Director of Nursing Services (DON) - Skilled Nursing Facility

Masonic Homes of California • Union City, CA

4d

About The Position

The Director of Nursing Services (DON) leads the clinical operations and overall performance of the nursing department at Masonic Homes of California’s 120-bed Skilled Nursing Facility. The DON is accountable for nursing operations and for delivering high-quality, resident-centered care, maintaining regulatory compliance, developing staff, and advancing continuous quality improvement. The role partners closely with the Administrator and interdisciplinary leadership team in a stable, supported environment focused on quality, compliance, and team culture.

Requirements

• Active California RN license.
• At least 5 years of nursing experience in a skilled nursing facility (SNF) or long-term care.
• At least 3 years of leadership experience as a DON, ADON, or equivalent.
• Strong knowledge of Title 22 and CMS regulations.

Nice To Haves

• Prior DON experience in a SNF.
• ADON experience with readiness to step into a DON role.
• Experience with MDS/RAI/PPS; RAC-CT preferred.
• BSN.

Responsibilities

• Lead nursing operations across RN, LVN, and CNA teams.
• Ensure consistent delivery of high-quality, resident-centered care.
• Oversee assessments, care planning, and clinical documentation.
• Maintain a strong clinical presence through rounding and team engagement.
• Maintain ongoing compliance with federal, state, and local regulations.
• Lead survey readiness and response efforts.
• Implement and monitor policies aligned with current standards of care.
• Recruit, hire, and develop nursing staff.
• Drive staff engagement, retention, and accountability.
• Oversee staffing, scheduling, and performance management.
• Lead QAPI initiatives and monitor key clinical indicators.
• Implement action plans to improve outcomes and reduce risk.
• Partner with interdisciplinary teams to drive continuous improvement.
• Manage departmental budgets and resource allocation.
• Collaborate with physicians, consultants, and external partners.
• Serve as liaison to residents, families, and regulatory agencies.

Benefits

• Excellent health, wage replacement, and other benefits for employees and their families.
• A generous employer contribution to a 401(k) plan, whether or not the employee participates, plus an additional company contribution when the employee participates.
• Tuition reimbursement of $1,500 per year.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed