Director Of Nursing (DON)

Registered NurseFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

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.

Responsibilities

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
  • 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
  • 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
  • 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
  • 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
  • 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

#Corp

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
  • Benefits/EEO

What We Offer You

  • Competitive Wages
  • 401k with match
  • Medical, Dental, Vision & Supplemental Insurance
  • Vacation, Sick, Personal Holiday & Paid Holidays
  • Short-Term Disability
  • Life Insurance
  • Tuition & CEU Reimbursement
  • Rewards & Recognition Program

EEOC

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.

Qualifications

Experience
2+ years of experience

Key Skills

Staff managementStaff coachingBudgetingRisk managementResident advocacy

Long-Term Care Nursing — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 26% are remote, 52% have no call, 82% 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).

Nursing Leadership by the numbers
MeasureThis jobMarket
Listed paynot listedNursing Leadership median $117k (middle half $97k–$133k)115 comparable listings, Nov 2026
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Long-Term Care Nursing listings in Texas6 active—live on WeekdayDoc, Nov 2026
All nursing leadership listings in Texas379 active5,718 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 26% remote · 52% no call · 82% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTexas registered nurse listings (all specialties): 6% state a sign-on bonus (median $6k) · 3% offer loan repayment379 active listings, Nov 2026
New Long-Term Care Nursing RN listings33 in the last 30 days20 the 30 days before (+65%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Texas figures use all nursing leaderships: too few Texas Long-Term Care Nursing postings state pay.

Location & Logistics

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

Top Registered Nurse Jobs

49 matches · ranked by pay

Salary Distribution

49 jobs · 42 employers
10
<$100k
17
$100k-120k
13
$120k-140k
8
$140k-160k
1
$162k

Annual compensation range

Benefits & Perks

32 jobs
401k / retirement match
100% this job
Sign-on bonus
22%
Loan repayment
13%
CME allowance
13% this job
PSLF eligible
3%

Share of similar jobs offering each benefit

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$65.7-$75.7/hr
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Registered Nurse - Case Manager w/sign-on bonus - 5403

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+ 47 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 30% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

Cantex Continuing Care Network logo

About Cantex Continuing Care Network

Hospitals and Health Care
Carrollton, TX

Benefits & Perks

401k with match
Medical, Dental, Vision & Supplemental Insurance
Vacation, Sick, Personal Holiday & Paid Holidays
Short-Term Disability
Life Insurance
Tuition & CEU Reimbursement
Rewards & Recognition Program

Living in Woodville

Typical 3-bedroom home value
$207k
Median resident rent
$1,075/mo
Residents’ average commute
23 min
State income tax
None
Sources & methodology

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

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