Director of Nursing (DON) (RN)

Cantex Continuing Care Network • Richardson, TX

4d • Onsite

About The Position

The Director of Nursing Services (DON) oversees clinical operations within the Skilled Nursing Facility, ensuring high-quality resident care, regulatory compliance, and strong clinical outcomes. The DON plans, organizes, develops, and directs the Nursing Department in accordance with state, federal, and facility standards. This role provides strategic leadership to nursing staff, drives quality improvement initiatives, and ensures resident care is delivered safely, efficiently, and compassionately. The position carries 24/7 nursing leadership responsibility and reports to the Administrator.

The role includes clinical leadership and resident-care oversight; regulatory compliance and survey readiness; infection prevention and safety; quality assurance and risk management; nursing staff leadership, training, and workforce management; and documentation, communication, and administrative oversight. The DON maintains nursing operations and assumes Administrator duties when delegated.

Requirements

• Current and valid state-specific Registered Nurse (RN) license.
• At least 2 years of supervisory experience as a DON or ADON in a Skilled Nursing Facility.
• Strong knowledge of state and federal long-term care regulations.
• Experience with survey readiness, Plans of Correction (POCs), and quality improvement.
• Demonstrated leadership skills, including the ability to coach, mentor, and develop nursing staff.
• Ability to read, write, and speak English.

Responsibilities

• Provide overall clinical leadership to ensure high-quality resident care, regulatory compliance, and strong clinical outcomes.
• Oversee, direct, and support nursing staff in delivering safe, effective, and compassionate care.
• Oversee the comprehensive care-planning process and ensure interdisciplinary coordination.
• Uphold resident rights, including dignity, privacy, informed consent, and safety.
• Ensure timely communication with physicians, families, and responsible parties regarding significant changes in condition.
• Participate in pre-admission assessments and approve admissions in coordination with the Administrator.
• Ensure compliance with federal, state, and local regulations governing skilled nursing facility operations.
• Lead regulatory surveys, complaint investigations, and Plans of Correction; maintain readiness for unannounced surveys and regulatory visits.
• Ensure timely corrective actions for survey deficiencies and grievances, and compliance with health, fire, safety, sanitation, OSHA, and disaster-preparedness standards.
• Oversee the Infection Preventionist and Infection Control Program, including surveillance, reporting, and staff education; ensure compliance with antibiotic stewardship requirements.
• Participate in emergency preparedness planning, drills, and response activities, and ensure nursing staff readiness for disasters, evacuations, and emergencies.
• Monitor clinical quality indicators, including falls, pressure injuries, infections, and hospitalizations; implement corrective actions to reduce clinical risk and improve outcomes.
• Support development, implementation, and monitoring of the Quality Assurance Program; serve on Quality Assurance, Infection Control, Patient Care, Safety, and Pharmaceutical Services committees.
• Lead recruitment, hiring, evaluations, coaching, and disciplinary actions for nursing personnel.
• Ensure nursing staff orientation, ongoing education, annual competencies, and scope-of-practice compliance for LVNs, CNAs, and Medication Aides.
• Develop and maintain nursing schedules based on acuity, census, and staffing standards.
• Provide clinical consultation and support to the Administrator and facility leadership team; maintain 24/7 responsibility for nursing operations and assume Administrator duties when delegated.
• Ensure accurate, timely, and compliant clinical documentation across the Nursing Department.
• Ensure incidents and accidents are documented and reported in accordance with policy and regulation.
• Maintain inventories of medications, supplies, and clinical equipment.
• Participate in facility marketing efforts and community engagement.
• Perform other essential functions as assigned.

Benefits

• Competitive pay and a highly competitive compensation package.
• Performance-based bonus opportunities.
• Comprehensive medical, health, dental, and vision insurance.
• Supplemental benefits and insurance, including life, disability, and accident coverage.
• 401(k) with company match.
• Generous paid time off, including PTO, vacation, sick time, and holidays.
• CEU reimbursement.
• Career growth and advancement opportunities.
• Supportive and vibrant company culture.
• Additional employee perks and benefits.

What This Job Offers

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