Director of Nursing Services; DON; Skilled Nursing Facility

We are seeking a Director of Nursing Services (DON) to lead clinical operations within our Skilled Nursing Facility at Masonic Homes of California.

We are seeking a Director of Nursing Services (DON) to lead clinical operations within our Skilled Nursing Facility at Masonic Homes of California. This role offers a unique opportunity to step into a stable, well-supported environment with strong leadership alignment, where you can drive quality outcomes, strengthen team performance, and maintain survey readiness. This is an ideal opportunity for a current DON or a high-performing ADON ready to step into a broader leadership role.

• 120-bed Skilled Nursing Facility with stable census
• Consistent 4-5 Star CMS rating with strong quality outcomes
• Strong interdisciplinary collaboration across nursing, therapy, and leadership teams
• Stable leadership environment with focus on quality, compliance, and team culture
• Opportunity to lead in a more structured, less reactive setting than many Bay Area SNFs

The Director of Nursing Services (DON) is responsible for the overall leadership, management, and clinical performance of the nursing department. The DON ensures delivery of high-quality resident care, regulatory compliance, staff development, and continuous quality improvement. This role carries full accountability for nursing operations and works in close partnership with the Administrator and interdisciplinary leadership team.

• Lead all nursing operations (RN, LVN, CNA)
• Ensure consistent delivery of high-quality, resident-centered care
• Oversee assessments, care planning, and clinical documentation
• Maintain strong clinical presence through rounding and team engagement

• Maintain ongoing compliance with federal, state, and local regulations
• Lead survey readiness and response efforts
• Implement and monitor policies aligned with current standards of care

• Recruit, hire, and develop nursing staff
• Drive staff engagement, retention, and accountability
• Oversee staffing, scheduling, and performance management

• Lead QAPI initiatives and monitor key clinical indicators
• Implement action plans to improve outcomes and reduce risk
• Partner with interdisciplinary teams to drive continuous improvement

• Manage departmental budgets and resource allocation
• Collaborate with physicians, consultants, and external partners
• Serve as liaison to residents, families, and regulatory agencies

• Active California RN license
• 5+ years of nursing experience in SNF or long-term care
• 3+ years of leadership experience (DON, ADON, or equivalent)
• Strong knowledge of Title 22 and CMS regulations

• Prior DON experience in a SNF
• ADON ready to step into a DON role
• Experience with MDS/RAI/PPS (RAC-CT preferred)
• BSN

At the Masons of California and its related entities, you will have the opportunity to combine your passion for helping people and high ethical standards with opportunities to advance your career. In return for your skills and passion we offer:

• A work environment focused on teamwork and support for excellent care
• Excellent health, wage replacement, and other benefits for you and your family's well-being
• A generous contribution to a 401K plan whether or not you participate, and an additional contribution from the company when you participate in the plan
• Investment in your growth through tuition reimbursement - $1,500 per year