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We're seeking an experienced and compassionate Assistant Director of Nursing (ADON) to help lead our Assisted Living team and ensure residents receive outstanding clinical support every day.

Working in partnership with the Director of Nursing (DON), the ADON provides hands‑on clinical leadership, mentors and develops care staff, and helps maintain a culture of excellence, accountability, and resident‑centered care. This is an ideal opportunity for a nurse leader who enjoys being visible on the floor, coaching teams, and making a direct impact on residents' lives.

Starting Pay Range: $115,000 to $125,000 annually

• Maintains a visible, hands‑on leadership presence on the floor to support safe, timely, and dignified resident care, while providing day‑to‑day direction to the full care team.
• Leads, develops, and manages assigned staff to ensure a high performing, engaged, and compliant workforce. Directly supervises Nursing Assistants. Provides defined dotted‑line oversight for Medication Technicians and Resident Care Coordinators (RCCs), who report directly to the Director of Nursing (DON).
• Ensures nursing practice, documentation, medication administration, and infection‑control processes meet regulatory and facility standards
• Ensures nursing staff are prepared and confident in their roles by delivering orientation, ongoing in‑service education, and just‑in‑time coaching that closes identified knowledge and skill gaps.
• Plans, completes, and documents skills competency checks and re‑validations for Resident Care Coordinators (RCCs), Medication Technicians, and NACs to confirm qualifications and demonstrated compliance with facility and regulatory requirements.
• Ensures resident safety and well‑being by monitoring for changes in condition, incidents, and unusual occurrences, responding promptly, and reporting concerns to the Director of Nursing, Assisted Living Administrator, and/or state agency as required.
• Protects residents from abuse, neglect, and misappropriation of property by monitoring allegations, participating in investigations, and consistently safeguarding residents' rights.
• Partners with the interdisciplinary team, physicians, families, and community agencies to coordinate responsive care and resolve concerns and complaints promptly.
• Ensures the community remains inspection‑ready by maintaining compliance with Washington assisted living requirements and facility policies.
• Participates in the on‑call rotation as assigned.
• Supports assisted living department budget planning and manages medical and nursing supplies to maintain safe and efficient operations.
• Participates in performance‑improvement activities, facility committees, and move‑in and care‑level decisions as indicated.

• Active, unrestricted license as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Washington State.
• Experience leading and supervising large teams in assisted living, skilled nursing, a hospital, or a related health care setting.
• Knowledge of nursing and medical practices and procedures, and the laws, regulations, and guidelines governing assisted living in Washington State.
• Current CPR certification and Food Handler’s Permit.
• Completion of DSHS Dementia and Mental Health training as required by WA State regulations.
• Microsoft Office Applications (e.g., Outlook, Teams, Word, Excel)

• Highly Competitive Benefits Package with Low Deductibles: Medical, Dental, and Vision Benefits
• 403(b) Retirement & Company Match
• Paid Time Off and Sick Leave
• Discounted Costco Membership
• Discounted Meals
• Company Paid Training & Professional Development Opportunities
• ORCA Card Discount or Discounted Employer Paid Parking
• Staff Scholarship Program - up to $24,000 per year including dependents
• Free Gym and Pool access for employees
• Student Loan Assistance Program - up to $1,200 per year

Horizon House is more than a place to work. It is an opportunity to build a career in a dynamic community dedicated to wellbeing, life fulfillment, and purposeful living in a diverse community. We are looking for future team members who understand that new ideas are welcomed and meant to build and improve on old traditions. We care, we listen, and we value our employees and demonstrate this in everything we do. At Horizon House we foster meaningful work on a diverse team by using the power of an employee driven workplace to enhance wellbeing. Join our team and help make a difference in someone’s life every day.

The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.

Employee accesses, uses and/or discloses Protected Health Information, as defined by HIPAA, only to the extent minimally necessary to accomplish essential job functions. Employee practices appropriate safeguards to prevent unauthorized access, use and/or disclosure of PHR (paper, electronic and oral) within his/her work area.

Horizon House is an equal opportunity employer and seeks to attract and retain the most qualified individuals without regard to race, color, religion, national origin, gender or gender identity, sexual orientation, age, genetic information, disability, or veteran status. Learn more about what it means to be an Equal Opportunity Employer . Additional information can be found here .

All staff must demonstrate the legal right to work in the United States. Horizon House is an E-Verify employer. All applicants offered a role must pass a DSHS background check, and drug screening.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodations while seeking employment, please email hr@horizonhouse.org or call (206) 382-3206 with the nature of your request.