of foods in large quantities. Must possess and maintain an “Eligible” ACHA Background Screening status. ******************************** Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of food procedures. Must possess leadership ability and willingness to work harmoniously with other personnel. Must be able to follow oral and written instructions. Must maintain the care and use of supplies, equipment, the appearance of work areas, and perform regular inspections of food service areas for sanitation, order, safety, and proper performance of assigned duties. Must have patience tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Most posses the ability to seek out new methods and principles and be willing to incorporate them into existing food practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to taste and smell food to determine quality and palatability. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must be able to push, pull, move, &/or lift a minimum of 35 lbs. to a minimum height of 5 fl & be able to push, pull, move, &/or carry such weight a minimum of 450 ft. Must meet the general health requirements set forth by the policies of this facility which may include a medical and physical examination.

The primary purpose of your job is to plan, organize, develop and direct the overall operation of the Nursing Services Department in accordance with the Nurse Practice Act, Standards of Practice, and all current federal, state & local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator and the Medical Director, to ensure that the highest quality care is maintained at all times. Delegation of Authority As the Director of Nursing, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. In the absence of the Medical Director, you are charged with carrying out the resident care policies established by this facility. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Plan, develop, organize, implement, evaluate, and direct the nursing services department, as well as its programs and activities, in accordance with the Nurse Practice Act, Standards of Nursing Practice, and all current rules, regulation, and guidelines that govern the long-term care facility. Develop, maintain, and periodically update written policies and procedures that govern the day-to-day functions of the nursing services department. Maintain a reference library of written nursing material (i.e., PDR's, Federal and State Regulations, etc.) that will assist the nursing service department in meeting the day-to day needs of the resident. Develop, maintain, and periodically update the Nursing Service Procedures Manual and nursing service objectives and philosophies. Develop and implement a nursing service organization structure. Make written and oral reports/recommendations to the Administrator, as necessary/required, concerning the operation of the nursing service department. Develop, maintain, and periodically update written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. Develop methods for coordination of nursing services with other resident services to ensure the continuity of the resident's total regimen of care. Develop, implement, and maintain an ongoing quality assurance program for the nursing services department. Develop, implement, and maintain an ongoing quality assurance/performance improvement program for the nursing services department Participate in facility surveys (inspections) made by authorized government agencies. Assist the Quality Assessment & Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies. Assist the Infection Preventionist in the establishment and implementation of the Infection Control and Antibiotic Stewardship Programs Assist in discharge planning for the nursing services portion of the resident's discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. as necessary. Monitor and assist in the coordination of outside; contracted, and/or independent services to meet residents' needs. Monitor the quality of the services provided by outside, contracted and/or independent providers. Identify and address any problems identified. Review and respond to resident, family, and visitor complaints in coordination with other departments. Ensure the implementation of the Facility's abuse polices and procedures in the Nursing department. Assist in the investigation, determination, and development of corrective action, if necessary, for Adverse Incidents. Assist in investigation of abuse, neglect, mistreatment and misappropriation of resident belongings in coordination with other departments. Ensure that events are tracked for patterns and assist in the development of plans of action to prevent re-occurrence. Assist the Consultant Pharmacist in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and supplies. Participate in regularly scheduled reviews of the discharge plans. Committee Functions Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Policy Advisory, Safety, Quality Assurance & Assessment, QAPI, etc.) as required, and as appointed by the Administrator. Serves on the Compliance and Ethics Committee Provide written and/or oral reports of the nursing services programs and activities as required, or as may be directed by such committee(s). Participate in the Antibiotic Stewardship Program. Attend and participate in weekly PPS meetings. Schedule, attend, and participate in developing the agenda for Care Plan Meetings as necessary. Evaluate and implement recommendations from established committees as they may pertain to nursing services. Personnel Functions Determine the staffing needs of the nursing service department necessary to meet the total nursing needs of the residents. Recommend the number and level of nursing personnel to be employed. Assist the Administrator and/or HR Director in the recruitment and selection of nursing service personnel. Ensure that all nursing assistants are enrolled in or have graduated from an approved training program, if applicable. Ensure a sufficient number of licensed practical and/or registered nurses are available for each shift to ensure that quality care is maintained and staffing regulations are met.. Assign a sufficient number of certified nursing assistants are available for each shift to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident and to ensure compliance with staffing regulations. Ensure that all nurse aide trainees are 1:1nder the direct supervision of a licensed nurse. Develop work assignments and schedule shift hours, and/or assist nursing supervisory staff/Nurse Staffing Coordinator in completing and performing such tasks. Delegate to nursing service supervisory personnel the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Human Resource Director in developing performance evaluation schedules, criteria, competency evaluations, and annual reviews for the nursing service department (e.g., RNs, LPNs, CNAs, medication aides, etc.). Conduct performance evaluations, competency evaluations and reviews of nursing staff and the nursing department. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Carry out disciplinary action in accordance with facility policies as necessary. Develop, maintain, and periodically update the written procedure for ensuring the professional nursing personnel, including private duty nurses, have valid and current licenses are required by this State. Review and respond to complaints and grievances made or filed by department personnel. Provide complaint/grievance reports to the Administrator as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Assist the Infection Preventionist in establishing a TB management program for employees. Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents. Ensure background checks to include AHCA screenings on Nursing Service personnel are completed in accordance with established procedures. Ensure that Nursing personnel are not permitted to work or are hired if an AHCA Background Screening determines they are “Not Eligible”. Nursing personnel may not be hired or return to work until such time as the AHCA Background Screening determines they are “Eligible”. ******************************** Ensure that any licensed nursing staff who has been found guilty, by a court of law of abuse, neglect, exploitation, mistreatment of residents or misappropriation of resident property or who have disciplinary action in effect against his or her professional license by a state licensure body as a result of a finding of abuse, neglect, exploitation, mistreatment of residents or misappropriation of resident property are ineligible for hire. Ensure that all CNAs' credentials are verified through the State Nurse Aide Registry. Ensure that any CNA who has a finding entered into the State nurse aide registry concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of their property is ineligible for hire. Ensure that appropriate adverse actions relative to CNA's employment criteria are reported to the State Nurse Aide Registry. Ensure that any nurse or CNA, who is found to have abused, neglected, mistreated, exploited, or misappropriated resident's belongings is reported to the Department of Health- Medical Quality Assurance. Nursing Care Functions Participate in the interviewing and selection of residents for admission to the facility, including the PASRR screenings. Provide the Administrator with the information relative to the nursing needs of the resident and to the nursing department's ability to meet those needs. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Make rounds with physicians as necessary. Schedule physician visits as necessary. Inform the Medical Director when physician visits are not made in a timely manner or they fail to comply with current regulations and/or facility policies. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Encourage physicians to utilize the EMR system. Ensure that direct nursing care be provided by a licensed nurse, a CNA, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met in accordance with the resident's request. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Provide direct nursing care as necessary. Authorize the use of restraints when necessary and in accordance with current regulations and our established policies and procedures. Ensure that residents who are unable to call for help are checked frequently. Staff Development Develop and participate in the planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses. Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate. Assist the Administrator in developing and revising the nursing assistant training curriculum used by the facility. Submit to state agency for approval as required and applicable. Assist or develop annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodbome pathogens standards and infection control. Assist or develop advance directive in-service training programs for the staff. Assist support services in developing, implementing; and conducting in-service training programs that relate to the nursing service department. Assist or develop in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their licenses on an active status. Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Assist the Infection Preventionist in the development of a TB management program. Safety and Sanitation Assist the Safety Officer in developing safety standards for the nursing service department. Ensure that the department's policy and procedure manuals identify safety precautions and equipment to use when performing tasks that could result in bodily injury. Assist the Infection Preventionist in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that adequate supplies of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques. Develop, implement, and maintain a program for monitoring communicable and/or infectious diseases, including TB, among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Ensure that nursing service personnel follow established infection control procedures. Develop, implement and maintain a procedure for reporting hazardous conditions or equipment. Ensure that personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Administrator the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the need of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner. Develop and implement procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Develop and implement procedures that ensure nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions Assist in the development of preliminary and comprehensive assessments of the nursing needs of each resident. Develop a written plan of care (preliminary and comprehensive) for each resident that identifies the problems, needs, resident choice and advance directives, if any, of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident and his/her family to participate in the development and review of the resident's plan of care. Assist the Resident Assessment/Care Plan Coordinator in the scheduling of care plans and assessments to be presented and discussed at each meeting. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Review and revise care plans and assessments as necessary, but at least quarterly, annually and when a significant change has occurred. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive plan of care. Ensure that medical and nursing care is administered in accordance with the resident's wishes, including the implementation of advance directives. Budget and Planning Functions Prepare and plan the nursing service department's budget and submit to the Administrator for review, recommendation, and/or approval. Keep abreast of economic conditions/situation, and recommend to the Administrator adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Administrator the equipment and supply needs of the nursing service department. Resident Rights Maintain the confidentiality of all resident information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written report to the Grievance Coordinator or designee indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievance that indicates the action taken to resolve the complaint and the current status of the complaint. Follow facility's established procedures Ensure that appropriate notices are received by the resident before his/her room or roommate is changed. Report and investigate all allegations of resident abuse, neglect, mistreatment, and/or misappropriation of resident property. Ensure that nursing staff personnel honor the resident's refusal of treatment request and advanced directives. Ensure that such requests are in accordance with the facility's policies governing advance directives. Ensure that the facility's policies and procedures governing advance directive are reviewed with the resident and/or representative. Assist the Infection Preventionist in developing and implementing a resident TB management program. Working Conditions Works in office areas as well as throughout the entire facility (i.e., drug rooms, nurses' station, resident rooms, etc.). Moves intermittently during work hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours, weekends and holidays and on other shift/positions as necessary. On call 24 hours per day, 7 days per week. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.). Is involved in community, civic health matters, and projects as appropriate. Attends and participates in continual educational programs. Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the resident' needs. Education Requirements Must possess, as a minimum, a Nursing Degree from an accredited college or university. Experience Must have, as a minimum, five (5) year(s) of experience as a supervisor in a hospital, long- term care facility, or other related health care facility. Must have, as a minimum, two (2) years training experience in rehabilitative and restorative nursing practices. Specific Requirements Must posses a current, unencumbered, active license to practice as a Registered Nurse in this state. Must possess and maintain an “Eligible” ACHA Background Screening status. Knowledge of laws, rules, regulations, and guidelines pertaining to Long Term Care Facilities. Knowledge of ADA and OSHA laws and regulations. Knowledge of HIPAA and HITECH Laws and regulations. Knowledge of the Nurse Practice Act and other laws, rules and regulations governing nursing practice. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents and situations. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet. May be necessary to assist in the evacuation of residents during emergency situations.

The primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed by your supervisors. Delegation of Authority As the Certified Nursing Assistant, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary. Follow all facility policy and procedures. Record all entries on flow sheets, notes, charts, electronic medical record etc., in an informative and descriptive manner. Use only authorized abbreviations established by this facility when recording information. Report all changes in the resident's condition to the Nurse Supervisor/Unit Manager or Charge Nurse as soon as practical. Report all accidents and incidents observed on the shift immediately. Admission, Transfer, and Discharge Functions Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.). Greet residents and escort them to their room. Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate. Make resident comfortable (i.e., put to bed, get water, etc.). Inventory and mark resident's personal possessions as instructed. Store resident's clothing. Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged. Transport residents to new rooms or to the receiving area. Assist with loading/unloading residents from vehicles as necessary. Personnel Functions Perform all assigned tasks in accordance with established policies and procedures, and as instructed by supervisors. Follow work assignments, and/or work schedules in completing and performing assigned tasks. Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit/shift. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. Report all complaints and grievances made by the resident. Notify the facility when you will be late or absent from work. Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals to supervisor. Personal Nursing Care Functions Follow established policies concerning exposure to blood/body fluids. Provide care in accordance with the resident's plan of care Follow all applicable facility policy and procedures. Obtain vitals. Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.). Assist residents with bath functions (i.e., bed bath, tub or shower bath, etc.) as directed. Assist residents with dressing/undressing as necessary. Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.). Shave male residents. Keep hair on female residents clean shaven (i.e., facial hair, under arms; on-legs, etc.) as instructed. Assist residents with nail care (i.e., clipping, trimming, and cleaning the fingernails). Resident Rights Maintain the confidentiality of all resident care information. Ensure that you treat all residents and families fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy. Knock before entering the resident's room. Report all grievances and complaints made by the resident to the Nurse Supervisor/Unit Manager or Charge Nurse. Report all allegations of resident abuse, neglect, injuries of unknown source, and/or misappropriation/theft of resident property immediately. Honor the resident's refusal of treatment request. Report such requests to your supervisor. Working Conditions Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during work hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with nursing personnel, and other department personnel. Works beyond normal working hours, weekends and holidays when necessary. ls subject to call-back during emergency conditions (e.g. severe weather, evacuation, post- disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. ls subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Education, Certification and Background Screening Requirements Must possess, as a minimum, a High School Diploma or GED equivalent. Must possess and maintain a clear and active CNA certification. Must possess and maintain an Eligible/Clear AHCA Background Screening. ******************************** Experience None. On-the-job training provided.

The primary objective of the Physical Therapy Assistant is to assist with assessing, planning, implementing and documenting Client's physical therapy program under the direction and supervision of the physical therapist. Follow corporate guidelines, objectives and policies to maintain standards of treatment consistent with legal and accrediting requirements. ESSENTIAL FUNCTIONS: ASSESSMENT Upon receiving PT screening request, review client's current situation and screens individual for intervention. Communicates screening results to client and appropriate family and/or staff. Complete required screening documentation. PLANNING Plan appropriate therapeutic activities to meet client's goals. Communicate treatment plan and goals to client and family. Communicate significant issues in treatment planning to PT on ongoing basis. Collaborate with health care team members to begin planning for appropriate and timely discharge or transfer. IMPLEMENTATION Demonstrate ability to prioritize treatment procedures according to patient's needs and MD requests. Implement interventions according to plan of care. Communicate purpose of treatment procedures to client/family according to client's level of understanding and modifies plan accordingly. Communicate ongoing treatment issues/plan to interdisciplinary health care team members. Communicate ongoing treatment issues with PT. Complete required documentation regarding daily intervention. Demonstrate awareness of precautions regarding client diagnosis and treatment techniques. EVALUATION Review and evaluate effectiveness of interventions toward achieving patient outcomes and discuss need for changes to PT. Document appropriate reassessment and changes in plan of care. Communicate significant changes in client status and therapeutic intervention to client/family and health care team members. Complete required documentation for discharge. OTHER DUTIES Perform other related duties as assigned. Support and participate in changes and suggestions made by Director of Rehab. GENERAL FUNCTIONS: Maintain confidentiality of resident, employee and facility information. Follow Resident's Rights policies at all times maintaining privacy, confidentiality and respect. Ability to understand and comply with applicable Federal, State and local regulations as they apply to this job. Attend all required department and/or facility meetings. Adhere to applicable laws, rules, regulations and Code of Conduct directed by Corporate Compliance Program, conduct business using ethical standards, and report any suspect or actual event or circumstance to the Compliance Officer. Understand and comply with use and disclosure rules of resident Protected Health Information (PHI) as required by the HIPAA Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA). Use the proper equipment for each job and report any missing or damaged equipment to supervisor immediately. Follow facility safety program, identify and report unsafe equipment, environment or procedures to supervisor. Read and follow instructions on Safety Data Sheets (SDS) when handling or using chemicals. Assume accountability for data contained in the employee handbook. Observe all facility policies and procedures. Report to work as scheduled and consistently demonstrate dependability and punctuality. Come to work in neat, clean attire and consistently present an appropriate professional appearance. Perform all duties in an effective, timely and professional manner. Work cooperatively with all community members* and willingly accept assigned duties. Report any possible problem or concern regarding community members* to supervisor immediately. Communicate applicable information to community members* in an effective and efficient manner. Exhibit hospitality by displaying courtesy, support, gratitude and respect to all community members*. Complete employee training courses as assigned by due date. Perform any other related duties as directed by supervisor. *community members (staff, residents, families and vendors) QUALIFICATIONS: Must be at least eighteen (18) years of age. Must have current physical examination showing freedom from certain types of communicable diseases. Must be a graduate of an accredited PTA program. Must hold a valid Florida license to practice as a Physical Therapy Assistant. Must have strong organizational and excellent customer service skills. Must be able to follow directions clearly and efficiently. Must have previous work experience operating standard office equipment (e.g., copier, computer, etc.). Intermediate working knowledge of Microsoft Products such as Outlook, Windows, Excel and Word preferred. Must have current Cardio Pulmonary Recitation Card (CPR) issued by recognized provider such as American Heart Association or American Red Cross that includes hands-on practice and in-person skills assessment or be able to obtain CPR training and card within 30-days of hire date. ********************************

