Director of Nursing (DON)

Registered NurseFull-Time

Compensation

Pay not disclosed

Listing transparency1 of 6 stated

Ask the employer about the pay range, the work setting and call expectations.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 2h ago · Verified live

Job Description

Job Details: Job Location: Skilled Nursing at Renaissance Care Center - Gainesville, TX 76240, Position Type: Full Time, Salary Range: Undisclosed, Job Category: Nursing, 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: 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 outcomes
  • Support 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.

Key Responsibilities

Lead the Nursing Department and oversee clinical operations to ensure safe, compassionate resident care, regulatory compliance, and strong clinical outcomes. Manage survey readiness, quality and infection-control programs, staffing and staff development, clinical documentation, and emergency preparedness.

Requirements

Requires a current, valid state-specific Registered Nurse license and at least two years of supervisory experience as a DON or ADON in a skilled nursing facility. Candidates should have strong knowledge of long-term care regulations and experience with survey readiness, Plans of Correction, quality improvement, and nursing staff leadership.

Qualifications

Experience
2+ years of experience

Key Skills

Skilled Nursing Facility OperationsResident Care PlanningStaff Recruitment and DevelopmentWorkforce Scheduling

Nursing Leadership — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 28% are remote, 58% have no call, 72% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

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Annual compensation range

Benefits & Perks42 jobs

401k / retirement match
81% this job
Sign-on bonus
24% this job
CME allowance
24% this job
Loan repayment
2%

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Work-life snapshot

1.5/ 10
Listing-based score

Living in Gainesville

Typical 3-bedroom home value
$262k
Typical market rent
$1,448/mo
Residents’ average commute
22 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.

Cantex Continuing Care Network logo

About Cantex Continuing Care Network

Hospitals and Health Care
Carrollton, TX
1,001-5,000 employees

Benefits & Perks

Competitive Pay
Performance-Based Bonus Opportunities
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
Accident Insurance