Director of Nursing
About The Position
The Director of Nursing will lead all nursing and clinical operations for a skilled nursing facility in Cupertino, California, within a high-end community. The role is accountable for Title 22 compliance, survey readiness, clinical systems, nursing team performance, nurse scheduling, quality outcomes, and operational follow-through. The successful candidate will assess clinical risk, identify gaps before they become survey findings, and guide an established team through practical, disciplined improvement while preserving existing staffing and quality-measure strengths. The facility has capacity capped at 58 beds and an average census in the upper 40s to approximately 50 residents. The nursing department is stable, with no open nursing positions at the time of intake. The DON will work with an experienced clinical structure that includes a long-tenured DSD, an Infection Preventionist, and a seven-day-per-week RN Supervisor, as well as executive leadership, a Board of Directors, and a regional clinical consultant invested in clinical quality and survey improvement.
Requirements
- Demonstrated clinical leadership experience in a California skilled nursing facility.
- Hands-on working knowledge of California Title 22 regulations and SNF compliance requirements.
- Strong survey history, including direct responsibility for survey preparation, survey execution, deficiency response, and sustained corrective action.
- Experience leading clinical systems and identifying issues.
- Proven ability to lead, develop, and hold an established nursing team accountable.
- Experience managing nurse scheduling in an SNF environment.
- Local Bay Area presence or willingness to relocate to the Cupertino, California area.
Nice To Haves
- Prior Director of Nursing experience in a California SNF is strongly preferred.
- Senior ADON candidates with substantial California SNF leadership experience, strong survey depth, and readiness for a DON role may be considered.
- Experience with PCC is preferred.
- Exposure to MDS, reimbursement, RAI processes, and interdisciplinary clinical coordination is preferred.
Responsibilities
- Lead day-to-day nursing operations for the skilled nursing facility, ensuring safe, compliant, resident-centered care.
- Maintain hands-on oversight of California Title 22 requirements, CMS regulations, infection prevention practices, documentation standards, and clinical policies.
- Drive survey readiness through routine clinical audits, corrective action planning, staff education, mock survey activity, and consistent follow-up.
- Lead the facility through state and federal survey activity, including survey response, plan-of-correction development, and sustained compliance efforts.
- Assess clinical systems and trends to proactively identify risks affecting resident care, quality measures, staffing, documentation, and survey outcomes.
- Manage nurse scheduling and work with the DSD, RN Supervisor, Infection Preventionist, and nursing team to support appropriate coverage and clinical accountability.
- Partner with the Administrator, Associate Executive Director, Executive Director, Board, and regional clinical consultant on quality priorities and operational improvement.
- Support the transition of MDS responsibilities back in-house and collaborate on MDS, reimbursement, care planning, and documentation processes.
- Use PCC and available reporting to monitor clinical performance, address deficiencies, and improve execution across the department.
- Coach, develop, and hold nursing staff accountable while protecting the stability and engagement of an established team.
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
