Director of Nursing Services (DON) - Skilled Nursing Facility

Masonic Homes of California Union City, CA, US

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

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