Director Of Nursing (DON) (RN)

Cantex; Fort Worth (TX); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Competitive Wages

401k with match

Medical, Dental, Vision & Supplemental

Vacation, Sick, Personal Holiday & Pay

Short-Term Disability

Life Insurance

Tuition & CEU Reimbursement

Rewards & Recognition Program

Job summary

Cantex is seeking an experienced Director of Nursing Services to lead the SNF's clinical operations, ensure regulatory compliance, and drive quality outcomes. You will plan, organize, and direct the Nursing Department, providing strategic leadership to staff and ensuring safe, efficient, and compassionate resident care.

Ideal candidates have RN licensure, proven DON/ADON supervision, survey readiness, and strong knowledge of long-term care regulations.

Qualifications

• Current and valid state RN license.
• Minimum 2 years of DON/ADON supervisory experience.
• Strong knowledge of state and federal long‑term care regulations.
• Experience with survey readiness and Plans of Correction (POCs).
• Ability to coach, mentor, and develop nursing staff.
• Excellent communication in English.

Responsibilities

• Provide overall clinical leadership to ensure high-quality resident care and regulatory compliance.
• Oversee nursing staff in safe, effective, and compassionate care delivery.
• 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 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.
• 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.
• Monitor clinical quality indicators (falls, pressure injuries, infections, hospitalizations).
• Implement corrective actions to reduce clinical risk and improve outcomes.
• Support the development, implementation, and monitoring of the Quality Assurance Program.
• Serve on committees including Quality Assurance, Infection Control, Patient Care, Safety, and Pharmaceutical Services.
• 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 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.

Skills

Leadership

Supervisory

Regulatory knowledge

Staff coaching

Education

RN license

Job description

Overview

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.

Overview

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.

Responsibilities

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

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

What We Offer You

• Competitive Wages
• 401k with match
• Medical, Dental, Vision & Supplemental Insurance
• Vacation, Sick, Personal Holiday & Paid Holidays
• Short-Term Disability
• Life Insurance
• Tuition & CEU Reimbursement
• Rewards & Recognition Program

EEOC

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.