Gorham House

Responsible for supervision of self-administered medication for the Skilled Nursing Department in compliance with Federal & State regulations and Senior Lifestyle Corporation guidelines as directed by the LPN/LVN/RN and/or the Manager Nurse and/or the Director of Nursing. Count and sign on approved form, all narcotics with approved personnel before accepting medication keys.  Contact a supervisor immediately with discrepancies. Order all necessary medication and treatments from appropriate pharmacy or notify responsible party when supply is no less than 7 days. Notify supervisor when supply is less than 2 days and medicine hasn’t been received. Responsible for receiving and verifying all medicine received is accurate according to pharmacy label and MAR.  Notifies pharmacy and DH&W of any discrepancies. Responsible for proper storage of all medications and ensuring all lotions, ointments and liquids stored separately from oral medications. Responsible for dating all appropriate vials or bottles at time of initial opening and following pharmacy protocol on length of time they can be used. Responsible for weekly inspections of all medications to ensure all expired medications are removed. Responsible for verifying all current MARs are compared to new MARs at change over time and notifying the supervisor of any discrepancies. Responsible for removing all discontinued medication from med cart and giving it to the supervisor. Provide personal care to residents to include, but not limited to, bathing, skin care, oral hygiene, grooming, dressing, incontinence care, and eating, etc. Provide general nursing care to include, but not limited to, vital signs, temperatures, blood pressure, and weights. Document appropriate information in the daily log as required and notify supervisor of all concerns. Answer calls and assist residents with needs as assigned. Responsible for daily cleaning of all medicine carts at end of shift and restocking as needed.  Responsible for weekly deep cleaning of all med carts. Attend and participate in staff training and in-services. Must maintain accurate records to include preparation of all medical charts for new admissions and readmissions and ensures medical record is complete within forty-eight (48) hours as Policy and Procedure (P&P) and regulatory guidelines.

Follow and perform duties in adherence to Senior Lifestyle Corporation Dining Policy and Procedures according to the Dining Services Policy and Procedure Manual.   Serve food in accordance with established portion control procedures and ensures that foods follow prescribed modified or therapeutic diets, nutrition/hydration requirements and resident preferences.   Assist or serve meals as necessary and in a timely manner assuring that they are palatable and appetizing in appearance as well as accurate in content to the resident.  This will include resident room service as well as service to designated dining areas.  Setup, deliver, and verify accuracy of meal trays, food carts, and dining areas as instructed.  Upon meal completion team member will remove all soiled items/equipment and deliver to the dishwashing area.  Distribute and collect menus as necessary for each meal period. Assist department in obtaining proper food supplies for the next meal.  Assist cooks in preparation of menu items. Prepare and deliver snacks and other items as instructed and assist in inventory control and stocking. All Dietary Department personnel should follow safety precautions to prevent accidents in food preparation according to our accident prevention in food preparation and prevention of back injury policy. Perform kitchen utility duties such as, but not limited to: sweep and mop floors, buss items from dining areas to dish room, wash and clean small wares and equipment. Clean and sanitize work areas, cutting boards, and table tops as well as removing garbage. Keep work areas, clean, dry and free of hazards. Know and adhere to all company and the local, state, and county health department’s regulations. Ensure that all dining areas are clean and safely operating.   Attend all required training, in services, and staff meetings.  Meet all department training standards through Redi-Learning and/or other necessary training modules as required.

Follow Company Dining Policy and Procedures and while ensuring that all department personnel are compliant as well.  Responsible for the purchasing of all dining food and nonfood items and ensure all purchases for the department achieve 95% DSSI ordering compliance.  Balance and maintain budgets for raw food and supplies. Utilize company standard recipes when completing food production for meals. Ensure that food is served at proper temperature and in proper portion sizes to ensure food safety and palatability according to our food temperature policy.   Ensure that residents’ Prescribed Diets are offered when applicable. Drive high satisfaction by offering our residents choice, dignity and independence in dining according to our hospitality and customer service policy.  Ensure operating and cleaning instructions/procedures are developed and implemented for the department.  Perform Pre-meal Dining Stand-Up with service staff to review daily menu details. Know and adhere to all company and the local, state, and county health departments regulations and acts as the community’s dietary representative for any health department or other required inspections; assure compliance, follow-up to assure any deficiencies are immediately corrected. Ensure all dining areas are clean and safely operating, completes monthly Self Sanitation audit according to the sanitation audit tool and operation and sanitation policies.   Interview, manage, train, hire, discipline, and terminate all dining staff personnel as needed. Oversee the scheduling of all food service personnel to maintain compliance with labor budget.

