Administrator
The primary responsibility of the Administrator is to plan, organize, develop, coordinate and manage the overall operations of the nursing facility in accordance with Federal, State and local standards, guidelines, core values and regulations and in accordance with the policies and procedures of this organization.
Educational Requirements

Bachelor’s degree with a major in a discipline concerned with service to people such as social work, hospital administration, business or public administration, gerontology or a related field
A valid, current Kansas Adult Care Administrator’s License
Possession of a valid Kansas driver’s license
Required Qualifications:

Minimum of five (5) years supervisory experience in a long term care facility with working knowledge of long term care State and Federal regulations, Medicare, Medicaid, employment law, OSHA and Worker’s Compensation
Minimum of two (2) years’ experience with general office equipment as well as all electronic platforms used by this facility
Ability to read, write, speak and understand the English language
Ability to tactfully communicate with personnel, residents, family members, visitors, government agencies/personnel and the general public
Knowledgeable of laws, regulations and guidelines pertaining to hospital and nursing facility administrative procedures
Ability to plan, organize, develop, implement and interpret programs, goals, objective, policies and procedures necessary for providing quality care and maintaining a sound operation
Ability to manage multiple priorities simultaneously utilizing organization and time management skills
Must not pose a direct threat to the health or safety of other individuals in the workplace
Ability to work beyond normal working hours and on weekends and holidays as necessary 
Responsibilities

Promotes the facility’s philosophy of culture change and person-centered and person-directed care model to ensure residents have the opportunity to grow and live enriched lives
Responsible for the overall financial performance of the facility
Assures adherence to all facility standards, programs, policies and systems
Chairs the facility’s Quality Assurance Performance Improvement committee under the delegation of the Board of Governance and other delegated management leaders
Develops and implements a marketing plan to maintain facility viability and success and maintains occupancy and payor mix to maximize financial outcomes
Ensure the communication and enforcement of residents’ rights; reviews resident complaints and grievances; prepares written reports of action taken; discusses with resident and family as appropriate
Participates in governmental agency facility surveys
Monitors procurement and utilization of equipment and supplies sufficient to provide safe, sanitary, and quality resident services in all areas

Ensures that an adequate number of appropriately trained staff are on duty at all times to meet the needs of the residents
Maintains appropriate communication with management regarding all clinical, financial and operational issues
Assures department managers plan, organize, develop, implement, evaluate and direct facility programs and activities
Recruits, trains and leads an effective professional team of managers who implement programs and services which reflect the facility’s values, goals and ethics, and which support financial growth and stability
Manages Workers Compensation program in collaboration with Human Resources Department and facility Safety Committee
Completes all required reports and projects in a timely, efficient manner
Develops effective working relationships with staff and maintains an environment conducive to building teams
Functions as the facility’s chief public relations officer
Provides effective leadership and direction to department managers
Provides timely documentation regarding performance, counseling and guidance to department managers while promoting growth and competency in a positive and nurturing environment
Assists department managers with staff counseling and performance evaluations
Directs and implements safety practices including emergency preparedness
Assures departmental response and follow-up to facility’s management reports
Keeps abreast of professional trends through continuing education, active participation in professional associations, committee involvement, journals, networking and other available avenues
Participates in various facility, corporate and external committees and task forces
Ensures facility and personal involvement within the community
Develops and maintains written job descriptions that accurately reflect job responsibilities and are in compliance with regulatory requirements
Purchases all equipment and capital items in accordance with facility management and governing body approval protocols
Continues active involvement in the social and civic events in this community
Continues active promotion of this organization to appropriate groups within this community
Demonstrates and explains the Mission Statement of this organization
Develops and implements a culture of teamwork with the staff of this organization
Develops and maintains an effective management and staffing structure consistent with the Board of Director’s operating plans, actions and policies
Maintains an image of social propriety and professional integrity
Monitors the regulatory processes of the legislative and governmental bodies as relates to health care and this organization
Promotes a positive and efficient atmosphere by establishing an organization that has a formal system of accountability and clear chain of command
Provides excellent customer service to this organization’s residents and their family members as well and consultants and their staff, consultants and their staff, vendors, clients/visitors, staff and others, management staff and the Board of Directors
Completes special projects and performs all other duties as assigned
Experience Requirements

At least five (5) years in an administrative position that includes supervision of staff, long-range planning and effective budgeting is necessary
A clear understanding of a continuing care retirement community
Position requires a person with initiative, organizational skills, ability to work with minimal guidance while exercising good judgment and the ability to work well with people
Strong confidentiality
Proficiency in word processing, spreadsheets and electronic mail is necessary
Benefits:
Health and vision care
About Us:
Enterprise Estate Nursing Center is a community owned, non-profit nursing facility committed to providing personalized service with the highest standard of care since 1975. The resident rooms at Enterprise Estates offer a full range of service while our goal is to always serve our senior community with dignity and respect. Residents enjoy a safe, caring, homelike setting in a clean and inspiring environment.

