Director of Nursing; DON

Lead clinical excellence and set the standard for care as our Director of Nursing, where your leadership directly impacts resident outcomes, team engagement, and regulatory success!

In this role, you will drive quality initiatives, mentor and develop nursing staff, and partner with campus leadership to ensure consistent, high‑level care delivery. Join a team where your expertise is valued, your voice is heard, and your leadership shapes the future of care.

The Director of Nursing (DON) is responsible for ensuring safe, compliant, and high-quality nursing care across both Short Stay Rehabilitation and Traditional Skilled/Long-Term Care services. This role is a highly visible, hands‑on clinical leader who sets clear expectations, drives accountability, and develops strong nurse leaders. The DON leads survey readiness, quality outcomes, labor management, and team engagement while fostering a culture of trust, consistency, and clinical excellence.

The DON is accountable for delivering measurable results in the following areas:

• CMS Five‑Star Rating:
  Maintain or improve to a 5‑Star QM rating
• Survey Outcomes:
  Annual state and federal surveys with fewer than 5 tags
• Quality Measures
• Call Light Response:
  Average response time of 3 minutes or less
• Retention & Engagement:
  Visible leadership presence and improved nursing team engagement
• Labor Management:
  Meet campus‑specific HPPD goals
• Hospital Readmissions:
  Reduced return‑to‑acute‑care percentage

• Be highly visible on the floor, rounding multiple times daily
• Lead daily clinical stand‑ups and participate in campus stand‑up meetings
• Chair or actively lead QUAPI, PIP teams, bed management discussions, and quality forums
• Address issues head‑on with confidence and clarity
• Coach and mentor nurse leaders through regular 1:1 cadences
• Establish consistent processes and expectations across all shifts

• Lead and oversee all nursing operations, ensuring high‑quality, resident‑centered care
• Maintain continuous survey readiness and lead state and federal surveys, including POCs
• Direct quality assurance, risk management, infection prevention, and incident response
• Conduct daily rounding and drive accountability to clinical standards
• Manage nursing staffing, scheduling, labor performance, and HPPD
• Oversee the nursing budget, including supplies, equipment, and capital needs
• Set clear expectations and coach nurse leaders through meetings and 1:1s
• Partner with HR on hiring, onboarding, development, and retention
• Participate in the on‑call leadership rotation

Required:

• Active, unencumbered Registered Nurse (RN) license in the state of Nebraska
• Extensive experience in Skilled Nursing and Long‑Term Care
• Proven leadership experience as a Charge Nurse, Clinical Coordinator, ADON, or similar role
• Strong working knowledge of CMS regulations and survey processes

Preferred:

• Prior DON experience in a skilled nursing or rehabilitation setting
• Demonstrated success improving quality measures, survey outcomes, and labor metrics

• Clinical leadership and oversight
• Regulatory compliance and survey readiness
• Quality improvement and risk management
• Nurse leader coaching and development
• Labor and staffing management (HPPDs)
• Strong communication and relationship‑building skills
• Execution‑focused, results‑driven leadership

• Compensation:
  Competitive annual salary commensurate with experience
• Incentive Opportunity:
  Significant annual incentive potential
• Incentives are earned quarterly and tied to key performance indicators, including:
• Resident and family satisfaction survey outcomes
• Hours Per Patient Day (HPPD) performance
• Return‑to‑acute‑care metrics
• Overall CMS Five‑Star Quality Measures
• On‑Call Rotation

• Competitive benefits package including low premiums, short‑term disability, long‑term disability, HSA contribution matching, 401(k) with company match, and more!
• Competitive wage scales and tuition reimbursement and scholarship programs up to $3,000 per year!
• Financial wellness and freedom through access to your earned wages prior…