Flagstone Senior Living logo
Flagstone Senior Living
The Dalles, Oregon

Director of Health and Wellness (Director of Nursing

Registered NurseIncludes callIncludes weekendsFull-Time

Listed compensation

$95K - $115K

The week · per this posting · weekdays assumed

Ask the employer about nights and shift pattern and time off.

Posted 3mo ago

Job Description

Why You’ll Love Working at Milestone

Milestone is one of the fastest-growing senior living operators, with 100+ years of combined industry and hospitality experience. We focus on teamwork, creativity, and making a real impact for our residents and staff.

Perks & Benefits

  • Medical, Dental, Vision (full-time employees)
  • 401(k) with employer match
  • Generous PTO
  • Pet insurance
  • Perks at Work
  • Employee Assistance Program
  • Voluntary benefits options

About the Role

We’re seeking a skilled Director, Health and Wellness to oversee the personal care staff and coordinate all resident care services in our Assisted Living and Memory Care communities.

You’ll monitor resident health, ensure compliance with care plans, and lead a team committed to the safety, wellbeing, and quality of life of every resident. Reporting to the Executive Director, this role combines leadership, clinical expertise, and operational management. This position has a starting wage of $95k-$115k annualy.

What You’ll Do

  • Perform comprehensive health assessments on new residents upon admission
  • Monitor health status of all residents through assessments and care conferences
  • Review and ensure staff compliance with care plans, medication protocols, and resident needs
  • Coordinate and attend resident care conferences and service plan reviews
  • Respond immediately to suspected resident abuse and report per policy
  • Supervise Assisted Living and Memory Care personnel, including hiring, coaching, training, scheduling, and performance evaluations
  • Address employee relations issues and implement verbal and written disciplinary actions as needed
  • Attend daily management and staff meetings, resident council meetings, and family events
  • Conduct community audits with the Executive Director and Regional Clinical team to monitor compliance and ensure community security
  • Review incident reports, investigate, and implement corrective actions
  • Ensure Continuous Quality Improvement (CQI) activities meet community goals
  • Foster teamwork, provide guidance to staff, and maintain positive resident and co-worker interactions
  • Promote a safe work environment and compliance with safety standards
  • Perform other duties as assigned

What We’re Looking For

  • Associate’s or Bachelor’s Degree in Nursing strongly preferred; Licensed Vocational or Practical Nurses may be considered based on state regulations
  • Minimum three years’ experience in Assisted Living, Alzheimer’s, or Memory Care preferred
  • Proven management experience and ability to lead staff
  • Experience as Residential Care Manager, Clinical Director, or in Risk Management preferred
  • Licensed or Registered Nurse required with state-specific accreditation or license
  • First Aid certification required
  • Strong written and verbal communication skills
  • Self-motivated, organized, detail-oriented, and able to work independently
  • Ability to evaluate staff performance and provide coaching and training
  • Compassion for and desire to work with older adults
  • Ability to understand and communicate effectively with residents, families, supervisors, and co-workers
  • Proficiency with Microsoft Word and Excel preferred
  • Must meet health requirements, including TB clearance, and pass required background checks

Physical Requirements

  • Ability to stand, walk, sit, use hands, reach, stoop, kneel, crouch, or crawl
  • Ability to talk, hear, and use vision effectively
  • Occasional weekend, evening, or night work and on-call as needed
  • Possible exposure to communicable diseases, blood-borne pathogens, latex, and chemicals
  • Ability to lift and assist residents as needed, up to 50–100 lbs occasionally
  • Travel may be required occasionally

Join Milestone to lead a compassionate care team, ensure resident wellbeing, and make a meaningful impact every day.

Milestone is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Key Responsibilities

Oversee personal care staff and coordinate all resident care services within Assisted Living and Memory Care communities. Responsibilities include performing health assessments, ensuring compliance with care plans, and leading a team to maintain resident safety and quality of life.

Requirements

Requires a Registered Nurse license and First Aid certification, with a preference for an Associate's or Bachelor's degree in Nursing. Candidates should have at least three years of experience in Assisted Living or Memory Care and proven management capabilities.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Clinical LeadershipResident Care CoordinationStaff SupervisionCompliance MonitoringCare PlanningConflict ResolutionMicrosoft ExcelOrganization

Nursing Administration — Registered Nurse Career Context

Of the 45 active Nursing Leadership listings this role was benchmarked against, 24% are remote, 49% have no call, 67% require no weekends.

The cost-of-living index for Oregon is 103.4 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$105k midpoint carries the purchasing power of roughly $102k in an average-cost state. 62.0% of Oregon clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nursing Leadership by the numbers
MeasureThis jobMarket
Listed pay$95k–$115kNursing Leadership median $113k (middle half $99k–$131k)123 comparable listings, Oct 2026
Cost-of-living adjusted pay~$102k in purchasing powerOregon index 103.4 (US = 100)BEA Regional Price Parities (2024)
Nursing Leadership listings in Oregon51 active5,933 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 24% remote · 49% no call · 67% no weekends45 benchmarked listings
Sign-on & loan repaymentnot statedUS Registered Nurse listings: 11% state a sign-on bonus (median $5k) · 4% offer loan repayment1,000 active listings, Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Registered Nurse Jobs

24 matches · ranked by pay

Salary Distribution

24 jobs · 21 employers
12
<$100k
3
$100k-120k
4
$120k-140k
5
$140k-160k

Annual compensation range

Benefits & Perks

12 jobs
401k / retirement match
100% this job
Sign-on bonus
25%
CME allowance
8%

Share of similar jobs offering each benefit

#1

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$125k-$155k
#2

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#3

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$136,708 - $150,000
#4

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+ 22 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
  • Includes call
  • Includes weekends
Flagstone Senior Living logo

About Flagstone Senior Living

Hospitals and Health Care
51-200 employees

Benefits & Perks

Medical, Dental, Vision
401(k) with employer match
Generous PTO
Pet insurance
Perks at Work
Employee Assistance Program
Voluntary benefits

Living in The Dalles

Typical 3-bedroom home value
$404k≈ 4.3× annual pay
Typical market rent
$1,779/mo≈ 22% of gross pay
Residents’ average commute
17 min
State income tax
Up to 9.9%
Sources & methodology

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

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