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Signature HealthCARE
Lexington, Kentucky

Director of Nursing (DON)

Registered NurseFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

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Posted 55m ago · Verified live

Job Description

About Us

Bluegrass Care and Rehab Center is a 124-bed facility, providing skilled nursing and long-term care. We are very proud to provide our patients with the team approach and caring team members who attend to our patient's daily needs. Our therapy department consists of physical, occupational, and speech therapist.

The vision, to radically change the landscape of healthcare, forever. Through education and empowerment, we earn the trust of every patient, family member, and the community we serve.

Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care. ai-enabled solutions.

We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report, we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.

Overview

The ideal Director of Nursing Candidate is very detailed orientated, organized, great knowledge of policies and governmental regulations. A passion for supporting and training Stakeholders to provide the best care possible to residents.

How You Will Make a Difference

Manage the overall operations of the Nursing Department in accordance with Company policies, standards of nursing practices and governmental regulations so as to maintain excellent care of all residents’ needs.

Plan, develop, organize, implement, evaluate and direct the nursing services department, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.

Assist with development of and approve final version of the Interdisciplinary Plan of Care for each resident in coordination with the physician, Medical Director, nursing staff, and outside consultants (i. e., nursing, dietary, pharmacy, therapists, etc.) and in accordance with corporate, state and federal guidelines.

Confirm accurate completion of forms/reports for the admission, transfer and/or discharge of each resident including, but not limited to, the nursing portion of the PAE, Initial Nursing Assessment, Minimum Data Set (MDS), Resident Care Plan, and the Annual MDS.

What You Need to Make a Difference

  • Registered Nurse in good standing with required current state license.
  • Minimum of five (5) years’ experience in long-term care and/or acute care setting required.
  • Minimum of two (2) years management/supervisory experience required.
  • Must have a current/active CPR certification.

Base PLUS Quarterly Bonus Up to 24% Annually

WORK-LIFE-BALANCE PTO PROGRAM

Regional Support

CLINICAL GRPWTH TRACKS AVAILABLE!

Our exceptional Benefits Package and Signature Perks include the following and more!

Live with Purpose at Signature HealthCARE

  • Our exceptional benefits and Signature Perks are designed to support your health, wealth, and well-being, including:
  • Medical, Dental & Vision Coverage
  • First Stop Health Virtual Healthcare
  • 401(k) & Roth 401(k)
  • Company-Paid & Voluntary Life Insurance
  • Health Savings Account (HSA) & Flexible Spending Account (FSA)
  • Paid Time Off (PTO) & Holiday Incentive Pay
  • Tuition Reimbursement & Tuition Discounts with Select Universities
  • Student Debt Assistance (eligible SNF RNs & LPNs)
  • Uniform Allowance
  • Partner Perks Discount Program
  • Perfect Attendance Program
  • Pay Advance & Next Day Pay
  • Employee Assistance Program (EAP)
  • Support Beyond Benefits with VitalLink and the Signature Inspire Foundation
  • At Signature HealthCARE, our team members are empowered—not just encouraged—to use their talents and abilities to solve problems.
  • Our culture is built on three pillars: Learning, Spirituality, and Intra-preneurship.
  • Each pillar has dedicated initiatives that strengthen our culture and create opportunities for growth.

Come see what the revolution is all about!

Signature HealthCARE is an Equal Opportunity/Affirmative Action Employer. We are committed to creating an inclusive workplace for all applicants and stakeholders.

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Key Responsibilities

Manage the overall operations of the nursing department in accordance with company policies and governmental regulations. Oversee the development and implementation of interdisciplinary care plans and ensure accurate completion of clinical reports and assessments.

Requirements

Requires a Registered Nurse license in good standing with at least five years of experience in long-term or acute care. Must possess at least two years of management experience and a current CPR certification.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Key Skills

Nursing managementRegulatory complianceStaff trainingInterdisciplinary care planningMDS completionClinical operationsQuality assuranceLeadershipPolicy developmentPatient care management

Long-Term Care — Registered Nurse Career Context

The cost-of-living index for Kentucky is 90.2 (US average = 100; BEA Regional Price Parities (2024)). 61.6% of Kentucky clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nursing Leadership Jobs

10 matches · ranked by pay

Salary Distribution10 jobs · 8 employers

6
<$135k
2
$135k-165k
1
$165k
1
$211k

Annual compensation range

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#2

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#3

Asst. Director of Nursing - Ambulatory Care - Newkirk Avenue

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#4

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+ 8 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.

  • On-site

Living in Lexington

Typical 3-bedroom home value
$314k
Typical market rent
$1,553/mo
Metro price indexU.S. average = 100
92.9
State income tax
Up to 4.5%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026).

BEA 2024 · Lexington-Fayette, KY metro prices. Housing figures are city-level.

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

Signature HealthCARE logo

About Signature HealthCARE

Hospitals and Health Care
Louisville, KY
1,001-5,000 employees

Benefits & Perks

Base plus quarterly bonus up to 24% annually
Work-life-balance PTO program
Regional support
Clinical growth tracks available
Medical, Dental & Vision Coverage
First Stop Health Virtual Healthcare
401(k) & Roth 401(k)
Company-Paid & Voluntary Life Insurance