You will need to find out what the state regulations are governing ALF/RCF. In the state where I am; the residents had the same rights to refuse to comply with doctor orders, but it comes back on you if they are not compliant. Generally, you will be training employees, writing service plans, and triaging medical problems. You may end up on call 24/7 which is the norm in these facilities. In the facility where I worked (several years ago) the management pushed to fill beds regardless if the person was stable to be in a facility without nurses on premises. The people working as aides and passing medications were all trained by me. (This was good as I could train to my standards, and have taught BON approved CNA and CMA classes. There were people that had been admitted with PICC lines, G-tubes, unstable insulin dependent diabetics, and complex wounds requiring hyperbaric treatment. So it can be a fun job.