Updated 7.6.21

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​LNA/Life Skills Facilitator, Full/Part Time, All shifts: $15-$17 per hour 

Minimum Qualifications: High School Diploma or GED. Experience working in human services, LNA/CNA licensure, personal care attendant, or mental health aid experience. Valid NH Operator’s driver’s license required for first and second shift.

Hours of Work: First shift 7a-3p, Second shift 3p-11p, Third shift 11p-7a (Awake & Active) or Double shift 7a-11p. Alternating weekends and holidays is expected

Physical requirements: Frequent lifting and transferring of adults who may or may not be able to provide assistance is always done in teams of two. Additionally, this position requires frequent stairs, pushing, pulling, and bending, as well as prolonged standing and considerable walking.

The LNA/Life Skills Facilitator is responsible for providing direct assistance, care and supervision for the residents.

Responsibilities will include but not limited to:

• Uphold the NH Patient’s Bill of Rights and perform all duties in accordance with Rose Meadow’s Mission Statement.

• Providing, as necessary, direct hands-on care, including but not limited to, in the areas of hygiene, feeding, mobility and toileting.

• Supervision, monitoring, and assisting residents with: activities of daily home and community living, recreational activities at home and in the community and community training.

• Supervision for safety of residents at all times.

• Monitoring and recording behaviors not typical for individual residents/utilize tracking logs as appropriate or as directed by the Administrator.

• Monitoring and recording incident worthy situations on Incident Report form/document and reporting according to protocol.

• Recording on resident daily ADL care logs to include but not limited to daily hygiene, vital signs as scheduled, exercise programming as scheduled, safety systems, dietary intake, etc.

• Participation in mandatory staff meetings.

• Participation in required and suggested in-services and training sessions.

• Light housekeeping, client space maintenance, and meal preparation.

• Maintaining a valid operator’s driver’s license.

• Report to applicable emergency department to assist accepting medical staff with resident health needs and current health information.

• If applicable, maintaining current LNA/CNA licensure in the state of New Hampshire, including obtaining the necessary continuing education units.

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Medical Nursing Assistant (MNA) Full/Part time, All shifts: $16-$19 per hour

Minimum Qualifications: High School Diploma or GED. Experience working in human services, a valid and unrestricted nursing assistance license, MNA licensure. Valid NH Operator’s driver’s license required for first and second shift.

Hours of Work: First shift 7a-3p, Second shift 3p-11p, Third shift 11p-7a (Awake & Active) or Double Shift 7a-11p, Alternating weekends and holidays is expected

The MNA will be responsible for administering medications to residents when assigned, and will otherwise be working as a LNA/Life Skills Facilitator providing direct assistance, care and supervision for the residents.

Physical requirements: Frequent lifting and transferring of adults who may or may not be able to provide assistance is always done in teams of two. Additionally, this position requires frequent stairs, pushing, pulling, and bending, as well as prolonged standing and considerable walking.

Responsibilities will include but not be limited to:

• Maintain current licensure in the State of NH. This includes obtaining the necessary continuing education units required for licensure.

• Providing, as necessary, direct hands on care, including but not limited to, in the areas of hygiene, feeding, mobility and toileting.

• Assist residents with medication administration, Supervision for safety of residents at all times.

• Administer medications under the supervision of a RN or LPN

• Will complete all MAR (medication administration record) documentation in a timely and accurate manner.

• Supervision, monitoring, and assisting residents with: activities of daily home and community living, recreational activities at home and in the community and community training.

• Monitoring and recording behaviors not typical for individual residents/utilize tracking logs as appropriate or as directed by the Administrator.

• Monitoring and recording incident worthy situations on Incident Report form/document and reporting according to protocol.

• Recording on resident daily ADL care logs to include but not limited to daily hygiene, vital signs as scheduled, exercise programming as scheduled, safety systems, dietary intake, etc.

• Participation in required and suggested in-services and training sessions.

• Light housekeeping, client space maintenance, and meal preparation.

• Maintaining a valid operator’s driver’s license.

• Report to applicable emergency department to assist accepting medical staff with resident health needs and current health information.

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(RN) Charge Nurse, Rose Meadow Farm, Full time: $64,000-$68,000  Salary

Minimum Qualifications: Licensed in the State of New Hampshire as a nurse and 2 years’ experience in the field of rehabilitation; or, licensed in the State of New Hampshire as a nurse and a Bachelor’s degree in a related field and one (1) year experience in the field of rehabilitation.

Hours of work: 40 hours per week – Monday through Friday. Availability to residents at other hours, as needed, is expected. Rotating weekend (Friday 7pm through Monday 7am) on-call responsibility to all Rose Meadow programs – for RN nursing supervision needs.

The RN Charge Nurse is responsible for the day to day client care plans and rehab programs of the Supported Residential services offered at ROSE MEADOW FARM. The RN Charge Nurse will provide direct resident care. Physical requirements will include frequent lifting and transferring of adults who may or may not be able to provide assistance.

