Monitors and observes clients for any change in status.•Performs individualized assessments with any change of status and provides skilled nursing interventions, as indicated.•Administers medication as ordered by primary care provider.•Administers treatments as ordered by primary care provider.•Provides transportation and accompanies individual served to medical, dental, or any appointment, as needed.•Ensures that nutritional needs of the individuals served are met.•Ensures that all pharmacological, medical, nutritional supplies, and medical equipment are ordered in a timely and safe manner.•Utilizes behavioral strategies when indicated and follows all prescribed clinical plans indicated. Environment•Ensures that environment is safe, clean, comfortable, and welcoming to individuals and families and/or guardians and other significant individuals and visitors.•Ensures that environment meets all regulatory requirements.•Promotes an environment that is conducive and welcoming to client's active participation in residence.•Ensures that client's preferences and choices are respected.•Ensures that environment meets Vinfen policy and procedures and other credentialing agencies.•Ensures that medication and treatment supplies are stored safely.•Maintains clients' medical equipment and supplies that include, but are not limited to, wheelchairs, walkers, Hoyer lifts, hospital beds.