The registered nurse position is responsible for performing a variety of duties to provide quality nursing care to residents and to coordinate total nursing care for residents; for implementing specific procedures and programs; for participating with the director of nursing or designee in establishing specific goals; for determining work procedures and expediting work flow; for ensuring compliance with all operating policies and procedures of Dow Rummel, the South Dakota Department of Health regulations and Federal Health Care Administration regulations; for communicating with and supervising appropriate personnel; for providing daily reports and other periodic reports; and for performing all the duties of a certified nursing assistant when required.


Must possess, as a minimum, a nursing degree from an accredited college or university, or be a graduate from an approved LPN program. Must possess a current, unencumbered, active license to practice as a RN or LPN in South Dakota. Ability to read, write, speak, and understand the English language.  Must possess the ability to make independent decisions when circumstances warrant such action. Possesses the ability to deal tactfully with personnel, residents, family members, visitors, government agencies, and the general public.. Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to the care of geriatric patients.  Leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Displays a patient, tactful, cheerful, and enthusiastic disposition, as well as the willingness to handle difficult residents.  Willingness to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Ability to relate information concerning a resident’s condition.   Must be able push and pull 60 pounds, must be able to lift 50 pounds and must be able to carry 15 pounds with two hands


Model the values, mission, and vision of the organization;

Be alert and active in supporting facility’s commitment to safe practices, infection control, and respect for residents’ rights;

  • Evaluates and/or assesses residents on admission to develop interim care plan and further assesses in depth to contribute to the complete care plan. Updates care plans as warranted and required. As needed or required, attends and participates at Plan of Care meetings as scheduled.
  • Evaluates and/or assesses residents and analyzes obtained information to develop appropriate interventions to prevent decline per scope of practice; records signs of change in condition; notifies appropriate staff of changes; observes conditions that indicate possible need for other nursing programs and then notifies appropriate staff per facility protocol of the need for evaluation; informs the physician of changes in conditions when appropriate.
  • Ensure that safety and sanitation standards are maintained in residents’ rooms and all work areas.
  • Prepare and administer medications as ordered by the physician in accordance with the facility’s policies, procedures and scope of practice. Order prescribed medications, supplies, and equipment. Maintains accountability for controlled substances inventories and reports discrepancies on a per shift basis.
  • Participate in the orientation of new staff to the unit.
  • Make rounds with physicians, physician’s assistants, and nurse practitioners.
  • Responds to emergencies; assesses the condition of the resident; decides on the type of medical attention required; calls appropriate ambulance service if needed; notifies family/POA when resident is transferred or admitted to the hospital; notifies the physician when a change in condition occurs.
  • Notify the resident’s physician and/or next of kin when there is an incident involving the resident or a change in the resident’s condition in accordance to policies and procedures..
  • Consult with the resident’s physician in providing the resident’s cares, treatments, rehabilitation, et cetera.
  • Administer professional services within the scope of nursing practice such as: catheterization, tube feedings, suction, applying and changing dressings, packs, and irrigations as required.
  • Follow organizational policies and procedures when providing nursing care.
  • Obtaining specimens for lab tests as ordered.
  • Monitor seriously ill residents as necessary.
  • Oversee and ensure that personnel providing direct care to residents are providing such care in accordance with the residents’ care plan and wishes.
  • Supervises the certified nursing assistants and med aides and determines work procedures; expedites workflow, evaluates, counsels and disciplines.
  • Receive and transcribe physician’s orders in accordance with the facility’s procedures.
  • Complete all necessary charting as required and in accordance with established charting and documentation policies and procedures.
  • Provide support and follow additional duties as assigned by the Directors of Nursing or Assisted Living.