Director of Nursing Services (DON) - Skilled Nursing Facility

Pay Range: $178,536 to $218,210

WHY THIS ROLE

We are seeking a Director of Nursing Services (DON) to lead clinical operations within our Skilled Nursing Facility at Masonic Homes of California.

This role offers a unique opportunity to step into a stable, well-supported environment with strong leadership alignment, where you can drive quality outcomes, strengthen team performance, and maintain survey readiness.

This is an ideal opportunity for a current DON or a high-performing ADON ready to step into a broader leadership role.

ABOUT THE COMMUNITY

• 120-bed Skilled Nursing Facility with stable census
• Consistent 4–5 Star CMS rating with strong quality outcomes
• Strong interdisciplinary collaboration across nursing, therapy, and leadership teams
• Stable leadership environment with focus on quality, compliance, and team culture
• Opportunity to lead in a more structured, less reactive setting than many Bay Area SNFs
  

POSITION SUMMARY

The Director of Nursing Services (DON) is responsible for the overall leadership, management, and clinical performance of the nursing department. The DON ensures delivery of high-quality resident care, regulatory compliance, staff development, and continuous quality improvement. This role carries full accountability for nursing operations and works in close partnership with the Administrator and interdisciplinary leadership team.

KEY RESPONSIBILITIES

Clinical Leadership & Operations

• Lead all nursing operations (RN, LVN, CNA)
• Ensure consistent delivery of high-quality, resident-centered care
• Oversee assessments, care planning, and clinical documentation
• Maintain strong clinical presence through rounding and team engagement
  

Regulatory Compliance & Survey Readiness

• Maintain ongoing compliance with federal, state, and local regulations
• Lead survey readiness and response efforts
• Implement and monitor policies aligned with current standards of care

Team Leadership & Development

• Recruit, hire, and develop nursing staff
• Drive staff engagement, retention, and accountability
• Oversee staffing, scheduling, and performance management

Quality Improvement

• Lead QAPI initiatives and monitor key clinical indicators
• Implement action plans to improve outcomes and reduce risk
• Partner with interdisciplinary teams to drive continuous improvement

Administrative Oversight

• Manage departmental budgets and resource allocation
• Collaborate with physicians, consultants, and external partners
• Serve as liaison to residents, families, and regulatory agencies

QUALIFICATIONS

Required:

• Active California RN license
• 5+ years of nursing experience in SNF or long-term care
• 3+ years of leadership experience (DON, ADON, or equivalent)
• Strong knowledge of Title 22 and CMS regulations

Preferred:

• Prior DON experience in a SNF
• ADON ready to step into a DON role
• Experience with MDS/RAI/PPS (RAC-CT preferred)
• BSN

At the Masonic Homes you will have the opportunity to combine your passion for helping people and high ethical standards with the opportunities to advance your career.

In return for your skills and passion, we offer:

• Competitive compensation and bonus opportunities
• Comprehensive health and wellness benefits
• Generous 401(k) contributions
• Tuition reimbursement and professional development support
• Collaborative, mission-driven work environment