The primary purpose of your job is to coordinate and supervise the nursing care of all residents to ensure that the therapeutic regimen is implemented & documented according to federal, state & local regulations; to coordinate the orientation and in-service education of the facility employees; and to identify, investigate, evaluate and implement plans of correction and preventative measures to reduce risk and improve the quality of care and life of the residents. Delegation of Authority As the Assistant Director of Nursing/Staff Development/ Risk Manager, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. In the absence of the Director of Nursing Service, you are charged with carrying out the resident care policies established by this facility. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Assist the Director of Nursing implementing, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current laws, rules, regulation, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing department. Ensure that reference material (i.e., PDR's, Federal and State Regulations, etc.) maintained at the nurses' station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by the facility. Develop and periodically update nursing objectives and statements of philosophy. Assist in developing and implementing a nursing service organization structure. Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing department. Periodically review the department's policies, procedure manuals, s, etc. Make recommendations for revisions of policies, procedures, etc. to the Director of Nursing. Ensure that the Policy and Procedure manuals are reviewed by the QA Committee annually and that the acknowledgement of acceptance is maintained in the Manuals. Ensure that the signature page is printed out December 15 th and ensure that it is singed by the Medical Director, Administrator, DON, and Risk Manager Replace these sheets in all Policy and Procedure binders throughout the facility. Maintain a folder with all previous acknowledgements. Ensure that all policy and procedure manuals throughout the facility are updated each time a new policy and procedure is developed and implemented. Review manuals at least quarterly for completeness. Ensure binders are maintained in the DON's, Administrator's and your office as well as on each unit. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care. Ensure that all nursing personnel are following their respective s. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing department. Participate in facility surveys (inspections) made by authorized government agencies. Maintain and update QIS Survey Staff Interview Log and distribute to unit managers weekly when the facility is in their survey window (9 to 15 months since last Recertification Survey) Participate in developing, implementing, and periodically updating the resident's written discharge plan. Assist the resident in planning the nursing portion of the resident's discharge plan. Enter and/or Verify New Employees have been entered into the EMR system. Ensure that “title” is completed on employees (i.e. RN, LPN, CNA) and assign and/or verify Units are assigned to CNAs Remove employees that are no longer employed out of the EMR system. Reset passwords for Employees/Service Providers/Medical Staff who lock themselves out of the EMR system Provide in-service to all new nurses on how to use the EMR System and assign e-learning courses. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. as necessary. Maintain weekly inventory checks of the EDK. Investigate discrepancies and document findings. Run weekly activity reports and completed other associated tasks as directed. Investigate and report, if necessary, all adverse/or potential adverse incidents. Maintain documentation of the investigation and findings. Track and trend incidents to identify potential problems and develop a plan of correction. Maintain a log of each incident. Maintain files for all investigations and/or surveys completed by authorized governmental agencies (APS, AHCA, OSHA, etc.) Complete special chart audits to identify potential areas of improvement and for any problems in the provision of care or documentation, as directed. Investigate, log and track all accidents which occur in the facility from residents, staff, visitors or other service providers. Maintain documentation of the investigation Committee Functions Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Safety Quality Assurance & Assessment, etc.) as directed Serve on the Quality Assurance and Assessment Committee and the Quality Assurance and Performance Improvement committee as directed. Serve on the Compliance and Ethics Committee Assist the Director in preparing written and/or oral reports of the nursing programs and activities to submit to such committee(s). Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies. Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan team as required or as may be necessary. Evaluate and implement recommendations from established committees as they may pertain to nursing services. Personnel Functions Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing perso1mel to be employed. Assist the Director in the recruitment and selection of nursing service personnel. Maintain and update the Nurse Manager On-Call schedule Ensure that a sufficient number of licensed practical and/or registered nurses are available for each shift to ensure that quality care is maintained and staffing regulations are met. Ensure that a sufficient number of certified nursing assistants are available for each shift to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident and staffing regulations are met. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse, if applicable. Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing and conducting performance and competency evaluations, as directed. Participate in the development and implementation of performance evaluations for the nursing department. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards and report findings to Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times and report problem areas to the Director. Monitor the professional nurses' licensing status to ensure that they remain current and inform nurses at least 30 days in advance of their license expiration date. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as necessary. Ensure that all nursing personnel participate in the facility's TB testing program. Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents. Conduct new employee, random, directed and Work Place Incident Drug Screen Testing. Order supplies from the Lab; call in specimen collections for pickup. Review all test results (if any positive finding - advise HR immediately).Maintain files with Drug Screen Results. Implement the Employee Flu Vaccine Administration program; Obtain and Maintain signature forms to receive or decline the vaccine; Post administration date(s) for which the Employee vaccine will be available and the cost of the vaccine. Complete new and annual employee PPD administration; Ensure availability of solution; Order solution as necessary; Maintain files with PPD documentation and any other health issues of the employee. Nursing Care Functions Participate in the interviewing and selection of residents for admission to the facility, including the PASRR screenings. Provide the Director with the information relative to the nursing needs of the resident and to the nursing department's ability to meet those needs. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission and escort them to their rooms as necessary. Make rounds with physicians as necessary. Inform the Director when physician visits are not made in a timely manner. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to the Director and assist in developing and implementing corrective action. Authorize the use of restraints when necessary and in accordance with our established policies and procedures. Ensure that residents who are unable to call for help are checked frequently. Assist the Pharmacy Consultant by printing active Inventory Reports with Expiration Dates for the EDK Machine for signature during monthly visit; providing a copy of the months falls for review; providing a list of Nurses for which DON or ADON want a Medication pass review completed; and as necessary.. Staff Development Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing department. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses. Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs and schedule times as appropriate. Assist the Director in developing and revising the nursing assistant training curriculum used by the facility. Assist the Director in planning and conducting universal precautions in-service training. Develop annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards. Develop advance directive in-service training program for the staff and community. