Director of Nursing (DON) (24842)

Cantex; Gainesville (TX); On-site; USD 110,000 - 155,000; Full time

Benefits offered by this job

Competitive pay

Bonus opportunities

Health insurance

Dental insurance

Vision insurance

Supplemental benefits

401(k) match

PTO & sick time

Career growth

Supportive culture

Job summary

Cantex is seeking a Director of Nursing Services (DON) in Gainesville, TX to lead the Nursing Department across a Skilled Nursing Facility. You will provide strategic clinical leadership, ensure regulatory compliance, and drive quality care outcomes for residents.

The role requires an RN with state licensure, 2+ years supervising DON/ADON experience in SNF, survey readiness, and strong leadership. You will manage staffing, care planning, and collaborate with administration to maintain excellence.

Qualifications

• Current and valid RN license (state-specific)
• Minimum of 2 years supervisory experience as a DON/ADON in an SNF
• Strong knowledge of state and federal long-term care regulations
• Experience with survey readiness, Plans of Correction, and quality improvement
• Demonstrated leadership skills 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 and regulatory compliance
• Oversee nursing staff in the delivery of safe, effective, and compassionate care
• Oversee comprehensive care planning and ensure interdisciplinary coordination
• Uphold resident rights, dignity, privacy, and safety
• Communicate with physicians, families, and responsible parties about significant changes in condition
• Participate in pre-admission assessments and coordinate admissions with Administrator

Skills

RN license

Supervisory experience

Regulatory knowledge

Survey readiness

Leadership

English proficiency

Job description

Location: 1400 Black Hill Dr, Gainesville, TX 76240

Schedule: Full‑time, exempt role with 24/7 nursing leadership responsibility

Reports to: Administrator

What We Offer You

• Competitive pay
• Performance‑based bonus opportunities
• Comprehensive health, dental, and vision insurance
• Additional supplemental benefits (life insurance, disability, accident, etc.)
• 401(k) with company match
• Generous paid time off (PTO/Sick)
• Clear career growth and advancement opportunities
• A supportive and vibrant company culture
• Many more employee perks and benefits

Job Summary

The Director of Nursing Services (DON) oversees all clinical operations within the Skilled Nursing Facility (SNF), ensuring high‑quality resident care, regulatory compliance, and strong clinical outcomes. This role is responsible for planning, organizing, developing, and directing the Nursing Department in alignment with state, federal, and facility standards. The DON provides strategic leadership to nursing staff, drives quality improvement initiatives, and ensures that resident care is delivered safely, efficiently, and compassionately. This position is ideal for an experienced RN leader with a strong background in SNF operations, survey readiness, staffing management, and clinical excellence.

Qualifications

• Current and valid state‑specific Registered Nurse (RN) license
• Minimum of 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 with the ability to coach, mentor, and develop nursing staff
• Ability to read, write, and speak the English language

Essential Functions

Clinical Leadership & Resident Care

• Provide overall clinical leadership to ensure high‑quality resident care, regulatory compliance, and strong clinical outcomes
• Oversee, direct, and support nursing staff in the delivery of 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

Regulatory Compliance & Survey Readiness

• Ensure compliance with all federal, state, and local regulations governing SNF operations
• Lead regulatory surveys, complaint investigations, and Plans of Correction (POCs)
• Maintain continuous readiness for unannounced surveys and regulatory visits
• Ensure timely corrective actions for survey deficiencies and grievances
• Maintain compliance with health, fire, safety, sanitation, OSHA, and disaster‑preparedness standards

Infection Prevention & Safety

• 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
• Ensure nursing staff readiness for disasters, evacuations, and emergency events

Quality Assurance & Risk Management

• Monitor clinical quality indicators (falls, pressure injuries, infections, hospitalizations)
• Implement corrective actions to reduce clinical risk and improve outcomesSupport the development, implementation, and monitoring of the Quality Assurance Program
• Serve on committees including Quality Assurance, Infection Control, Patient Care, Safety, and Pharmaceutical Services

Staff Leadership, Training & Workforce Management

• 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

Documentation, Communication & Administrative Oversight

• Ensure accurate, timely, and compliant clinical documentation across the Nursing Department
• Ensure all incidents and accidents are documented and reported per 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

Please visit cantexcc.com for more information about this location.

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

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