Director of Resident Care (RN

Director of Resident Care (RN)

The Director of Resident Care (RN) is responsible for providing clinical leadership, resident care oversight, and operational support for Fresno Guest Home communities. This position ensures the delivery of high-quality resident care through effective nursing leadership, regulatory compliance, staff development, and quality improvement initiatives. The Director of Resident Care collaborates with Executive Directors, Regional Leadership, physicians, nurse practitioners, ancillary providers, and interdisciplinary teams to promote positive resident outcomes while maintaining compliance with all federal, state, and local regulations.

The Director of Resident Care serves as the resident care leader for Fresno Guest Home communities by overseeing caregiving, supervising clinical staff, developing clinical systems, supporting admissions, maintaining licensing readiness, and fostering a culture of excellence, accountability, and resident-centered care.

• Provide leadership, direction, and oversight of caregiving services within Fresno Guest Home communities.
• Supervise and mentor caregivers, field supervisors, CNAs and other clinical Fresno Guest Home personnel.
• Promote professional care standards and evidence-based practices.
• Assist Executive Directors with resident care decision-making.
• Ensure care services are delivered in accordance with physician orders and company policies.
• Serve as the primary care resource for community leadership and staff.
• Oversee resident assessments and evaluations, and development of individualized resident care needs.
• Review resident health status and intervene appropriately when changes in condition occur.
• Coordinate resident admissions, re-admissions, transfers, and discharges.
• Coordinate and collaborate with physicians, nurse practitioners, pharmacies, hospice agencies, home health providers, therapy providers, and other healthcare professionals.
• Oversee medication management systems, including medication storage, documentation, audits, and error prevention.
• Ensure appropriate follow-up for incidents, falls, infections, wounds, hospitalizations, and significant changes in resident condition.
• Monitor infection prevention and control practices throughout each community.
• Ensure compliance with California Department of Social Services (CDSS), California Department of Healthcare Services (DHCS), OSHA, HIPAA, and all applicable federal, state, and local regulations.
• Maintain continuous licensing readiness.
• Conduct routine clinical audits to ensure compliance with company standards.
• Assist with licensing surveys, complaint investigations, and Plans of Correction.
• Monitor documentation to ensure accuracy, completeness, and regulatory compliance.
• Develop and oversee Quality Assurance and Performance Improvement (QAPI) activities.
• Analyze health indicators including falls, medication errors, infections, weight loss, skin integrity, hospitalizations, and resident outcomes.
• Identify trends and implement corrective actions to improve care performance.
• Monitor quality metrics and provide ongoing recommendations to leadership.
• Mentor, coach, and evaluate care operations personnel.
• Participate in orientation and onboarding of new Field Supervisors.
• Ensure ongoing competency assessments and continuing education.
• Promote employee engagement, accountability, and retention through effective leadership and coaching.
• Participate in resident care conferences as needed.
• Communicate with residents and families regarding care concerns and changes in resident condition.
• Assist in resolving resident and family concerns in a timely and professional manner.
• Promote resident dignity, independence, and quality of life.
• Maintain accurate care records and reports.
• Participate in leadership meetings and interdisciplinary committees.
• Support company initiatives, policy implementation, and strategic objectives.

Required

• Current California Registered Nurse (RN) license in good standing.
• Bachelor of Science in Nursing (BSN) preferred;
  Associate Degree in Nursing (ADN) required.
• Minimum five (5) years of progressive nursing experience.
• Minimum three (3) years of…