Provide direct and individualized nursing care to assigned residents based on established nursing protocol. Observe and assess for: pain/discomfort, oxygen therapy, all drainage, all dressings, and any incontinent elimination which may have occurred. Provide ignition and ongoing systematic assessment of the physical, emotional, social, educational, and functional needs of the resident/family through observation, interview, and physical examination. Interpret assessment data and information to assist in developing a plan of care. Assure medical orders are transcribed and processed accurately and timely and integrate the medical care plan into the provision of nursing care. Assure that medication administration is correct, according to the established nursing policies and procedures. Provide accurate and timely documentation consistent with the resident plan of care. Administer medication per physician orders. Document properly on MOR. Observe for any adverse reaction. Assemble resident charts, resident records, and assure all necessary form are completed in a timely manner. Assure all monthly summaries are completed in a timely manner for assigned residents. Prepare incident/accident reports for residents as needed per policy, notify AL Director, physician, and family post incident per policy and document accordingly. Assist resident in learning self-care activities. Supervise all resident assignments to nursing team members, and assure special instructions are given to team members. Observe and supervise all meals to ensure residents receive the proper diet and any assistance required. Monitor and organize all material resources necessary for meeting needs of assigned unit. Recognize emergencies and life-threatening situations and initiate appropriate action. Ensure that resident call lights are promptly answered, and their needs are addressed timely and appropriately. Assist with the orientation of new staff members. Ensure that all scheduled activities take place on assigned unit by utilizing activity personnel and/or nursing personnel.

Coordinate the assessment schedule and opens resident assessments in accordance with current Federal and state rules, regulations and guidelines that govern the resident assessment instrument, including the implementation of CAAs and CATS. Select the Assessment Reference Date (ARD) that will most accurately reflect the resident’s condition based upon the capture of all resources utilized and care provided.  Gather the necessary documentation to accurately encode the assessment item set and ensure that it is complete, accurate, signed and submitted to the state database in accordance with RAI or state regulations. Meet daily with the Rehab Program Manager to review Resident therapy schedules in order to minimize the need for non-scheduled assessments. Coordinate with the interdisciplinary team to ensure the care plan is comprehensive, completed timely, and remains current based on the Resident’s condition.  Attend and participate in the Resident Care Conference. Disseminate any new or updated materials involving the RAI process to the interdisciplinary team to include assessment calendars, due dates, etc. Facilitate the involvement of appropriate health professionals as needed to improve or maintain the Resident’s functional abilities at the highest practicable level.  Assist and/or direct Managed Care case management duties. Review the state validation reports and ensure that the appropriate follow-up action is taken, if needed. Serve on, participate in, and attend various other committees of the facility (e.g. At Risk, Triple Check, Medicare UR) as required, and as directed by the Administrator or Executive Director. Communicate with and provide education to all nurses and CNAs to expand their knowledge of the RAI process and how their duties can impact the process.   Communicate with Business Office regarding unfinished assessments, defaults, and other billing concerns. Understand, comply with, and promote all rules and regulations regarding Residents’ Rights; promote positive relationships with Residents, visitors, and regulators, to include presenting a professional appearance.  Maintain HIPAA compliance at all times.

Take and record vital signs. Measure and record height, weight, and fluid intake/output. Recognize abnormal changes in body functioning and importance of reporting such changes to a supervisor. Assist as needed with medication reminders, bathing, grooming, dressing, escort service, and other activities of daily living. Transfer, position, and turn residents. Provide skin care to residents. Contribute to the resident’s assessment and the plan of care. Provide nursing rehabilitation/restorative nursing services. Follow the schedule of resident’s needs set out by supervisor. Provide emotional and social support to residents. Promote and protect resident rights, assist residents in making informed decisions, treat residents with dignity and respect, protect resident’s personal belongings, report suspected abuse or neglect, avoid the need for physical restraints in accordance with the current professional standards, and support independent expression, choice, and decision-making consistent with applicable law and regulation. Inform supervisor of any resident issues or concerns. Respect and encourage the independence and dignity of the residents. Respect residents’ confidentiality.

