Director of Nursing; RN

Description

Reporting to the Health Care Administrator, the Director of Nursing (DON) plans, develops, and directs the clinical operations and services at Williamsburg Landing Health and Rehabilitation Center. Overseeing a 44-bed skilled nursing and long-term care unit within a Continuing Care Retirement Community (CCRC), the DON ensures the highest quality of clinical care is delivered in accordance with current federal, state, and local standards, guidelines, and regulations.

The DON maintains rigorous compliance with CMS requirements and CARF-CCAC accreditation standards, establishes departmental performance goals, manages fiscal resources, leads team members, and champions a culture of Quality Assurance and Performance Improvement (QAPI).

• Develops, maintains, and implements nursing service objectives, evidence-based standards of practice, and policy manuals in close collaboration with the Health Care Administrator and the Chief Clinical Officer.
• Designs, implements, and monitors formal Plans of Correction for any identified past non-compliance or survey deficiencies. Actively involves floor nurses and Certified Nursing Assistants (CNAs) in actionable improvement plans to ensure frontline buy-in.
• Under the direction of the Health Care Administrator, develops, conducts, and sustains a formalized, data-driven Quality Assurance Performance Improvement (QAPI) program.
• Leads comprehensive internal investigations alongside the Health Care Administrator, clinical leaders, and Security/local law enforcement regarding any allegations of elder abuse, neglect, exploitation, or misappropriation of property; ensures mandatory reporting timelines are strictly met.
• Leads weekly interdisciplinary quality meetings to analyze clinical risk indicators (including resident weights, hospital readmissions, wound care, behaviors, falls, psychotropic medication utilization, and pain management). Initiates formal QAPI action plans when negative trends are identified.
• Represents clinical services in multi-disciplinary care planning meetings, collaborating seamlessly with Therapy, Activities, Social Work, Dietary, and physicians to maintain holistic, resident-centered care plans.
• Coordinates and evaluates care provided by ancillary and contracted specialists (e.g., Wound Physicians, Psychiatric Nurse Practitioners, Podiatrists, Dentists); ensures all external consult documentation is promptly integrated into the Electronic Medical Record (EMR).
• Collaborates monthly with the MDS (Minimum Data Set) Nurse Manager to review CASPER quality reports, ensuring timely, accurate data transmission and launching targeted quality improvement initiatives based on findings.
• Oversees the collection, verification, and input of clinical quality metrics into corporate dashboards and monthly tracking spreadsheets; leads corporate clinical/quality review calls as required.
• Conducts routine medical record audits to catch documentation deficiencies, ensuring precise clinical justification is present for skilled residents under the Patient Driven Payment Model (PDPM) and insurance guidelines to support accurate reimbursement.
• Conducts daily clinical rounds on resident floors to evaluate nursing practices, verify adequate equipment/supply availability, assess appropriate staffing levels, and directly gauge resident and family satisfaction.
• Oversees the recruitment, interviewing, and selection of clinical staff. Partners with Nurse Managers, Shift Supervisors, and the Nurse Educator to ensure a robust onboarding, mentorship, and competency-based training process.
• Maintains real-time accuracy of the clinical department’s position control document to ensure vacancies are accurately advertised and budgeted hours match operational needs.
• Conducts monthly nursing team communication meetings. Oversees the timely completion of annual performance evaluations and holds clinical staff accountable to performance standards through consistent, fair, and timely corrective action processes.
• Tracks employee turnover metrics and shares corporate responsibility for retention goals. Proactively reviews feedback from employee engagement…