We are hiring for an Activity Assistant and a Registered Nurse at this time.

POSITION:  Registered Nurse

Responsible to:  Executive Director

General Description of Responsibilities

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.

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.



Responsible To: Activity Director

ESSENTIAL DUTIES include the following:

  • Interact with participants in a respectful, age-appropriate, and culturally-appropriate manner by honoring participant preferences and requests, in conjunction with Plans of Care, and person-centered care programming.
  • Assist in providing social, health, recreation, and entertainment programs.
  • Supports participants with ADL’s (ambulating, transfers, feeding, etc.)
  • Ensure the safety of each participant by monitoring activities, maintaining a sanitary, clutter-free environment, and participating in safety training and emergency drills.
  • Maintain program areas, supplies, and equipment ensuring that they are clean/disinfected, stocked/replenished, and in good working order daily.
  • Assist in serving meals and snacks.
  • Works in collaboration with the Activity Director in designing new activities.
  • Employs assistive equipment and practices throughout the day when transporting, lifting, and working with participants.
  • Be comfortable with using technology (Google Drive, Smart Board, iPad, iPod, etc.)
  • Stays abreast of emergency procedures and/or updates for each program scenario to ensure awareness of protocols in the event of an emergency.
  • Engages in assigned professional development and training.


  • High School diploma or GED
  • A minimum of one (1) year of experience working with individuals with disabilities in a health care or social service setting preferred.
  • Ability to understand and work with the elderly, Alzheimers/Dementia and other age related illnesses.
  • Ability to work effectively with colleagues.
  • Ability to follow oral and written instructions.
  • Ability to communicate effectively.
  • Current CPR, First Aid, CPI, and/or Universal Precautions training/license preferred. Will provide training for right candidate.
  • Successful physical examination/TB test required.
  • A Criminal Background Check must meet the requirements of the State of VA licensure for day programming.
  • This position does require physical stamina throughout the day.
  • Handle high stress at times.
  • Be flexible, cheerful, and have a healthy mental status. 

Please apply below.