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing department. Develop in-service training programs for the nursing staff and ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Design, plan, and provide education programs on all shifts and for all departments. Participate in staff evaluation process by providing attendance records and observation of employees performance. Maintain current education records of classes and content of in-services conducted, attendance and performance of facility employees. Develop an annual training calendar which meets the state, federal and local laws, regulations and requirements. Ensure that the training calendar is approved by the QA committee yearly Schedule and post a monthly calendar of education programs for employees. Ensure that the most current Federal and State regulations are included in the new hire orientation and annual in-service/ training packets. Create lesson plans containing objectives, course content, method of instruction, and method of evaluation. Know, apply and teach the principles of body mechanics, body alignment, pressure ulcer prevention and nutrition awareness. Participate in, and possibly conduct, fire and disaster drills to ensure all staff posses knowledge of fire and disaster procedures, including evacuation. Observe medication passes and treatment procedures. Assume duties of Charge Nurse on an as needed basis. Ensure all employees are entered into Health Care Academy (HCA) System (eLearning). Assign all new employee, annual, and monthly (ongoing) trainings in HCA as required. Ensure 100% compliance with completion of assigned trainings. Follow facility disciplinary policies as necessary. Maintain employee training files. Print all certifications of completion of trainings from HCA in the employee's training file which is to be maintained in the ADON office. Assign and/or provide training on the Code of Conduct - Corporate Compliance Plan -upon hire and quarterly thereafter to all employees. Ensure 100% completion. Ensure that employees compete and sign the required pages in the Compliance Program manual along with a completed and signed Attestation and Declaration form. Copies of these forms are to be sent to the compliance officer (consultant). Maintain the originals in a binder for the Corporate Compliance Program. Safety and Sanitation/Infection Control Functions Assist the Safety Officer in developing safety standards for the nursing department assist the Director in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or; use safety equipment and supplies (e.g., gait belts, mechanical lifts, etc.) when moving or lifting a resident. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Record, track, and trend infection control reports. Prepare monthly and quarterly reports Equipment and Supply Functions Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on premises at all times to adequately meet the need of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing department. Care Plan Functions Encourage the resident and his/her family to participate in the development and review of the resident's plan of care. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Review and revise care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive care plan. Be sure that staff members are providing care that reflects the wishes of the resident. Budget and Planning Functions Participate in the preparation of and planning of the nursing department's budget and submit to the Director for his/her review, recommendation, and/or approval. Keep abreast of economic conditions/situation, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing department. Resident Rights Maintain the confidentiality of all resident information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral reports to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievance that indicates the action taken to resolve the complaint and the current status of the complaint. Follow the facility's established procedures Ensure that appropriate notices are received by the resident before his/her room or roommate is changed. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Follow facility's established procedures. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that refusal of treatment requests are in accordance with the facility's policies governing advance directives. Review the facility's advance directive policies and procedures with resident and/or family members as necessary. Working Conditions Works in office areas as well as throughout the facility. Moves intermittently during work hours. Is subject to frequent interruptions. Works beyond normal working hours, weekends and holidays and on other shift/positions as necessary. This position is subject to being on call 24 hours per day, 7 days per week. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.). Attends and participates in continual educational programs. Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Communicates with the medical staff, nursing personnel, and other department supervisors. Is subject to hostile and emotionally upset residents, family members, persom1el, and visitors. Is involved in community, civic health matters, and projects as appropriate. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Education Requirements Must possess, as a minimum, a Nursing Degree from an accredited nursing school, college or university. Must possess a current State of Florida nursing license. Must possess current CPR certification. Experience Must have, as a minimum, one (1) year of experience as a supervisor in a hospital, long term care facility, or other related health care facility. Must have, as a minimum, six (6) months training experience in rehabilitative and restorative nursing practices. Specific Requirements Must posses a current, unencumbered, active license to practice as a Registered Nurse in this state. An unencumbered, current, active Licensed Practical Nurse License from this state may be considered in buildings with 120 or less beds. Must possess and maintain an “Eligible” ACHA Background Screening status. ******************************** Knowledge of laws, rules, regulations, and guidelines pertaining to Long Term Care Facilities. Knowledge of ADA and OSHA laws and regulations. Knowledge of HIPAA and HITECH Laws and regulations. Knowledge of the Nurse Practice Act and other laws, rules and regulations governing nursing practice. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pe1iain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet. May be required to lift, or assist with lifting of, residents. May be necessary to assist in the evacuation of residents during emergency situations.

The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with the Florida Nurse Practice Act current federal, state & local standards, guidelines, and regulations that govern our facility, and as may be directed by the Director of Nursing or Nurse Supervisor/Unit Manager to ensure that the highest degree of quality care is maintained at all times. Delegation of Authority As a Registered Nurse/ Floor Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulation, and guidelines that govern the long-term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Participate and cooperate in facility surveys (inspections) by local, state and federal governmental agencies. Admit, transfer, and discharge residents in accordance with facility protocols, as required. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services/departments when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Participate in facility surveys (inspections) made by authorized government agencies as may be required Periodically review the resident's written discharge plan. Participate in updating the resident's written discharge plan as required. Assist in planning the nursing service portion of the resident's discharge plan as necessary. Complete accident/incident reports as necessary. Submit to the Director of Nursing or designee. Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. Receive telephone orders from physicians and record in the EMR system. Transcribe physician's orders to resident charts, card-ex, medication cards, treatment care plans in electronic format or paper as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders. Forward information to the Dietary Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor/Unit Manager. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Drug Administration Functions Prepare and administer medications as ordered by the physician in accordance with federal, state and local laws and regulations and facility policy. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report need to the Nurse Supervisor/Unit Manager. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotics are handled in accordance with federal, state and local laws and facility policies. Ensure that narcotic's records are accurate for you shift. Notify the Nurse Supervisor/Unit Manager of all drug and narcotic discrepancies noted on your shift. Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. Notify the attending physician of automatic stop orders prior to the last dosage being administered. Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor/Unit Manager concerning employee dismissals, transfers, etc. Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. Report absentee call-ins to the Nurse Supervisor/Unit Manager. Develop work assignments, and/or assist in completing and performing such assignments. Monitor Nursing Assistants to ensure that care and services are being provided to residents in accordance with the resident's plan of care. Report problem areas to the Nurse Supervisor/Unit Manager. Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis as well as a calm environment throughout the unit and shift. Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor/Unit Manager as required or as may be necessary. Follow facility's established procedures. Receive/give the nursing report upon reporting in and ending shift duty hours. Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents. Nursing Care Functions Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission and escort them lo their rooms as necessary. Conduct and document a thorough assessment of each patient's medical status upon admission and throughout the patient's course of treatment. Participate in the orientation of new residents/family members to the facility. Make rounds with physicians as necessary. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. Consult with the resident's physicians in providing the resident's care, treatment, rehabilitation, etc., as necessary. Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary. Implement and maintain established nursing objectives and standards. Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. Ensure that direct nursing care is provided in accordance with the resident's plan of care and wishes. Notify the resident's attending physician when the resident is involved in an accident or incident. Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. Carry out restorative and rehabilitative programs, to include self-help and care. Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, range of motion exercises, and care for the dead/dying, etc., as required. Use restraints only when prescribed and in accordance with established policies and procedures. Obtain sputum, urine and other specimens for Jab tests as ordered. Take and record TPRs, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Check food brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor/Unit Manager and Dietary Supervisor. Promptly respond to call bells. Promptly and courteously respond to requests for assistance from residents, staff, resident family members and visitors Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problems to the Nurse Supervisor/Unit Manager. Admit, transfer and discharge residents as necessary. Assist in arranging transportation of discharged residents as necessary. Ensure that discharged residents are escorted to the pick-up area. Inform family members of the death of the resident. Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Act in compliance with established regulatory and professional standards and guidelines. Staff Development Attend and participate in all facility in-service trainings/programs, as required. Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards. Attend and participate in advance directive in-service training program for the staff and community. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that established departmental policies and procedures are followed by self and assigned personnel. Ensure that your assigned work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner. Ensure that your unit's resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that you and your assigned personnel follow established safety polices and procedures. Ensure that you and your assigned personnel follow established hand-washing procedures. Ensure that you and your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Ensure that you and your assigned personnel follow established infection control procedures when isolation precautions become necessary. Ensure that you and your assigned personnel follow established infection control procedures. Ensure that you and your assigned personnel wear and/or use safety equipment and supplies (e.g., gait belts mechanical lifts, etc.) when moving or lifting a resident. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Nurse Supervisor/Unit Manager the equipment and supply needs of your unit/shift. Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on your shift at all times to adequately meet the need of the resident. Ensure that only trained and authorized personnel operate your unit/shift's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Care Plan and Assessment Functions Review care plans daily to ensure that appropriate care is being rendered. Inform the Nurse Supervisor/Unit Manager of any changes that need to be made on the care plan. Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that your assigned Licensed Practical Nurses (LPN) and certified nursing assistants (CNAs) are aware of the resident care plans and carry out the resident's care plan. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers, as directed. Resident Rights Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of resident rights and responsibilities, including the right to refuse treatment. Review complaints or grievances made by the resident and make a written/oral report to the Nurse Supervisor/Unit Manager indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievances that indicates the action to resolve the complaint and the current status of the complaint. Report all allegations of resident abuse and/or misappropriation of resident property. Honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives. Miscellaneous Adhere to facility and departmental policies and procedures. Other duties as assigned. Working Conditions Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.), as well as other parts of the facility. Moves intermittently during work hours. ls subject to frequent interruptions Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours, weekends and holidays when necessary. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Education Requirements Graduate of an accredited school of nursing. Experience None. On-the-job training provided. One (1) year of experience as a nurse in a health care facility preferred. Specific Requirements Must possess and maintain an “Eligible” ACHA Background Screening status ******************************** Valid and current license as a Registered Nurse in the State of Florida. Excellent communication and interpersonal skills. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess leadership ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak, read and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to' relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to twist and turn all extremities and at the waist Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet. Hours and days may be varied at times as necessary to maintain good nursing care. May be necessary to assist in the evacuation of residents during emergency situations.

The primary purpose of your job is to coordinate and supervise the nursing care of all residents to ensure that the therapeutic regimen is implemented & documented according to federal, state & local regulations to improve the quality of care and life of the residents. Delegation of Authority As the Assistant Director of Nursing, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. In the absence of the Director of Nursing Service, you are charged with carrying out the resident care policies established by this facility. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Assist the Director of Nursing implementing, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current laws, rules, regulation, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing department. Ensure that reference material (i.e., PDR's, Federal and State Regulations, etc.) maintained at the nurses' station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by the facility. Develop and periodically update nursing objectives and statements of philosophy. Assist in developing and implementing a nursing service organization structure. Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing department. Periodically review the department's policies, procedure manuals, s, etc. Make recommendations for revisions of policies, procedures, etc. to the Director of Nursing. Ensure that the Policy and Procedure manuals are reviewed by the QA Committee annually and that the acknowledgement of acceptance is maintained in the Manuals. Ensure that the signature page is printed out December 15 th and ensure that it is singed by the Medical Director, Administrator, DON, and Risk Manager Replace these sheets in all Policy and Procedure binders throughout the facility. Maintain a folder with all previous acknowledgements. Ensure that all policy and procedure manuals throughout the facility are updated each time a new policy and procedure is developed and implemented. Review manuals at least quarterly for completeness. Ensure binders are maintained in the DON's, Administrator's and your offices as well as on each unit. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care. Ensure that all nursing personnel are following their respective s. