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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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Worksite address
gainesville, TX, 76240, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.