Hybrid Per Diem CNA at Town of Nantucket

About the Department

Join Our Compassionate Team at Our Island Home

Position: Per Diem Certified Nursing Assistant (CNA)
Department: Our Island Home – Town of Nantucket
Compensation: $25.50/hour
Schedule: Per Diem | Non-Union
Application Deadline: Open Until Filled

Our Island Home, Nantucket’s town-operated skilled nursing facility, is seeking a Per Diem Certified Nursing Assistant to join our dedicated care team. This role plays a vital part in delivering respectful, dignified, and high-quality personal care to our residents in a safe and compassionate environment.

• Assist residents with daily personal care activities in accordance with care plans.

• Support a nurturing, patient-centered environment that promotes health and well-being.

• Collaborate with nurses and other team members to ensure comprehensive resident care.

• Uphold safety and cleanliness standards in accordance with regulatory guidelines.

• Education: High school diploma or GED required.

• Licensure: Completion of a Massachusetts-approved CNA training program with an active, valid CNA license in good standing.

• Certifications: Current Adult CPR/AED certification required.

• Experience: Prior experience in a long-term care or skilled nursing facility preferred.

• Physical Requirements:

  • Ability to lift/move a minimum of 50 lbs regularly.

  • Physically capable of assisting residents with mobility and transfers.

  • Ability to stand, sit, walk, and remain active for extended periods.

  • Mental and physical stamina to manage the demands of a healthcare setting.

• Skills: Basic English communication skills required (verbal and written).

The Town of Nantucket is an Affirmative Action/Equal Opportunity Employer (AA/EOE).

We are committed to building a diverse and inclusive workforce.

The Certified Nursing Assistant II (aka Restorative Nurse’s Aide) is responsible for providing personal care to residents of Our Island Home in a dignified, caring, safe and efficient manner;

Supervision Required: Under the general supervision of the Charge Nurse, Director of Nurses or therapist, the employee is familiar with the work routine and uses initiative in carrying out recurring assignments independently with specific instruction. The supervisor provides additional, specific instruction for new, difficult or unusual assignments, including suggested work methods. The employee is expected to recognize instances which are out of the ordinary and which do not fall within existing instructions; the employee is then expected to seek advice and further instructions. Reviews and checks of the employee’s work are applied to an extent sufficient to keep the supervisor aware of progress, and to ensure that completed work and methods used are technically accurate and that instructions are being followed.

Supervisory Responsibility: Employee does not have any regular supervisory responsibilities.

Confidentiality: In accordance with the State Public Records law and HIPAA regulations, the employee has regular access to confidential information of the department such as client records.

Accountability: Consequences of errors, missed deadlines or poor judgment may include adverse patient relations, personal injury, danger to client and self safety and health, legal repercussions and significant time loss caused by back checking by others and slowdowns in the processing of the work.

Judgment: Numerous standardized practices, procedures or general instructions govern the work performed and in some case, may require additional interpretation.  Judgment is needed to locate, select and apply the most pertinent practice or procedure, regulation or guideline.

Complexity: The work consists of a variety of duties which generally follow standardized practices, procedures, regulations or guidelines. The sequence of work and/or the procedures followed vary according to the nature of the transaction and/or the information involved, or sought, in a particular situation.

Work Environment:   The work environment involves everyday discomforts typical of Nursing Home Facilities, with occasional exposure to outside elements and biohazards. Noise or physical surroundings may be distracting, but conditions are generally not unpleasant. Often required to work beyond normal business hours.

Nature and Purpose of Public Contact: Relationships are with co-workers incidental to the purpose of the work involving giving and receiving factual information about the work. Ordinary courtesy and tact are required. Contacts with the public may be required on an occasional basis.