Full-time LPN (Nights)
Shift: 5:00 AM - 5:00 PM
Benefits:
Health, Vision, Dental, PTO, Bonus Program, Competitive Pay
Position Purpose:
The primary purpose of the job position of floor nurse is to provide direct nursing care to the elders, and to supervise the day-to-day nursing activities performed by Certified Nurse Aides and Certified Medication Aides. Such supervision must be in accordance with current federal, state, facility, and as may be required by the Director of Nursing Services to ensure that the highest degree of quality care is maintained at all times.
Delegation of Authority
Any and all Floor Nurses are delegated the administrative authority and accountability necessary for carrying out any and all assigned duties which are consistent with the scope of practice including in the Nurse Practice Act of the State of Kansas Board of Nursing.
Supervision:
The Floor Nurse is under the direct supervision of the facility’s Director of Nursing and/or the Adminstrator as delegated by the Director of Nursing.
Qualifications and Position Requirements:

The desired minimum requirements necessary to effectively perform position responsibilities include a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN program
Must possess a current, unencumbered, active license to practice as an LPN in this state
Must possess the ability to deal tactfully with personnel, elders, family members, visitors, government agencies/personnel, and the general public
Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional 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
Other Training, Skills and Experience Recommendations:

Computer skills, knowledge of medical terminology, dementia training
On-the-job training and on-going education will be provided
Essential Functions (with or without reasonable accommodations):
The duties and responsibilities included under the essential functions listing have been determined by management to be essential to the successful performance of this position.  However, this listing may not be inclusive of all the duties and responsibilities that may be required.  The omission or exclusion of duties and responsibilities from this description does not infer that the designated employee will not be required to perform additional job-specific duties if the work is similar, related or becomes an essential function of this position.

Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, 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
Meet with your assigned nursing staff, as well as support personnel, in planning the shifts’ services, programs, and activities
Make written and oral reports/recommendations concerning the activities of your shift as required
Ensure that all assigned nursing service personnel are in compliance with their respective job descriptions
Periodically review the elder’s written discharge plan and participate in the updating of the resident’s written discharge plan as required
Assist in planning the nursing services portion of the elder’s discharge plan as necessary

Admit, transfer, and discharge elders as required per policies and procedures
Sign and date all entries made in the elder’s medical record
Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies
Ensure that narcotic records are accurate for your shift
Notify the Director of Nursing of all drug and narcotic discrepancies noted in your shift

Review medication dispensing 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

Participate in employee performance evaluations, determining your shift’s staffing requirements, and making recommendations to the Director of Nursing concerning employee dismissals, transfers, etc.
Review and evaluate your department’s work force and make recommendations to the Director of Nursing
Develop work assignments and/or assist in completing and performing such assignments
Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures
Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, glucometers, giving massages and range of motion exercises, care for the dead/dying, etc.
Take and record vital signs, blood pressures, etc., as necessary
Report problem areas to the Director of Nursing
Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties
Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel
Ensure that your assigned work areas (i.e., nurse’s stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner
Provide data to the Quality Assurance & Assessment committee as requested 
Physical Requirements:
The employee must be able:

To move intermittently throughout the work day
Speak and write the English language in an understandable manner
Function independently and have flexibility, personal integrity, and ability to work effectively with elders, family members, personnel and support agencies
Able to relate to and work with ill, disabled, emotionally upset and at times, hostile people within the facility
Sits, stand, bend, stoop lifts & moves for extended periods of time
Ability to lift, move, push or pull a minimum of fifty (50) pounds
Communicates with medical staff, nursing personnel and other department supervisors
Work Environment:

Employee must be organized and detail-oriented 
Employee may be requested to perform other duties or tasks that are not listed, but are within the competence and training of the individual.
Confidentiality of Information:

The employee in this position may not disclose any record (via any media format, known or unknown
May not disclose any elder or facility information, any system log-in codes or password assigned or permit any unauthorized access to elder/resident or facility information without express written consent of the facility management
About Us:
Enterprise Estate Nursing Center is a community owned, non-profit nursing facility committed to providing personalized service with the highest standard of care since 1975. The resident rooms at Enterprise Estates offer a full range of service while our goal is to always serve our senior community with dignity and respect. Residents enjoy a safe, caring, homelike setting in a clean and inspiring environment.

