I am an LPN who recently took a position in an ALF as the Assistant Healthcare Director (ADON). I do paperwork, answer family inquiries, do assessments, make schedules and am on several committees. Our CMA's do the hands on work. Showers, tx, meds, etc. Easiest job I've ever had!!! We have 70 residents with a nurse on evenings and 4 CMA's. Days 2 nurses (myself and the Director) with 5 CMA's. Just depends on the facility you work at I guess. After 10 years killing myself in LTC I will be here until I retire!!!