Registered Nurse/LPN

The Registered Nurse provides health screening and health monitoring functions in the Center.  She/he reports to the Executive Director and may be responsible for management of the Center in the absence of the Director and Assistant Director.

Typical duties include but are not limited to:

  1. Conducting intake interviews and performing initial assessment utilizing the UAI (Universal Assessment Instrument).
  2. Administering medications.
  3. Observing participants for adverse reactions to medication.
  4.  Providing in-service training as needed.
  5. Monitoring participants’ general physical and mental health and functional capability. Discussing significant changes with the participant, family, or other responsible party, and, as needed, the participant’s physician or physician’s nurse.
  6. Manages the delivery of all medical services to ensure that needed services are provided in a timely manner by appropriate personnel.  Monitors care given by other staff members (monthly vitals, weights).
  7. Leading care planning conferences and developing interdisciplinary plans of care.
  8. Providing health education for participants and their families as needed.
  9. Teaching the staff and monitoring their ability to perform a limited number of special procedures that may be part of in-home/community-based family caregiving situations.  These procedures may include such items as monitoring vital signs, simple dressing changes, medication administration, and catheter irrigations.
  10. Making referrals to other agencies/organizations as needed.
  11. Responding to emergencies in participant care.
  12. Developing nursing procedures and protocols with the approval of the Director and the Board of Directors.
  13. Reviewing and assessing charts of daily meal consumption and fluid intake by participants.
  14. Documenting consistently in participant charts regarding health status and activity function. 
  15. Assuring care plan reviews are completed on time, in accordance with licensing regulations.
  16. Documenting and reporting additionally for participants served under Medicaid Waiver or Veteran’s Administration authorization, and for long term care insurance reimbursement as needed.
  17. Attending staff meetings.
  18. Being available daily to meet families and discuss the day’s events as needed.

Knowledge, Skills, and Abilities

Ability to work well with a frail and/or impaired population.  Excellent oral and written communication skills with strong background in health services.

Strong interpersonal skills are paramount in effectively interacting with participants, families, and other staff members on a daily basis.

Ability to apply knowledge to formulate, develop, implement and evaluate individualized plans of care.

Education and Experience

Current Virginia license as a Registered Nurse

BSN preferred

Three years experience in a related health care setting preferred, but not required.

Demonstrated competence in working with the impaired elderly, or younger adults with early onset Alzheimer’s  Disease or similar dementia.  Strong knowledge of their physical, social and mental health needs.

CPR certification

Supervisory and planning experience preferred.


The Adult Care Center is a private, non-profit adult day health care located in Winchester and serving Winchester and the surrounding areas.  The Center is licensed by the Virginia Department of Social Services and is a Medicaid, and Veteran’s Administration, Provider. 

Benefits of working at the Adult Care Center:

  • Friendly, supportive, and team oriented environment.
  • Daytime hours only, Monday through Friday.
  • Holidays off (paid):  January 1st, Apple Blossom Friday, Memorial Day, July 4th, Labor Day, Thanksgiving and the day after, Christmas Day and either Christmas Eve or the Day after Christmas depending on what is scheduled.
  • Accumulated Paid Time off
  • Short term Disability  Insurance
  • Modest Life Insurance , AD & D
  • Paid Nursing License Renewal
  • Financial support for continuing education (up to $300/year)
  • Annual Bonus ranging from $250 to $500 depending on length of service.


Certified Nursing Assistant

The Nursing Assistant is a valuable team member who provides direct assistance to the participants of the Adult Care Center.

Typical tasks include, but are not limited to:

  1. Providing direct assistance to the participants of the Center in the performance of activities of daily living and personal care .
  2. Assisting with the serving of snacks and meals and aiding participants who require direct feeding, and/or safety monitoring.  Assisting with clean-up.
  3. Monitoring participants for safety and wellness, and notifying staff of changes in condition, including responding appropriately in emergency situations.
  4. Taking participant vital signs: blood pressure, pulse, respiration and temperature, as directed by the registered nurse.
  5. Relaying relevant information to the registered nurse, director and other staff as necessary. Relaying and charting requested information which may include: vital signs, meal consumption, liquid intake, and daily BM and urine amounts.
  6. Providing walking and transfer assistance.
  7. Assisting Center participants engage in recreational and therapeutic activities.
  8. Assisting in the maintenance of cleanliness and neatness in the Center environment, including housekeeping chores.
  9. Obtaining a minimum of 12 hours of continuing education annually
  10. Personal supplies inventory
  11. Catheter and colostomy care as needed


High school graduation or GED

Current Certified Nursing  Assistant license preferred.

Current CPR and FIRST AIDE Certification (or obtain within 1 year of hiring)