Director of Nursing

Director of Nursing Skilled Nursing | Cupertino, CA

Full Spectrum Search Group is a full-service healthcare recruiting agency specializing in post-acute leadership and healthcare administration, serving skilled nursing, senior living, home health, hospice, home care, and the providers and technologies that support the post-acute space.

We are representing an established community seeking a Director of Nursing to lead its skilled nursing facility in Cupertino, CA.

This is a hands-on California SNF leadership opportunity for a clinically strong DON who knows Title 22, can lead survey readiness, and can strengthen systems without disrupting a stable nursing department. You will take ownership of clinical operations, nurse scheduling, regulatory execution, and the work required to improve the community's next survey outcome.

Five Uniques

• Lead a focused SNF operation with capacity capped at 58 beds and an average census in the upper 40s to approximately 50 residents.
• Inherit a stable nursing department with no open nursing positions at the time of intake.
• Build on 5-star CMS staffing and quality-measure ratings while leading the work to improve survey performance and overall rating.
• Partner with an experienced clinical structure, including a DSD with more than 20 years of tenure, an Infection Preventionist, and a seven-day-per-week RN Supervisor.
• Work with executive leadership, a Board of Directors, and a regional clinical consultant who are actively invested in clinical quality and a stronger next survey.

Position Summary

The Director of Nursing will lead all nursing and clinical operations for a California skilled nursing facility within a high-end community. This leader will be accountable for Title 22 compliance, survey readiness, clinical systems, nursing team performance, nurse scheduling, quality outcomes, and operational follow-through.

The successful candidate is an experienced California SNF clinical leader who can assess risk quickly, identify gaps before they become survey findings, and lead an established team through disciplined, practical improvement. This is an opportunity to improve survey performance while preserving the staffing and quality-measure strengths already in place.

Key Responsibilities

• Lead day-to-day nursing operations for the SNF, ensuring safe, compliant, resident-centered care.
• Maintain hands-on oversight of California Title 22 requirements, CMS regulations, infection prevention practices, documentation standards, and clinical policies.
• Drive survey readiness through routine clinical audits, corrective action planning, staff education, mock survey activity, and consistent follow-up.
• Lead the facility through state and federal survey activity, including survey response, plan of correction development, and sustained compliance efforts.
• Assess clinical systems and trends to proactively identify risks affecting resident care, quality measures, staffing, documentation, and survey outcomes.
• Manage nurse scheduling and work closely with the DSD, RN Supervisor, Infection Preventionist, and nursing team to support appropriate coverage and clinical accountability.
• Partner with the Administrator, Associate Executive Director, Executive Director, Board, and regional clinical consultant on quality priorities and operational improvement.
• Support the transition of MDS responsibilities back in-house and collaborate on MDS, reimbursement, care planning, and documentation processes.
• Use PCC and available reporting to monitor clinical performance, address deficiencies, and improve execution across the department.
• Coach, develop, and hold nursing staff accountable while protecting the stability and engagement of an established team.

Qualifications

• Demonstrated clinical leadership experience in a…