Director Of Nursing (DON) (RN)

Cantex Continuing Care Network; Richardson (TX); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Competitive wages

401k with match

Medical, Dental, Vision & Supplemental

Vacation, Sick, Personal Holiday &Paid

Short-Term Disability

Life Insurance

Tuition & CEU Reimbursement

Rewards & Recognition Program

Job summary

Cantex Continuing Care Network seeks a Director of Nursing Services (DON) for its Richardson, TX skilled nursing facility. The DON provides clinical leadership, ensures regulatory compliance, and directs the Nursing Department to deliver high-quality resident care.

Responsibilities include overseeing care planning, coordinating with physicians/families, survey readiness, QA, infection control, staffing, and education for LVNs, CNAs, and Medication Aides.

Qualifications

• Current and valid RN license in Texas.
• Minimum of 2 years 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 to coach, mentor, and develop nursing staff.

Responsibilities

• Provide clinical leadership to ensure high-quality resident care, regulatory compliance, and strong clinical outcomes.
• Oversee 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 Infection Preventionist and Infection Control Program, including surveillance, reporting, and staff education.
• Ensure 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

RN leadership

Regulatory knowledge

Quality improvement

Staff coaching

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.

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

Benefits/EEO

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.