Director of Nursing ALF LPN Pay

klone, MSN, RN · Apr 26, 2015

You're an LPN and being interviewed for Director of Nursing? I don't know a lot about ALFs; is that common to have an LPN in that role?

mvm2 · Apr 26, 2015

I can't see why a LPN with great knowledge of ALFs can't be a fabulous DON.

Hope things go well for you

VANurse2010 · Apr 26, 2015

You're an LPN and being interviewed for Director of Nursing? I don't know a lot about ALFs; is that common to have an LPN in that role?

Frankly, I don't see how ALF, if given the appropriate population, should require an RN. They are the definition of stable and predictable.

EmergencyRN22 · Apr 26, 2015

Correct me if I'm wrong. I always thought LPNs could be above RNs in a manager position but not as a staff nurse. Hope that makes sense. Lol

klone, MSN, RN · Apr 27, 2015

Frankly, I don't see how ALF, if given the appropriate population, should require an RN. They are the definition of stable and predictable.

I don't know; like I said, I don't know much about ALFs. I take it they're different from SNFs?

VANurse2010 · Apr 27, 2015

I don't know; like I said, I don't know much about ALFs. I take it they're different from SNFs?

It depends on the facility and what they're certified to do - which can vary by state. In some states, ALF are not considered true medical facilities, and the regulations are much different than SNFs that take Medicare patients, which obviously have far more regulations to deal with for that reason, and others.

Most ALFs have criteria about the degree of independence of their residents. Some, for example, require a resident to be able to transfer with 1 assist only; others are more like nursing homes.

NurseSpeedy, ADN, LPN, RN · May 3, 2015

My DON at an ALF was an LPN. So were all the other nurses on staff. She was salary and on call 24/7. At one point she wanted to demote herself to staff nurse and take the open position that she was already filling (And doing her job). It just wasn't worth the pay or aggrevation.

BPerez32 · May 14, 2015

In my state you can be a LPN and be a DON

bluegeegoo2, LPN · May 14, 2015

I worked at an ALF years ago and the managing person (I can't recall her official title, but it wasn't D.O.N.) was a LPN. She supervised the floor staff, but was supervised herself by a RN with the title of "Executive Director".

It was my understanding at the time that the LPN earned roughly what LPN's earned as a floor nurse in LTC. In my area now I've seen the same positions that pay quite a bit less than what I make as a floor nurse in LTC plus with the added burden of 24/7 call.

Finestnurse, Lpn · Sep 14, 2016

In Ohio an LPN must work under the supervision of an RN, CNP, Physician or Dentist. This just means you must have contact with above said at any given time. I worked at an ALF that had LPN as DON but was supervised by an RN whom had several facilities she supervised, all managed by LPN's

Dafabb, LPN · Sep 17, 2016

I was a supervisor/ 3-11 at a NH about 10 yrs ago. I had a choice of a salary position or I could take the hourly wage. I took the hourly because if I ever wanted to work extra on the floor then I would be paid for such. I got paid very well. If you have to do a lot of problem solving on the phone at home or come in for some reason more than occasionally I would rethink a salary position. It can become a headache. I know about this one as I was a charge Nurse in a NH a couple of years ago and we always had to call the DON for just about anything that happened at night. I would suggest that you meet your charge Nurses and ask them about the nights and their need to call you. If infrequent then go for it!..ALF I assume is Assistant living Facility? Too many shorten Letters used these days when we never did......