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing department. Participate in facility surveys (inspections) made by authorized government agencies. Maintain and update QIS Survey Staff Interview Log and distribute to unit managers weekly when the facility is in their survey window (9 to 15 months since last Recertification Survey) Participate in developing, implementing, and periodically updating the resident's written discharge plan. Assist the resident in planning the nursing portion of the resident's discharge plan. Enter and/or Verify New Employees have been entered into the EMR system. Ensure that “title” is completed on employees (i.e. RN, LPN, CNA) and assign and/or verify Units are assigned to CNAs Remove employees that are no longer employed out of the EMR system. Reset passwords for Employees/Service Providers/Medical Staff who lock themselves out of the EMR system Provide in-service to all new nurses on how to use the EMR System. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. as necessary. Maintain weekly inventory checks of the EDK. Investigate discrepancies and document findings. Run weekly activity reports and completed other associated tasks as directed. Committee Functions Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Safety Quality Assurance & Assessment, etc.) as directed Serve on the Quality Assurance and Assessment Committee and the Quality Assurance and Performance Improvement committee as directed. Serve on the Compliance and Ethics Committee Assist the Director in preparing written and/or oral reports of the nursing programs and activities to submit to such committee(s). Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan team as required or as may be necessary. Evaluate and implement recommendations from established committees as they may pertain to nursing services. Personnel Functions Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing service personnel. Maintain and update the Nurse Manager On-Call schedule Ensure that a sufficient number of licensed practical and/or registered nurses are available for each shift to ensure that quality care is maintained and staffing regulations are met. Ensure that a sufficient number of certified nursing assistants are available for each shift to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident and staffing regulations are met. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse, if applicable. Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing and conducting performance and competency evaluations, as directed. Participate in the development and implementation of performance evaluations for the nursing department. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards and report findings to Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times and report problem areas to the Director. Monitor the professional nurses' licensing status to ensure that they remain current and inform nurses at least 30 days in advance of their license expiration date. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as necessary. Ensure that all nursing personnel participate in the facility's TB testing program. Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents. Conduct new employee, random, directed and Work Place Incident Drug Screen Testing. Order supplies from the Lab; call in specimen collections for pickup. Review all test results (if any positive finding - advise HR immediately).Maintain files with Drug Screen Results. Implement the Employee Flu Vaccine Administration program; Obtain and Maintain signature forms to receive or decline the vaccine; Post administration date(s) for which the Employee vaccine will be available and the cost of the vaccine. Complete new and annual employee PPD administration; Ensure availability of solution; Order solution as necessary; Maintain files with PPD documentation and any other health issues of the employee. Nursing Care Functions Participate in the interviewing and selection of residents for admission to the facility, including the PASRR screenings. Provide the Director with the information relative to the nursing needs of the resident and to the nursing department's ability to meet those needs. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission and escort them to their rooms as necessary. Make rounds with physicians as necessary. Inform the Director when physician visits are not made in a timely manner. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., in the EMR system on a timely basis and in accordance with current regulations. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to the Director and assist in developing and implementing corrective action. Authorize the use of restraints when necessary and in accordance with our established policies and procedures. Ensure that residents who are unable to call for help are checked frequently. Assist the Pharmacy Consultant. Assist the Pharmacy Consultant by printing active Inventory Reports with Expiration Dates for the EDK Machine for signature during monthly visit; providing a copy of the months falls for review; providing a list of Nurses for which DON or ADON want a Medication pass review completed; and as necessary. Safety and Sanitation/Infection Control Functions Assist the Safety Officer in developing safety standards for the nursing department assist the Director in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or; use safety equipment and supplies (e.g., gait belts, mechanical lifts, etc.) when moving or lifting a resident. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on premises at all times to adequately meet the need of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing department. Care Plan Functions Encourage the resident and his/her family to participate in the development and review of the resident's plan of care. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Review and revise care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive care plan. Be sure that staff members are providing care that reflects the wishes of the resident Budget and Planning Functions Participate in the preparation of and planning of the nursing department's budget and submit to the Director for his/her review, recommendation, and/or approval. Keep abreast of economic conditions/situation, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing department. Resident Rights Maintain the confidentiality of all resident information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral reports to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievance that indicates the action taken to resolve the complaint and the current status of the complaint. Follow the facility's established procedures Ensure that appropriate notices are received by the resident before his/her room or roommate is changed. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Follow facility's established procedures. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that refusal of treatment requests are in accordance with the facility's policies governing advance directives. Review the facility's advance directive policies and procedures with resident and/or family members as necessary. Working Conditions Works in office areas as well as throughout the facility. Moves intermittently during work hours. Is subject to frequent interruptions. Works beyond normal working hours, weekends and holidays and on other shift/positions as necessary. This position is subject to being on call 24 hours per day, 7 days per week. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.). Attends and participates in continual educational programs. Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Communicates with the medical staff, nursing personnel, and other department supervisors. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Is involved in community, civic health matters, and projects as appropriate. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Education Requirements Must possess, as a minimum, a Nursing Degree from an accredited nursing school, college or university. Must possess a current State of Florida nursing license. Must possess current CPR certification. Experience Must have, as a minimum, one (1) year of experience as a supervisor in a hospital, long term care facility, or other related health care facility. Must have, as a minimum, six (6) months training experience in rehabilitative and restorative nursing practices. Specific Requirements Must posses a current, unencumbered, active license to practice as a Registered Nurse in this state. An unencumbered, current, active Licensed Practical Nurse License from this state may be considered in buildings with 120 or less beds. Must possess and maintain an “Eligible” ACHA Background Screening status. ******************************** Knowledge of laws, rules, regulations, and guidelines pertaining to Long Term Care Facilities. Knowledge of ADA and OSHA laws and regulations. Knowledge of HIPAA and HITECH Laws and regulations. Knowledge of the Nurse Practice Act and other laws, rules and regulations governing nursing practice. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pe1iain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices) Must be able to move intermittently throughout the work day. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet. May be required to lift, or assist with lifting of, residents. May be necessary to assist in the evacuation of residents during emergency situations.

