Restorative Nursing Assistant


Provides Restorative Therapy Step Down Programs (RTSDPs) to restore and/or maintain the resident’s highest practical physical, mental, and psychosocial well-being as directed by nursing, therapists, and/or therapy assistants.  This includes direct and/or indirect resident care, program planning and implementation, related documentation and communication while adhering to applicable policies and procedures.


  1. Preference will be given to applicants in the following order of qualifications: 
    • Associates Degree from a CAPTE/NBCOT accredited program with a valid and current license to practice as a physical or occupational therapy assistant in Michigan. CNA certified staff with prior restorative experience and able to demonstrate competency of Restorative tasks.
    • CNA certified (greater than 3 years’ experience) staff able to demonstrate competency of Restorative tasks.


  • Optimizes the physical abilities and skills of residents by providing the following programs: self-care activities of daily living retraining, mobility-related activities of daily living retraining, functional ambulation, balance retraining, active/passive range of motion, strengthening exercises, turning schedules, bowel and bladder retraining, maintaining upper/lower extremity splinting scheduling, cognitive training, swallowing exercises, and implementation of restorative dining programming.
  • Implements programs established by nursing and/or therapists to achieve identified goals identified on the Plan of Care.
  • Coordinates programs with the resident, family members, and other team members with consideration of personal preferences and goals. 
  • Assists in establishing individual resident schedules in conjunction with other team members.
  • Monitors resident’s participation and response to programs.  Discusses any potential revisions with the restorative nurse manager and/or referring therapy staff member prior to implementation. 
  • Documents daily the results of resident’s program, follow-up, and termination of services with the direction of the restorative nurse manager and/or referring therapy staff per policy and procedure.
  • Reinforces previous training to assist the floor staff in the use of mobility aides and application of adaptive devices, orthotics, or prosthetics.
  • Consults with other team members in coordinating the resident’s programs.
  • Participates in discharge planning to transition residents to the floor nursing staff and/or dietary staff.
  • Assists in the review of the quality and appropriateness of the total services delivered and of individual programs for effectiveness and efficiency, using predetermined criteria.
  • Participates in resident, family member and staff education when directed.
  • Meets monthly with the restorative nurse manager to review current resident’s programs in preparation for upcoming quarterly MDS assessments and to provide input for the residents’ care plans.
  • Attends in-service training and department meetings as required.
  • Assumes responsibility for ongoing continuing education and professional development to maintain licensure.
  • Submits documentation in an accurate and timely manner. Assists in the collection of statistics as directed.
  • Provides programs in accordance with established standards of practice, department procedures and efficiency standards.
  • Maintains a clean and safe work area by cleaning and disinfecting the rehab equipment daily, particularly any equipment utilized after every use and will adhere to facility/corporate safety standards – will maintain a clean and orderly work environment/treatment area.
  • Ensures appropriate supplies are always maintained in the department.
  • Complies with all Infection Control, Universal Precautions and OSHA standards for the healthcare professional.
  • Assumes responsibility for assignment(s) in the event of a disaster/emergent need to assist the floor staff in the direct care of the resident.
  • Must have a positive attitude under pressure and in a very busy environment.
  • Must have a positive attitude toward correction and continuous improvement.
  • Must have the ability to work under minimal or direct supervision.
  • Maintains positive relationships and rapport with coworkers, residents, family members and other facility personnel.
  • Reports to work on time and coordinates schedule to achieve maximum efficiency during assigned shift. Tardiness or absence from the assigned shift must be reported immediately and in a timely manner to the restorative nurse manager. Ability to work varying hours as needed.
  • Assists with and participates in Process Improvement programs as required.
  • Adheres to established HIPPA regulations and maintain confidentiality standards concerning community and patient information.
  • Projects a positive and professional image at all times and will always maintain professional communication whether verbal or electronic.
  • Assist in the transporting of residents to and from treatment, dining, or to their rooms.
  • Assisting with restorative nursing and/or therapy clerical duties as needed.
  • Assists with resident transfers/lifting as needed.
  • Maintains current licensure whether PTA, COTA, or CNA.
  • Performs other duties or special projects as assigned.


Blood borne Pathogens: Tasks that involve exposure to blood, body fluids or tissue.

All procedures or other job related tasks that involve an inherent potential for mucus membrane or skin contact with blood, body fluids or tissues, or a potential for spills, splashes of them.


Position reports to: Restorative Nurse Manager and/or Director of Rehabilitation


Talking: Necessary for communicating with residents and other aides.

Hearing: Necessary for taking instructions from charge nurse and requests of residents.

Sight: Necessary for doing job correctly and effectively. 

Tasting and Smelling: Smelling is required for accurate maintenance and detection of wounds, urinary tract problems, etc.


Physical requirements for this position are classified as medium under the Department of Labor classification. The employee must be capable of:

  • Exerting 20 to 50 pounds of force occasionally (less than 1/3 of the time) and/or 10 to 20 pounds of force frequently (1/2 of the time) and/or up to 10 pounds constantly (2/3 or more of the time) to move objects, equipment and/or residents.
  • While performing duties of this job, the employee is regularly required to stand, walk, sit stoop, kneel, bend or crouch, use hands to manipulate tools, equipment, or controls.
  • Reach with hands and arms with functional upper extremity range of motion and strength.
  • The employee is required to demonstrate typical balance, appropriate ergonomic lifting techniques, and the ability to perform resident transfers that require moderate to maximum assistance with use of the gait-belt.
  • The employee is required to have the visual and hearing acuity sufficient to assess client safety and levels of performance.
  • The employee works mostly inside client rooms and/or therapy gym.
  • This position is classified as Category I for the purpose of exposure determination under the OSHA regulations regarding the Standard of Occupational Exposure to Bloodborne Pathogens (29 CFR 1910.1030).
    • Category I is defined as all procedures or job-related tasks that involve an inherent risk for mucous membrane or skin contact with blood, body fluids or tissues, or a potential for spills and/or splashes of blood or body fluids. The use of protective equipment and measures is required for every employee engaged in Category I tasks.
  •  All other duties as assigned.

The essential functions described here are representative of those an employee encounters while performing the basic functions of a Therapy Step Down Program Assistant.

Download job description here.

Canal View – Houghton County  |  1100 W. Quincy Street, Hancock, MI 49930  |  906.482.5050