Job Description: Director of Nursing (DON)
Position Title: Director of Nursing
Department: Nursing Services
Reports To: Administrator
FLSA Status: Exempt (Salary)
Position Summary
The Director of Nursing (DON) is responsible for the overall leadership, management, and operation of the Nursing Services Department in a long-term care facility. The DON ensures the delivery of high-quality resident care in compliance with all federal, state, and local regulations , including CMS guidelines, while promoting a culture of safety, accountability, and excellence.
Essential Duties & Responsibilities
Leadership & Management
Direct, supervise, and evaluate all nursing personnel
Develop staffing plans to ensure appropriate coverage and acuity-based care
Foster a positive work environment and promote staff retention
Participate in recruitment, hiring, orientation, and ongoing training
Clinical Oversight
Ensure delivery of quality nursing care to all residents
Oversee care planning process and interdisciplinary collaboration
Monitor infection control practices and clinical outcomes
Ensure proper documentation and adherence to standards of care
Regulatory Compliance & Survey Readiness
Maintain compliance with all CMS, federal, and state regulations
Lead facility preparation for state and federal surveys
Develop and implement Plans of Correction (POC) when necessary
Monitor and address compliance issues, including F-tags
Quality Assurance & Performance Improvement (QAPI)
Lead QAPI initiatives and performance improvement efforts
Analyze clinical data, trends, and quality indicators
Implement corrective actions to improve resident outcomes
Staff Development & Education
Ensure ongoing education and competency of nursing staff
Conduct performance evaluations and disciplinary actions as needed
Promote leadership development within the nursing team
Resident & Family Relations
Address concerns and grievances related to nursing care
Promote resident rights, dignity, and person-centered care
Collaborate with families and interdisciplinary team members
Operational Responsibilities
Manage nursing department budget and resources
Ensure appropriate use of supplies and equipment
Participate in facility committees and leadership meetings
Maintain adequate staffing levels and schedule coverage
On-Call Responsibility
Participate in on-call rotation and respond to facility needs as required
Minimum Qualifications
Current, active, and unrestricted Registered Nurse (RN) license in Tennessee.
Minimum (2–5) years of nursing leadership experience (preferably in LTC/SNF)
Strong knowledge of long-term care regulations and survey process
Demonstrated leadership, communication, and organizational skills
Preferred Qualifications
Prior experience as Director of Nursing or Assistant DON
Experience with CMS quality measures and Five-Star program
Preferred BSN or advanced nursing degree
Knowledge, Skills & Abilities
Strong understanding of clinical operations in long-term care
Ability to lead teams and manage multiple priorities
Knowledge of infection control, documentation standards, and risk management
Effective problem-solving and decision-making skills
Ability to maintain confidentiality and professionalism
Physical Requirements
Ability to stand, walk, and move throughout the facility
Ability to lift, push, or pull up as needed
Ability to respond quickly in emergency situations
Work Environment
Long-term care setting with frequent interruptions
Exposure to infectious diseases and healthcare-related hazards
Requires flexibility in schedule, including weekends and on-call
Compliance Statement
The Director of Nursing must comply with all facility policies and procedures, as well as federal, state, and local regulations governing long-term care facilities.
Equal Opportunity Employer Statement
TN Healthcare and Rehab is an equal opportunity employer and complies with all applicable employment laws.
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Director of Nursing in nashville at Unknown Company
This position is listed as full time and onsite.