Director Of Nursing

Lead Clinical Excellence at Gateway Post Acute

Gateway Post Acute is seeking an experienced and compassionate Director of Nursing (DON) to lead our clinical team. This position provides overall direction for nursing services, clinical operations, staffing, regulatory compliance, quality improvement, and resident safety.

The ideal candidate is a proven skilled nursing leader who develops strong teams, builds effective clinical systems, and creates a culture centered on accountability, compassion, and exceptional resident care.

• Direct and manage the overall operation of the Nursing Department.
• Maintain appropriate staffing levels and ensure adequate nursing coverage.
• Develop, implement, review, and enforce nursing policies and procedures.
• Ensure nursing services comply with applicable federal, state, local, and facility requirements.
• Promote resident safety, dignity, rights, preferences, independence, and quality of life.
• Recruit, interview, hire, orient, train, coach, and retain nursing employees.
• Supervise and support the Assistant Director of Nursing, licensed nurses, CNAs, and other nursing personnel.
• Conduct employee evaluations and address performance concerns through coaching, education, and appropriate corrective action.
• Develop and conduct clinical education, competencies, and in-service training.
• Make clinical rounds and monitor the quality, consistency, and documentation of resident care.
• Review changes in condition, incidents, hospital transfers, infections, falls, wounds, and other clinical concerns.
• Provide direct, hands‑on resident care when necessary.
• Coordinate pharmacy services and ensure medications are stored, administered, and destroyed according to established procedures.
• Serve as a liaison among residents, families, physicians, employees, and healthcare partners.
• Collaborate with facility departments to promote coordinated, resident-centered care.
• Oversee MDS coordination, care planning, clinical documentation, and interdisciplinary communication.
• Participate in Quality Assurance, Performance Improvement, Utilization Review, and resident‑care conferences.
• Lead survey preparation and actively participate in state and federal inspections.
• Develop and implement plans of correction and monitor ongoing compliance.
• Ensure clinical documentation is accurate, complete, timely, and compliant.
• Manage Nursing Department budgets, staffing expenses, supplies, and required reports.
• Remain current on regulatory changes and communicate applicable updates to employees.
• Participate in investigations, risk‑management activities, and legal proceedings when required.
• Maintain the confidentiality of resident, employee, and facility information.
• Perform additional clinical and leadership duties as assigned.

The Director of Nursing directly or indirectly supervises the Assistant Director of Nursing and the entire nursing team. The DON is accountable for clinical performance, staffing, employee development, regulatory compliance, and the quality of resident care.

• Graduate of an accredited school of nursing required.
• Bachelor of Science in Nursing preferred.
• Current California Registered Nurse license in good standing required.
• Current CPR certification required.
• Seven years of nursing-management experience preferred.
• Director of Nursing or senior clinical leadership experience in skilled nursing or long‑term care strongly preferred.
• Strong knowledge of clinical operations, MDS, care planning, infection prevention, staffing, survey readiness, and quality assurance.
• Experience with Point Click Care  preferred.
• Profici…