Director of Nursing

apartment Skilled Healthcare Center location_onCrossett, AR 71635, US

We are seeking an experienced Director of Nursing (DON) to lead clinical operations in a skilled nursing facility. The DON is responsible for overall nursing services, clinical outcomes, regulatory compliance, survey readiness, staffing, and quality improvement. This leader will excel at building a positive, resident-first culture, developing clinical teams, and driving measurable quality results.

Key Responsibilities

Clinical Leadership & Operations

Provide strategic and day-to-day leadership for all nursing services in accordance with state and federal regulations (CMS), facility policies, and standards of practice.
Oversee resident care delivery, care planning, and documentation to ensure clinical excellence, safety, and dignity of residents.
Ensure appropriate nurse staffing levels, skill mix, and scheduling to meet acuity and census needs; oversee use of agency staffing as needed.
Round regularly on units; respond to clinical escalations and family concerns promptly and professionally.

Regulatory Compliance & Survey Readiness

Maintain continuous survey readiness; lead preparations, plan of correction (POC) development, and timely follow-through.
Ensure compliance with Arkansas Office of Long Term Care (OLTC) and federal long-term care regulations, including F-Tags and OBRA requirements.
Monitor incident/accident reporting, abuse prevention protocols, and grievance process compliance.

Quality, Risk, & Clinical Programs

Lead the QAPI (Quality Assurance & Performance Improvement) program, including data tracking and action plans to improve quality measures and Five-Star performance.
Oversee infection prevention and control program (antibiotic stewardship, surveillance, outbreak response).
Partner with therapy, dietary, social services, and medical director to optimize outcomes (e.g., rehospitalization reduction, weight loss prevention, falls management, pressure injury prevention, psychotropic stewardship, pain management).

Documentation, MDS, & Care Planning

Ensure accurate and timely completion of assessments, physician orders, care plans, and progress notes consistent with regulatory timelines.
Collaborate with the MDS Coordinator on RAI process accuracy, case-mix and PDPM impacts, and supportive documentation.
Audit charts for completeness, accuracy, and medical necessity; implement corrective actions.

Talent, Culture, & Development

Recruit, hire, onboard, mentor, and retain high-performing nursing staff; manage performance and accountability.
Oversee mandatory education, competencies, and annual skills validations; ensure specialty trainings (e.g., wound care, dementia care).
Foster a culture of teamwork, respect, service excellence, and resident-centered care.

Clinical Partnerships & Communication

Build strong relationships with residents, families, physicians, hospital partners, and ancillary providers.
Participate in IDT meetings, utilization review, morning meetings, and leadership huddles.
Support admissions review and clinical acceptance decisions; ensure safe and timely transitions of care.

Qualifications

Required: Current unencumbered RN license in the State of Arkansas (or compact state eligibility with AR endorsement prior to start).
Experience: 3–5+ years of nursing leadership in long-term care/skilled nursing; prior DON or ADON experience strongly preferred.
Strong knowledge of long-term care regulations (CMS), survey processes, QAPI, infection prevention, PDPM/MDS fundamentals, and clinical best practices.
Proven success in team leadership, staff development, and change management.
Exceptional communication, organization, and critical-thinking skills; data-driven and results-oriented.
Certifications preferred: Infection Preventionist training (NHSN/CDC or equivalent), WCC/WOCN, CPR/BLS.

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