The RN Charge Nurse is on-call at all times Monday – Friday and is required to respond to LPN calls for questions, any medical emergency or for coverage in absence of an LPN on duty, once all other in-house staffing options have been exhausted. Weekend on-call responsibilities described above.

Responsibilities will include, but not limited to:

• Ensuring a safe environment for residents.

• Ensuring the Residents Bill of Rights is upheld at all times.

• Ensuring that ROSE MEADOW FARM operates in a professional and ethical manner in all its dealings with residents, staff members, families, professionals in the field, etc.

• Maintaining current nursing licensure in the state of NH.

• Complete daily rounds on residents and delegate responsibilities as needed (unless otherwise specified in the care plan or requested by the Administrator).

• Will monitor the health needs of all residents, referring to the resident’s physician as the resident need dictates.

• Follow through with medical management of temporary illnesses (ex: UTI) until resolution.

• Will ensure scheduling of all medical, dental, lab, and x-ray appointments when appropriate.

• Will facilitate obtaining copies of reports from medical professionals on all scheduled medical, dental, lab and x-ray appointments and maintain same in client record.

• Will facilitate the ordering/re-ordering of all medications for residents as prescribed by physician and manage current medication system.

• Read shift notes and any other relevant documentations (relevant incident reports, case notes, etc.) for all residents at least weekly and consult with staff members concerning health issues of residents.

• Responsible for reviewing MARS twice weekly, resolving discrepancies and ensuring all state requirements are met.

• Ensuring the completion and on-schedule submission of the following documents: Six-month nursing assessments plans and RN Charge Nurse weekly on-call logs.

• Consulting with staff members concerning health issues of residents.

• Gather data for appropriate individual care plans and rehab goals for residents and ensure any revisions are made in a timely manner.

• May administer first aid to staff and residents within the scope of professional nursing practice.

• Educate staff and residents, as appropriate, about medications, including safe administration of such.

• Ensure all staff are trained according to the procedures they are expected to adhere to when administering services, i.e.; tracheostomy care, g-tube care, colostomy, ventilator, prior to their being scheduled to work with such needs (via direct 1:1 instruction group instruction or staff meetings).

• Supervise all nursing staff or follow through with their job responsibilities and report performance issues to Administrator.

• Attend shift reports at least 2x/week.

• Will maintain current CPR certification.

• Will act as a contact person for staff and/or administration for any outside health consultants/professionals, as requested by staff; or as necessary for the well-being of the residents.

• Ensure that the needs and medical care of new residents are met upon admission to include; medical equipment, DME supplies, medications/prescriptions, physician orders and a working care plan).

• Schedule, develop agenda for (in conjunction with the Administrator) and lead bi-monthly nurse’s meetings to provide updates, gather team input and promote team coordination.

• Filing resident paperwork/records to be designated by the Administrator, i.e. progress notes, appointment forms, month end documentation, etc.

• Resident DME and house medical supply inventory, ordering and receiving.

• Bring residents to routine appointments.

• Provide direct training, supervision or feedback to staff under the direction of or in the absence of the Administrator.

• Communicate with families/service providers as needed under the direction of the Administrator with professionalism and within the scope of the role.

• Demonstrate professionalism at all times as a representative of ROSE MEADOW FARM and all other Rose Meadow entities.

• Foster a positive therapeutic environment by being a role model for all staff and residents.

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LPN: Part time and full time: $25.00 - $30.00 per hour

Minimum Qualifications: Licensed as a LPN in the State of NH. One year of experience in the field of nursing preferred. Valid NH operators Driver’s License.

Hours of Work: First shift 7a-3p, Second shift 3p-11p, Third shift 11p-7a (Awake & Active) or Double Shift 7a-11p, Alternating weekends and holidays is expected

Physical requirements: Frequent lifting and transferring of adults who may or may not be able to provide assistance is always done in teams of two. Additionally, this position requires frequent stairs, pushing, pulling, and bending, as well as prolonged standing and considerable walking.

The LPN will report directly to the Administrator. LPNs receive nursing supervision from the RN Client Care Coordinator.

Responsibilities will include but not limited to:

• Maintain current licensure in the State of NH. This includes obtaining the necessary continuing education units.

• Ensuring a safe environment for residents and staff and follow resident care plans and physician orders.

• Adhere to/follow nursing standards for medication administration. Adhere to all Rose Meadow policies and nursing protocols for medications to include administration, new orders, ordering and re-ordering, storage/labeling and resident leave of absences.

• Consulting with staff members concerning health issues of residents.

• Consulting with physicians, including the primary care physician, concerning health or emergency issues of the residents.

• Will write nursing reports on individual residents when requested and/or required, in a professional and timely manner.

• May administer first aid to staff and residents within the scope of professional nursing practice.

• Assist residents with medication administration and education regarding self-medicating.

• Will monitor the health needs of all residents, referring to a physician as the resident need dictates.

• Will maintain current CPR certification and may be required to obtain and maintain First Aid certification.

• Serve as shift leader and report staff performance issues to Administrator

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