The primary objective of the Occupational Therapist is to plan, organize, implement and evaluate a progressive therapy program geared to improvement of clients' physical functions, psychological, social and economic well being. Supervise certified therapy assistants and rehab assistants. Follow facility guidelines, objectives and policies to maintain standards of treatment consistent with legal and accrediting requirements. ESSENTIAL FUNCTIONS: ASSESSMENT Upon receiving OT orders, review client's history and completes thorough assessment, including precautions. Upon receiving OT screening request, review client's current situation and screens individual for intervention. Communicate assessment/ screening results to client and appropriate family and/or staff. Complete required assessment/screening documentation. PLANNING Identify and prioritize needs based on assessment and establish appropriate plan with goals Communicate treatment plan and goals to client and family Collaborate with health care team members to begin planning for appropriate and timely discharge or transfer. IMPLEMENTATION Demonstrate ability to prioritize treatment procedures according to patient's needs and MD requests. Implement interventions according to plan of care. Communicate purpose of treatment procedures to client/family according to client's level of understanding and modify plan accordingly. Communicate treatment plan/appropriate interventions with assistants, initially and ongoing. Communicate ongoing treatment issues/plan to interdisciplinary health care team members. Complete required documentation regarding daily intervention. EVALUATION Review and evaluate effectiveness of interventions toward achieving patient outcomes Document appropriate reassessment and changes in plan of care. Communicate significant changes in intervention to client /family and health care team members. Complete required documentation for discharge. OTHER DUTIES Perform other related duties as assigned Support and participate in changes and suggestions made by Director of Rehab GENERAL FUNCTIONS: Maintain confidentiality of resident, employee and facility information. Follow Resident's Rights policies at all times maintaining privacy, confidentiality and respect. Ability to understand and comply with applicable Federal, State and local regulations as they apply to this job. Attend all required department and/or facility meetings. Adhere to applicable laws, rules, regulations and Code of Conduct directed by Corporate Compliance Program, conduct business using ethical standards, and report any suspect or actual event or circumstance to the Compliance Officer. Understand and comply with use and disclosure rules of resident Protected Health Information (PHI) as required by the HIPAA Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA). Use the proper equipment for each job and report any missing or damaged equipment to supervisor immediately. Follow facility safety program, identify and report unsafe equipment, environment or procedures to supervisor. Read and follow instructions on Safety Data Sheets (SDS) when handing or using chemicals. Assume accountability for data contained in the employee handbook. Observe all facility policies and procedures. Report to work as scheduled and consistently demonstrate dependability and punctuality. Come to work in neat, clean attire and consistently present an appropriate professional appearance. Perform all duties in an effective, timely and professional manner. Work cooperatively with all community members* and willingly accept assigned duties. Report any possible problem or concern regarding community members* to supervisor immediately. Communicate applicable information to community members* in an effective and efficient manner. Exhibit hospitality by displaying courtesy, support, gratitude and respect to all community members*. Complete employee training courses as assigned by due date. Perform any other related duties as directed by supervisor. *community members (staff, residents, families and vendors) QUALIFICATIONS: Must be at least eighteen (18) years of age. Must have current physical examination showing freedom from certain types of communicable diseases. Must be a graduate of an accredited Occupational Therapy program with a BS degree. Must be approved and hold a valid certification by the NBCOT and state of Florida. Must have fieldwork experience in geriatrics or hospital acute/sub-acute/rehab. Must have strong organizational and excellent customer service skills. Must be able to follow directions clearly and efficiently. Must have previous work experience operating standard office equipment (e.g., copier, computer, etc.). Intermediate working knowledge of Microsoft Products such as Outlook, Windows, Excel and Word preferred. Must have current Cardio Pulmonary Recitation Card (CPR) issued by recognized provider such as American Heart Association or American Red Cross that includes hands-on practice and in-person skills assessment or be able to obtain CPR training and card within 30-days of hire date. ********************************

The primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed by your supervisors. Delegation of Authority As the Certified Nursing Assistant, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative Functions Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary. Follow all facility policy and procedures. Record all entries on flow sheets, notes, charts, electronic medical record etc., in an informative and descriptive manner. Use only authorized abbreviations established by this facility when recording information. Report all changes in the resident's condition to the Nurse Supervisor/Unit Manager or Charge Nurse as soon as practical. Report all accidents and incidents observed on the shift immediately. Admission, Transfer, and Discharge Functions Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.). Greet residents and escort them to their room. Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate. Make resident comfortable (i.e., put to bed, get water, etc.). Inventory and mark resident's personal possessions as instructed. Store resident's clothing. Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged. Transport residents to new rooms or to the receiving area. Assist with loading/unloading residents from vehicles as necessary. Personnel Functions Perform all assigned tasks in accordance with established policies and procedures, and as instructed by supervisors. Follow work assignments, and/or work schedules in completing and performing assigned tasks. Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit/shift. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. Report all complaints and grievances made by the resident. Notify the facility when you will be late or absent from work. Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals to supervisor. Personal Nursing Care Functions Follow established policies concerning exposure to blood/body fluids. Provide care in accordance with the resident's plan of care Follow all applicable facility policy and procedures. Obtain vitals. Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.). Assist residents with bath functions (i.e., bed bath, tub or shower bath, etc.) as directed. Assist residents with dressing/undressing as necessary. Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.). Shave male residents. Keep hair on female residents clean shaven (i.e., facial hair, under arms; on-legs, etc.) as instructed. Assist residents with nail care (i.e., clipping, trimming, and cleaning the fingernails). Resident Rights Maintain the confidentiality of all resident care information. Ensure that you treat all residents and families fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy. Knock before entering the resident's room. Report all grievances and complaints made by the resident to the Nurse Supervisor/Unit Manager or Charge Nurse. Report all allegations of resident abuse, neglect, injuries of unknown source, and/or misappropriation/theft of resident property immediately. Honor the resident's refusal of treatment request. Report such requests to your supervisor. Working Conditions Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during work hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with nursing personnel, and other department personnel. Works beyond normal working hours, weekends and holidays when necessary. ls subject to call-back during emergency conditions (e.g. severe weather, evacuation, post- disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. ls subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Education, Certification and Background Screening Requirements Must possess, as a minimum, a High School Diploma or GED equivalent. Must possess and maintain a clear and active CNA certification. Must possess and maintain an Eligible/Clear AHCA Background Screening. ******************************** Experience None. On-the-job training provided.