Demo

Director of Nursing

Dickson Health and Rehab
Nashville, TN Full Time
POSTED ON 7/16/2026
AVAILABLE BEFORE 8/14/2026
Job Description: Director of Nursing (DON)

Position Title: Director of Nursing

Department: Nursing Services

Reports To: Administrator

FLSA Status: Exempt (Salary)

Position Summary

The Director of Nursing (DON) is responsible for the overall leadership, management, and operation of the Nursing Services Department in a long-term care facility. The DON ensures the delivery of high-quality resident care in compliance with all federal, state, and local regulations, including CMS guidelines, while promoting a culture of safety, accountability, and excellence.

Essential Duties & Responsibilities

Leadership & Management

  • Direct, supervise, and evaluate all nursing personnel
  • Develop staffing plans to ensure appropriate coverage and acuity-based care
  • Foster a positive work environment and promote staff retention
  • Participate in recruitment, hiring, orientation, and ongoing training


Clinical Oversight

  • