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Comfort Hills Health Care

Director of Nursing (DON)

blaine, WA

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Job description

Position Summary

The Director of Nursing (DON) leads all clinical services at Northern Oaks Place to ensure residents receive safe, personalized, and compassionate care. This role oversees assessments, care planning, medication management, infection control, documentation, staff competency, and regulatory compliance. The DON partners with leadership, staff, residents, and families to promote a high-quality, resident-centered environment aligned with Comfort Hills' values of Home, Care, and Comfort .

Key Responsibilities

Clinical Leadership & Care Oversight

Ensure all resident assessments and individualized care plans are completed within state-regulated timeframes

Oversee care plan updates following significant changes in condition

Ensure residents are clinically approved and care-planned prior to move-in

Maintain strong clinical outcomes through routine audits and quality monitoring

Medication Management

Ensure accurate, real-time documentation of medication administration in EMAR

Maintain medication error rates below established thresholds and implement corrective actions as needed

Ensure compliance with medication storage, disposal, renewals, and physician orders

Incident Management & Resident Safety

Ensure timely documentation, investigation, and follow-up of all incidents

Maintain compliance with mandatory reporting requirements

Identify trends and implement proactive risk reduction strategies

Regulatory Compliance & Quality Assurance (QAPI)

Ensure adherence to all clinical policies and state regulations

Participate in QAPI initiatives and lead clinical quality improvement efforts

Maintain accurate and complete clinical documentation through routine audits

Address and resolve regulatory findings within required timelines

Infection Control

Oversee infection prevention and control practices

Ensure staff training, compliance, and reporting requirements are consistently met

Communication & Care Coordination

Communicate changes in condition to physicians and families in a timely manner

Ensure accurate and timely clinical documentation and care transitions

Provide regular updates to residents and families regarding care needs

Leadership & Team Development

Lead and facilitate clinical staff meetings

Participate in hiring, onboarding, coaching, and performance management of clinical staff

Ensure staff competency through training, supervision, and annual evaluations

Address performance concerns promptly and appropriately

Resident Experience & Community Support

Support resident engagement and participate in community activities as appropriate

Collaborate with leadership to foster a positive, welcoming environment

Support tours and provide clinical insight to prospective residents and families

Qualifications

Required

Current, active Registered Nurse (RN) license in good standing

Minimum of 2 years of clinical nursing experience (senior living, assisted living, long-term care, home health, or related setting)

Minimum of 1 year of leadership or supervisory experience

Experience with assessments, care planning, and change of condition management

Knowledge of applicable state regulations

Experience with electronic documentation systems (EHR/EMAR)

Strong communication, critical thinking, and leadership skills

Ability to work collaboratively with residents, families, and interdisciplinary teams

Ability to meet the physical demands of the role

Valid driver's license and reliable transportation

Preferred

Prior experience as a Director of Nursing, Health & Wellness Director, or similar leadership role

Experience with QAPI or quality improvement initiatives

Experience in memory care or dementia-related care

Experience hiring, coaching, and developing clinical staff

Work Environment & Physical Demands

Works within a resident-centered senior living community environment

Primarily on-site during business hours with flexibility for evenings/weekends as needed

May participate in an on-call rotation

Frequent walking, standing, and movement throughout the community

Occasional lifting of up to 50 pounds

Routine computer and documentation work

Additional Information

This position description reflects the primary responsibilities of the role but is not intended to be all-inclusive. Responsibilities may evolve to support resident care, regulatory compliance, and community operations.

This position is at-will and does not constitute a contract of employment.

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