Occupational Risk: Duties regularly present potential risk of injuries from improper exposure that could result in loss of time from work. Examples of injury include bruises from falls, cuts or burns, or muscular strains from lifting or carrying patients or materials. Personal injury could occur through employee failure to properly follow safety precautions and procedures. Special safety precautions, training, or protective clothing such as gowns, gloves or coats required due to biohazardous material exposure

Position Duties

• Performs restorative and rehabilitative services for all residents identified by physician or therapist as needing restorative aide therapeutic exercise.
• Assists in planning, implementing and evaluating resident care programs designed to increase, maintain or restore function minimize or prevent disability.
• Attends all meetings related to the nursing restorative program as able to report resident progress, reactions, or concerns on individual restorative plans.
• Assists residents with dressing/undressing and maintaining appropriate clothing; grooming to maintain an appropriate appearance; bathing and maintaining cleanliness of all body areas.
• Assists residents with toileting/elimination needs based on individualized care plan.
• Assists residents with meals and dietary requirements based on the residents’ individualized care plan.
• Assists residents in transferring, repositioning and walking based on individualized care plan.
• Assists with residents Psychosocial and Spiritual Care by accommodating their needs and responding appropriately to residents’ verbal/non-verbal expressions.
• Keeps residents’ living areas pleasant and orderly. May be required to assist in the cleaning or sanitizing of resident items and equipments.
• Performs rounds during assigned shift(s).
• Assures resident’s rights are protected.
• Documents all care provided on the appropriate worksheets and ensures they are accurate and comprehensive to the care provided during the period.
• Receives and appropriately shares information; observes and reports on resident’s conditions or changes to appropriate staff in a prompt manner.
• Responds appropriately to residents’ requests for help and maintains positive relationships with residents’ friends and family members. Provides residents with the opportunity for independence and choice in their daily lives. Ensures residents and family are part of the care process.
• Attends all facility meetings as required including care plan, safety, and departmental.
• Responds promptly to residents’ call lights.
• Maintains safe work practices and follows facility safety procedures.
• Follows facility infection control procedures and demonstrates best practice in hand washing/gloving procedures.
• Meets facility hygiene and dress code standards of appearance.
• Follows facility conduct standards and policies and procedures performing all work alcohol and drug free.
• Maintains all required licenses, certifications, qualifications and associated standards.
• Meets requirements for in-service education and meeting attendance per facility policy and state and federal requirements.
• Maintains appropriate attendance records; arrives on time for work and is ready to perform assigned tasks.
• Performs other duties as assigned in accordance with job functions.

Minimum Qualifications

Education and Experience: Must be a High School graduate or GED equivalent with completion of an accredited nursing assistant education/training program or ability to successfully complete an accredited program approved by the Commonwealth of Massachusetts providing an active license in good standing with the Massachusetts Nurse Aide Registry; must have completed a Restorative Care education and training program with supervised clinical practice within the last three years. One to three (1-3) years prior work experience preferred or any equivalent combination of education, training and experience which provides the required knowledge, skills and abilities to perform the essential functions of the job.         

Special Requirements: CPR/AED Certification. MA Certified Nursing Assistant certification and Restorative Care certification. Pass all required background checks.

Knowledge, Abilities and Skill

Knowledge: Knowledge of nursing home long term care rules and regulations as well as operating procedures. Knowledge of nursing home procedures, infection control, proper hygiene and safe work practices, ethics, HIPAA and scope of practice skills for nurse assistant and restorative aides in therapeutic exercises.

Abilities: Ability to perform multiple tasks and maintain confidential information. Interest in working with the elderly. Works with others in a helpful, respectful, and courteous manner; must be able to establish and maintain cooperative working relationships with co-workers, supervisors and residents/family members. Able to work in an interdisciplinary team environment.

Skills: Good organization and time management skills necessary; some skill at operating standard type of office equipment including, but not limited to computers, copy machine, fax machine, printers and telephone; proficient written and oral communication skills; and effective customer service skills. Skill to operate standard nursing home equipment (ex. patient care lifts, beds, DME, weight scales, etc.)

Physical and Mental Requirements 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the position’s essential functions.

Physical Demands: Work requires moderate intermitted physical strength and effort daily. Lifting, loading, pulling or pushing heavy object, standing or walking for the full workday. Must be able to lift a minimum of 50 lbs. Work requires lifting, carrying, moving and handling violent Residents. There may be a need to stretch and reach to retrieve materials. Usually, the work will require extended physical effort over a significant portion of the workday.

Motor Skills: Duties may involve assignments requiring application of hand and eye coordination with finger dexterity and motor coordination. Examples include operating lifts and DME.

Visual Demands:  Position requires the routine reading of documents and reports for understanding and analytical purposes with a need for color vision.