Director of Nursing Services (DON) - Skilled Nursing Facility

Director Of Nursing Services (Don)

Pay Range: $178,536 to $218,210/year

We are seeking a Director of Nursing Services (DON) to lead clinical operations within our Skilled Nursing Facility at Masonic Homes of California. This role offers a unique opportunity to step into a stable, well-supported environment with strong leadership alignment, where you can drive quality outcomes, strengthen team performance, and maintain survey readiness. This is an ideal opportunity for a current DON or a high-performing ADON ready to step into a broader leadership role.

About The Community

120-bed Skilled Nursing Facility with stable census

Consistent 45 Star CMS rating with strong quality outcomes

Strong interdisciplinary collaboration across nursing, therapy, and leadership teams

Stable leadership environment with focus on quality, compliance, and team culture

Opportunity to lead in a more structured, less reactive setting than many Bay Area SNFs

Position Summary

The Director of Nursing Services (DON) is responsible for the overall leadership, management, and clinical performance of the nursing department. The DON ensures delivery of high-quality resident care, regulatory compliance, staff development, and continuous quality improvement. This role carries full accountability for nursing operations and works in close partnership with the Administrator and interdisciplinary leadership team.

Key Responsibilities

Clinical Leadership & Operations

Lead all nursing operations (RN, LVN, CNA)

Ensure consistent delivery of high-quality, resident-centered care

Oversee assessments, care planning, and clinical documentation

Maintain strong clinical presence through rounding and team engagement

Regulatory Compliance & Survey Readiness

Maintain ongoing compliance with federal, state, and local regulations

Lead survey readiness and response efforts

Implement and monitor policies aligned with current standards of care

Team Leadership & Development

Recruit, hire, and develop nursing staff

Drive staff engagement, retention, and accountability

Oversee staffing, scheduling, and performance management

Quality Improvement

Lead QAPI initiatives and monitor key clinical indicators

Implement action plans to improve outcomes and reduce risk

Partner with interdisciplinary teams to drive continuous improvement

Administrative Oversight

Manage departmental budgets and resource allocation

Collaborate with physicians, consultants, and external partners

Serve as liaison to residents, families, and regulatory agencies

Qualifications

Required:

Active California RN license

5+ years of nursing experience in SNF or long-term care

3+ years of leadership experience (DON, ADON, or equivalent)

Strong knowledge of Title 22 and CMS regulations

Preferred:

Prior DON experience in a SNF

ADON ready to step into a DON role

Experience with MDS/RAI/PPS (RAC-CT preferred)

Benefits

At the Masons of California and its related entities, you will have the opportunity to combine your passion for helping people and high ethical standards with opportunities to advance your career. In return for your skills and passion we offer:

A work environment focused on teamwork and support for excellent care

Excellent health, wage replacement, and other benefits for you and your family's well-being

A generous contribution to a 401K plan whether or not you participate, and an additional contribution from the company when you participate in the plan

Investment in your growth through tuition reimbursement - $1,500 per year

The Masonic Homes of California is committed to helping individuals and families live safe, meaningful, and fulfilling lives. Guided by strong personal connections, continuous improvement, and the charitable values of the Masons of California, the organization focuses on delivering high-quality care, meaningful experiences, and community-centered support.

Grand Lodge, Masonic Homes & Acacia Creek