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LionStone Healthcare
Fairfield, Ohio

AL - Director of Nursing

Registered NurseFull-Time

Listed compensation

$70k-$80k

The week · per this posting

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Job Details: Job Location: Fairfield Care Community AL - Fairfield, OH, Position Type: Full-Time, Education Level: Associates Degree, Salary Range: $70000.00 - $80000.00Salary/year, Travel Percentage: Negligible, Job Shift: Any, Job Category: Nursing, The Assisted Living Director of Nursing (DON) is responsible for overseeing the nursing and clinical care operations in an assisted living facility.

This leadership role ensures the highest standard of resident care, while managing the nursing team, developing individualized care plans, and ensuring compliance with regulatory guidelines.

The Director of Nursing works closely with residents, families, and staff to promote a safe, supportive, and compassionate environment that meets each resident's medical and personal care needs.

Key Responsibilities

Nursing Leadership and Management: Oversee and manage all aspects of the nursing department, ensuring that residents receive high-quality, person-centered care. Lead, supervise, and mentor nursing staff, including registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs).

Ensure adequate staffing levels, and manage scheduling to meet the care needs of residents. Conduct performance evaluations, provide ongoing training and professional development, and promote a positive, collaborative team environment.

Resident Care: Develop, implement, and regularly review individualized care plans for residents, ensuring that they address both clinical and personal care needs. Monitor resident health status, making adjustments to care plans and coordinating with healthcare providers as necessary.

Ensure that nursing care aligns with best practices, facility policies, and regulatory requirements. Address and resolve any resident or family concerns related to nursing care, promoting a high level of satisfaction.

Regulatory Compliance and Quality Assurance: Ensure that nursing services comply with all local, state, and federal regulations, including those related to assisted living and long-term care. Prepare for and participate in regulatory inspections, audits, and surveys.

Maintain accurate and up-to-date clinical documentation, including resident assessments, care plans, and nursing notes. Implement and monitor quality improvement initiatives to enhance resident care and address areas for improvement.

Collaboration with Healthcare Providers: Coordinate with physicians, therapists, pharmacists, and other healthcare professionals to ensure that residents receive comprehensive care. Facilitate communication between residents, families, and healthcare providers to ensure continuity of care and optimal health outcomes.

Participate in resident care conferences, providing nursing expertise to help make informed decisions about treatment and care plans.

Family and Resident Engagement: Build and maintain strong relationships with residents and their families, keeping them informed about health status, treatment options, and changes in care plans. Act as a liaison between residents, families, and nursing staff, ensuring open and effective communication.

Provide education and support to residents and their families regarding health conditions, medications, and lifestyle changes. Budget and Resource Management: Collaborate with the facility's leadership team to develop and manage the nursing department budget.

Ensure that nursing resources, including medical supplies and equipment, are used efficiently and effectively. Identify opportunities to optimize care delivery and reduce unnecessary costs without compromising resident care.

Qualifications

Education: Associate’s degree in Nursing (ASN) required. A Bachelor's or Master’s degree in Nursing, Healthcare Administration, or a related field is preferred. Licensure: Must hold an active Registered Nurse (RN) license.

Experience: Minimum of 5 years of nursing experience, with at least 2-3 years in a leadership or supervisory role, preferably in assisted living, long-term care, or a similar healthcare setting. Skills: Strong leadership and team management skills. Excellent communication, interpersonal, and problem-solving abilities.

In-depth knowledge of nursing practices, regulations, and clinical care standards in assisted living. Ability to handle complex situations with professionalism and compassion.

Proficiency in clinical documentation and health management systems. #LIONSTONE123 People-Centered Rewards: Health benefits including Medical, Dental & Vision 401k with company match Early Pay via Tapcheck!

Employee Perks & Discount program PTO + Company Holidays + Floating Holidays Referral Bonus Program Mentorship Programs Internal/Upskilling Growth Opportunities Continued Education Loan Repayment Program powered by Clasp

Key Responsibilities

The Director of Nursing oversees all clinical operations, manages the nursing staff, and ensures the delivery of high-quality, person-centered care. They are responsible for maintaining regulatory compliance, managing departmental budgets, and fostering strong relationships with residents and their families.

Requirements

Candidates must hold an active Registered Nurse (RN) license and possess at least 5 years of nursing experience, including 2-3 years in a leadership role. An Associate’s degree in Nursing is required, while a Bachelor’s or Master’s degree in a related field is preferred.

Qualifications

Education
Associate degree
Experience
5+ years of experience

Key Skills

Clinical operations managementStaff supervisionCare plan developmentTeam mentoringPerformance evaluationHealthcare coordinationBudget managementCommunication skillsInterpersonal skillsAssisted living standards

Nursing Leadership — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 26% are remote, 56% have no call, 88% require no weekends.

The cost-of-living index for Ohio is 92.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$75k midpoint carries the purchasing power of roughly $81k in an average-cost state. 61.3% of Ohio clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Registered Nurse Jobs

19 matches · ranked by pay

Salary Distribution19 jobs · 17 employers

7
<$100k
5
$100k-125k
4
$125k-150k
3
$150k-175k

Annual compensation range

Benefits & Perks17 jobs

401k / retirement match
88% this job
CME allowance
29%
Sign-on bonus
24%
Loan repayment
12% this job
PSLF eligible
6%

Share of similar jobs offering each benefit

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#4

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Work-life snapshot

median 1.5this job 1.5
Below most Nursing Leadership (RN) listings for work-life

Listing-based score, 0–10, across 100 comparable listings. Shaded area = the share scoring below this one.

Living in Fairfield

Typical 3-bedroom home value
$287k≈ 4.1× annual pay
Typical market rent
$1,336/mo≈ 23% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
95.4
State income tax
Up to 4%
Sources & methodology

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

BEA 2024 · Cincinnati, OH-KY-IN metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

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About LionStone Healthcare

Hospitals and Health Care
Cleveland, Ohio
51-200 employees

Benefits & Perks

Medical Insurance
Dental
Vision
401k with Company Match
Early Pay via Tapcheck
Employee Perks & Discount Program
PTO
Company Holidays