MDS Coordinator 
A Certification in MDS or Rehabilitation is (Required)
Enterprise Estates Nursing Center is seeking an Part-time MDS Coordinator. The successful candidate will be well-versed in regulatory issues, survey compliance, and quality assurance. Strong managerial and communication skills are required. If you are looking for an opportunity to provide outstanding care and leadership in a facility that offers career growth, this may be the job for you!
Affirmative Action/Equal Opportunity Employer/Females/Minorities/Disabled/Veterans
Medical Specialty:

SNF
Experience:

MDS Coordinator: 1 year (Preferred)
License/Certification:

RN or LPN (Required)
A Certification in MDS or Rehabilitation is (Required)

Certified Medication Aide
Full-time CMA (Days)
Shift: 5:00 AM - 5:00 PM
Benefits:
Health, Vision, Dental, PTO, Bonus Program, Competitive Pay
Position Purpose:
Certified Medication Aides (CMAs)are health-care professionals who are responsible for providing basic care to residents to maintain or regain physical, mental, and emotional well-being through quality of care and quality of life tasks including but not limited to dispensing medications per State standards and practice guidelines.  
Certified Medication Aides work in collaboration with registered nurses.  Certified Medication Aides are expected to perform basic CNA duties as needed.
The primary purpose of the job position of a Certified Medication Aide is to dispense resident medications as ordered by the physician following standard of practice for medication administration.
Delegation of Authority
Any and all Certified Medication Aide responsibilities are delegated by the administrative authority of the neighborhood charge nurse and/or Director of Nursing and accountability necessary for carrying out any and all assigned duties are consistent with the scope of practice including in the Nurse Practice Act of the State of State Board of Nursing and Health Occupations Credentialing Division of the State Department of Health.
Supervision:
The Certified Medication Aide is under the direct supervision of the neighborhood Primary Care Nurse and the facility Director of Nursing and/or the Assistant Director of Nursing as delegated by the Director of Nursing.
Qualifications and Position Requirements:

The desired minimum requirements necessary to effectively perform position responsibilities include a certificate as a Nurse Aide from an accredited educational provider; a certificate as a Medication Aide from an accredited educational provider; excellent leadership skills or an acceptable equivalent combination of education and experience, and respect for the principles of resident rights, confidentiality, EEO and ADA
Must possess a current, unencumbered, active certification to practice as a Certified Nurse Aide and Certified Medication Aide in this state
Must be able to read, write, speak, and understand the English language
Must possess the ability to deal tactfully with residents, family members, visitors, co-workers and other facility personnel, government agencies/personnel, and the general public
Must have knowledge and understanding of dementia and dementia care
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care
Must be willing to work harmoniously with professional and non-professional 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 be willing to seek out new methods and principles and be willing to incorporate them into existing nursing assistant 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
 
Other Training, Skills and Experience Recommendations:

Computer skills, knowledge of medical terminology, dementia training
On-the-job training and on-going education will be provided
 
Essential Functions (with or without reasonable accommodations):

Dispense resident medications as ordered by a physician licensed to practice in this state, following the 5-rights of medication administration including:
Right resident
Right medication
Right dose
Right route
Right time

Track all prescription and non-prescription drugs to be administered, keeping complete and accurate records of dosage, time and amounts
Ensure residents take ordered, administered medications
Follow all facility standards and regulations to ensure the safety of residents and staff
A Certified Medication Aide may NOT administer any medication that requires assessment until a licensed nurse has performed the appropriate assessment components
Supervise and observe residents as medications and cares are provided
Take and document vital signs
Follow safe handling procedures related to storage of medications and biologicals including appropriate refrigerated medications and ensure narcotics and other scheduled medications in safe storage to prevent drug diversion or resident accessibility
Interacts well with interdisciplinary team and implements individual programs as developed
Maintains equipment and supplies for treatment
Maintains consistent resident care schedule and is efficient in use of time
Identifies potential problems/issues and reports to supervisor in a timely manner
Maintains a professional attitude and appearance
Is supportive of facility goals and objectives
Physical Requirements and Emotional Requirements:
The employee must be able:

To move intermittently throughout the work day
Speak and write the English language in an understandable manner
Able to cope with mental and emotional stress of position
Able to see & hear or use accommodative prosthetics that will enable these senses to function adequately to ensure that the requirements of the position can be fully met
Function independently and have flexibility, personal integrity, and ability to work effectively with elders, family members, personnel and support agencies
Be in good general health and demonstrate emotional stability
Sits, stand, bend, stoop lifts & moves for extended periods of time
Dexterity of hands and fingers to operate equipment
Subject to frequent interruptions
Ability to lift, move, push or pull a minimum of fifty (50) pounds
Work Environment:

