Why not take the NH job since you love geriatrics anyways and want to work in it eventually? I agree that it is kind of scary to know that you'll be the only provider there when the MD is not there-I am a new NP grad too and just accepted my first NP position in Hospital Medicine and I will be the one getting the calls from nurses-which makes me nervous, but think about how great you'll be once you get the experience under your belt!

Good luck with your decision.