$4,000 Sign On Bonus! Openings for:
Full time | Part time | Per Diem | Evenings | Nights Opportunities available for all levels of experience, including new grads! Responsible for medication administration for the residents in compliance with Federal & State regulations and Senior Lifestyle Corporation guidelines. May be responsible for the admissions of new residents to include all admission assessments and documentation. Responsible for completing acute and long-term care plans or service plans. May be responsible for clinical system tracking (i.e. wounds or infection control) under the direction of the director. Provide general consultation regarding health-related concerns within the community. Notify physicians and/or family members of any change in resident’s health and provides proper documentation. Respond quickly to all emergencies. Maintain close communication with all departments and staff members. Provide educational meetings for residents and staff. Understand roll in the Safety & Disaster Plan. Maintain confidentiality of residents’ and prospective residents’ information.     May be responsible for discharges, assessments, and clinical documentation as needed. 

$4,000 Sign On Bonus! Openings for:
Full time | Part time | Per Diem | Evenings | Nights Opportunities available for all levels of experience, including new grads! Responsible for medication supervision/administration in compliance with Federal & State regulations and Senior Lifestyle Corporation guidelines. May be responsible for the admissions of new residents to include all admission assessments and documentation. Responsible for completing acute and long-term care plans or service plans.  May be responsible for clinical system tracking (i.e. wounds or infection control) under the direction of the Director of Nursing. May be responsible for discharges, assessments, and clinical documentation as indicated.  Provide general consultation regarding health-related concerns within the community. Notify physicians and/or family members of any change in resident’s health and provides proper documentation. Respond quickly to all emergencies. Maintain close communication with all departments and staff members. Maintain confidentiality of residents’ and prospective residents’ information. Understand role in the Safety & Disaster Plan. Provide educational meetings for residents and staff.

$1500 Sign On Bonus We will help you earn while you learn with paid PSS training Provide assistance as needed with medication reminders, bathing, grooming, dressing, escort service, and other activities of daily living. Follow the schedule of resident’s needs set out by supervisor. Provide emotional and social support to residents. Document daily log of assistance. Inform supervisor of any resident issues or concerns. Respect and encourage the independence and dignity of the residents. Respect residents’ confidentiality.

$1500 Sign On Bonus Responsible for supervision of self-administered medication for the Assisted Living Department in compliance with Federal & State regulations and Senior Lifestyle Corporation guidelines as directed by the LPN/LVN/RN and/or the Assisted Living Director/Health and Wellness Director. Count and sign on approved form, all narcotics with approved personnel before accepting medication keys.  Contact a supervisor immediately with discrepancies. Order all necessary medication and treatments from appropriate pharmacy or notify responsible party when supply is no less than 7 days. Notify supervisor when supply is less than 2 days and medicine hasn’t been received. Responsible for receiving and verifying all medicine received is accurate according to pharmacy label and MAR.  Notifies pharmacy and DH&W of any discrepancies. Responsible for proper storage of all medications and ensuring all lotions, ointments and liquids stored separately from oral medications. Responsible for dating all appropriate vials or bottles at time of initial opening and following pharmacy protocol on length of time they can be used. Responsible for weekly inspections of all medications to ensure all expired medications are removed. Responsible for verifying all current MARs are compared to new MARs at change over time and notifying the supervisor of any discrepancies. Responsible for removing all discontinued medication from med cart and giving it to the supervisor. Provide personal care to residents to include, but not limited to, bathing, skin care, oral hygiene, grooming, dressing, incontinence care, and eating, etc. Provide general nursing care to include, but not limited to, vital signs, temperatures, blood pressure, and weights. Document appropriate information in the daily log as required and notify supervisor of all concerns. Answer calls and assist residents with needs as assigned. Responsible for daily cleaning of all medicine carts at end of shift and restocking as needed.  Responsible for weekly deep cleaning of all med carts. Attend and participate in staff training and in-services. Must maintain accurate records to include preparation of all medical charts for new admissions and readmissions and ensures medical record is complete within forty-eight (48) hours as Policy and Procedure (P&P) and regulatory guidelines.