The primary work environment is throughout the facility and at times the work is stressful
The employee may be exposed to blood, body fluids, infectious diseases and air contaminants
The employee may be subject to work call-back during times of facility emergency or disaster preparedness functions
Employee must be organized and detail-oriented
Employee may be requested to perform other duties or tasks that are not listed but are within the competence and training of the individual
Summary of Occupational Exposures:
Bloodborne Pathogens:
Tasks and procedures performed by employee involve risks classified by CDC as: Category III (Task/activity does not entail predictable or unpredictable exposure to blood.)
Specific Task Exposure:

General Resident Care: Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions other body fluids-cerebrospinal, synovial, pleural, peritoneal, pericardial
Handling soiled linens and clothing: Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions, other body fluids-cerebrospinal, synovial, pleural, peritoneal, pericardial
Cleaning elder rooms and common areas-Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions
Refer to Exposure Control Plan for additional information
Benefits:
Health and vision care
About Us:
Enterprise Estate Nursing Center is a community owned, non-profit nursing facility committed to providing personalized service with the highest standard of care since 1975. The resident rooms at Enterprise Estates offer a full range of service while our goal is to always serve our senior community with dignity and respect. Residents enjoy a safe, caring, homelike setting in a clean and inspiring environment.                                                                                      

Director of Nursing
Position Purpose:
Directs the licensed and non-licensed staff who provide health care and nursing services to residents of this facility on a 24-hour, 7 day per week basis. 
Summary of Duties:

Under the direction of the facility Administrator, The Director of Nursing Services' primary responsibility is to ensure the provision of quality nursing care on a 24-hour basis to the elders of this facility in accordance with Federal, State and Local standards and regulations. 
The Director of Nursing is responsible for the recruitment and hiring of both licensed and non-licensed nursing personnel.
This position monitors the job performance of the nursing staff, monitors Nursing Department performance evaluations, completes performance evaluations of Care Plan Coordinator, Medical Records Clerk, Nurse Supervisors, all Nursing Direct Care Partners and recommends employee promotions and terminations to the Nursing Home Administrator.
The Director of Nursing Services monitors the staffing levels of various nursing sections; and as necessary, directs staff rotations and reschedules personnel to meet increased or decreased nursing service demands. 
The Director of Nursing Services develops nursing service objectives, policies and procedures and directs the implementation of these objectives.
The incumbent continuously monitors Federal and State guidelines and requirements and revises Departmental procedures accordingly.
This position recommends in-service educational programs geared to the specialized needs of geriatric patients.
This position also monitors on-going staff development programs for all nursing personnel.
The Director of Nursing Services functions as a liaison between the elders, their families, staff and the general public - responding to inquiries and providing information on nursing care and services, and may screen prospective elders to assure that staff has the ability to provide the care needed.
The Director of Nursing Services assures that there is compliance with the regulations pertaining to care plans and elder assessments.
The Director of Nursing Services monitors the quality of care provided to elders with dementia and assists in the assessment process for admission to and exit from the unit.
This position also monitors the success of the Restorative Care Program in providing restorative nursing that maximizes each elder’s existing abilities.
This position collaborates with the contract therapy company to enhance the quality of care for the elders. 
This position assists with the preparation of the Departmental annual budget and maintains the operating budgets for personnel and medical equipment and makes budget recommendations as to the purchase of such equipment. 
The Director of Nursing Services is responsible for overseeing and implementing infection control, pharmaceutical and physical/chemical restraining policies and procedures, and assures that committee recommendations are carried out. 
The effectiveness of this position will be measured by the facility successfully fulfilling Kansas Department of Aging and Disability Services licensure/certification requirements, reaching stated goals of elder, family and staff satisfaction levels, and maximizing reimbursement rates. 
Position Challenges

The major challenge of this position is the recruitment and retention of qualified licensed and non-licensed personnel.
The Director of Nursing Services is faced with recurrent employee turnover while striving to provide continuity of care and maintain employee morale and motivation levels. 
The most complex problem the Director of Nursing Services faces is the provision of quality nursing services to the geriatric elders with fluctuating staffing levels and availability.
Other challenges encountered include monitoring changes in Federal and Kansas regulations and implementing revised nursing policies and procedures; and completing increased paperwork demands.

