Resident Identification & Safety

• Use resident photo card files to confirm identity before:

  • Administering care or treatments

  • Serving meals or assisting with nutrition

• Use only facility-approved abbreviations when documenting resident information

Observation & Documentation

• Document care activities accurately and descriptively in:

  • Flow sheets, progress notes, charts, and care logs

• Promptly report:

  • Changes in resident condition

  • Accidents, injuries, and unusual incidents occurring during the shift

  • Any suspected or known unauthorized access to the facility’s information systems

Confidentiality & Compliance

• Maintain strict confidentiality of all resident care information, including Protected Health Information (PHI)

• Report any suspected or actual breaches of confidentiality, including unauthorized disclosures

• Immediately report suspected abuse, neglect, or misappropriation of resident property

• Honor and document any resident refusals of care or treatment and notify your supervisor

Resident Personal Care

• Provide assistance with daily living activities, including:

  • Bathing, oral care, hair and nail care, shaving, and toileting

  • Dressing and undressing

  • Mobility and repositioning (turning, lifting, transferring)

• Keep residents clean, dry, and comfortable at all times

• Support residents with incontinence care and maintain hygiene

• Provide back rubs, grooming, and other comfort measures as needed

Nutrition & Hydration

• Assist with meal set-up and feeding support, including:

  • Describing food layout for visually impaired residents

  • Monitoring food temperatures and resident preferences

• Perform after-meal care (cleaning face, hands, and clothing; removing trays)

• Refill and sanitize water pitchers each shift, ensuring accessibility for residents

Health Monitoring

• Measure and document:

  • Vital signs (temperature, pulse, respiration)

  • Intake and output (I&O)

  • Weight and height as instructed

• Observe and report:

  • Pressure ulcers, skin breakdowns, or other health concerns

  • Bowel movements, including unusual stool characteristics

• Assist with physical exams, lab work prep, and rehabilitative procedures

Mobility & Equipment Use

• Assist residents with safe transfers to and from:

  • Beds, wheelchairs, bathtubs, commodes, and lifts

• Use only approved equipment you’ve been trained on

• Report any malfunctioning or unsafe equipment immediately

Resident Interaction & Emotional Support

• Maintain a calm, respectful, and friendly demeanor throughout the shift

• Create an environment of warmth and reassurance

• Provide companionship and emotional support as appropriate

• Listen to and report resident concerns, complaints, or changes in mood

Teamwork & Communication

• Attend and participate in shift reports and SDMART meetings

• Follow daily care schedules, assignments, and facility policies

• Cooperate with other caregivers, departments, and nursing staff to ensure coordinated care

• Notify management of planned absences or lateness

• Follow exposure control policies for handling blood, body fluids, and infectious materials

Education and Experience

• High school diploma or equivalent preferred

• Previous experience in caregiving or CNA certification is a plus

Language & Communication Skills

• Ability to read and interpret care plans, instructions, policies, and reports

• Able to communicate effectively with supervisors, coworkers, and residents

Mathematical Skills

• Basic math skills, including ability to apply simple ratios and percentages in a care setting

Problem Solving & Reasoning

• Ability to assess resident needs and respond with sound judgment

• Comfortable with following written, verbal, diagram, or schedule-based instructions

Technology & Documentation

• Basic computer skills; proficiency in Microsoft Office Suite preferred

Physical Demands

• Must be able to sit, stand, walk, bend, and lift residents as needed

• Frequent use of computer systems, phones, and standard care-related equipment

• Reasonable accommodations may be made for individuals with disabilities

Work Environment

• Moderate noise level in a healthcare setting

• Exposure to emotional situations, resident conditions, and bodily fluids

• Reasonable accommodations will be considered to support accessibility

Additional Information

• This job description is not all-inclusive and may be adjusted by management as needed

• Responsibilities may evolve based on resident needs and facility standards

• This role requires compassion, flexibility, and a commitment to quality care