Supervision:
The Director of Nursing is under the direct supervision of the facility’s Administrator.
Qualifications and Position Requirements:
The desired minimum requirements necessary to effectively perform position responsibilities include graduation from an accredited School of Nursing; three years of responsible nursing experience, preferably in a long-term care facility; excellent management skills or an acceptable equivalent combination of education and experience, and the ability to communicate in English both orally and in writing, to complete required Nursing Department documentation, and respect for the principles of resident rights, confidentiality, EEO and ADA.
Other Training, Skills and Experience Recommendations:
Computer skills, knowledge of medical terminology, dementia training.  Employee must demonstrate on an ongoing basis the ability to develop and maintain good working relationships with co-workers and other departments.
Essential Functions (with or without reasonable accommodations):
The duties and responsibilities included under the essential functions listing have been determined by management to be essential to the successful performance of this position.  However, this listing may not be inclusive of all the duties and responsibilities that may be required.  The omission or exclusion of duties and responsibilities from this description does not infer that the designated employee will not be required to perform additional job-specific duties if the work is similar, related or becomes an essential function of this position.

Develops and implements nursing service objectives, policies and procedures to maintain quality nursing care in the facility. 
Determines staffing levels and monitors for adequacy in provision of nursing care. 
Oversees administrative functions in Nursing Department. 
Recommends and collaborates in in-service education programs to promote staff development. 
Monitors the quality and type of care provided on all residential units, and the elder outcomes influenced by restorative care programming
Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility
In the absence of the Nursing Home Administrator, the Director of Nursing Services is responsible for the overall operations of the facility
In the absence of the Director of Nursing, the Assistant Director of Nursing is responsible for the job responsibilities of the Director of Nursing
Physical and Emotional Requirements:
The employee must be able:

To move intermittently throughout the work day
See, hear or use prosthetic devices to enable use of the senses adequately
Assist with the evacuation of elders if necessary
Sits, bend, stoop, for extended periods of time
Dexterity of hands and fingers to operate equipment
Speak English language in an understandable manner
Able to cope with mental and emotional stress of position
Function independently and have flexibility, personal integrity, and ability to work effectively with elders, family members, personnel and support agencies
Be in good general health and demonstrate emotional stability
Able to relate to and work with ill, disabled, emotionally upset and at times, hostile people within the facility
Sits, stand, bend, stoop lifts & moves for extended periods of time
Dexterity of hands and fingers to operate equipment
Subject to frequent interruptions
Involved with elders, personnel, visitors, government agencies/personnel under all conditions and circumstances
Subject to hostile and emotionally upset elders, family members, personnel and visitors
Communicates with medical staff, nursing personnel and other department supervisors
Works beyond normal working hours and in other positions temporarily when necessary
Ability to lift, move, push or pull a minimum of fifty (50) pounds
 
 
Work Environment:

The primary work environment is throughout the facility and at times the work is stressful
The employee may be exposed to blood, body fluids, infectious diseases and air contaminants
The employee may be subject to work call-back during times of facility emergency or disaster preparedness functions
This is an extremely sedentary position where the employee is required to sit for prolonged periods of time
Employee is able to sit and stand as tolerated
Employee must be organized and detail-oriented
Employee may be requested to perform other duties or tasks that are not listed, but are within the competence and training of the individual
 
Summary of Occupational Exposures:
Bloodborne Pathogens:
Tasks and procedures performed by employee involve risks classified by CDC as: Category III (Task/activity does not entail predictable or unpredictable exposure to blood.)
Specific Task Exposure:

General Elder Care: Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions other body fluids-cerebrospinal, synovial, pleural, peritoneal, pericardial
Handling soiled linens and clothing: Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions, other body fluids-cerebrospinal, synovial, pleural, peritoneal, pericardial
Cleaning elder rooms and common areas-Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions
Refer to Exposure Control Plan for additional information
Confidentiality of Information:

The employee in this position may not disclose any record (via any media format, known or unknown
May not disclose any elder or facility information, any system log-in codes or password assigned or permit any unauthorized access to elder/resident or facility information without express written consent of the facility management
Fair Labor Standards Act:
This facility’s compensation for this position exceeds the mandates of the Fair Labor Standards Act and as such this position is exempt from overtime coverage
Position Acknowledgement:
By accepting this position, the employee agrees to perform the tasks outlined in this job description, as well as other tasks that may become necessary to the position.  Failure to perform the duties in a safe and professional manner and in accordance with the facility established policies and procedures may result in disciplinary action including termination of employment.  The employee will receive a copy of this job description and a signed copy will be placed in the employee’s personnel employment file. 
Benefits:
Health, dental, and vision care
About Us:
Enterprise Estate Nursing Center is a community owned, non-profit nursing facility committed to providing personalized service with the highest standard of care since 1975. The resident rooms at Enterprise Estates offer a full range of service while our goal is to always serve our senior community with dignity and respect. Residents enjoy a safe, caring, homelike setting in a clean and inspiring environment.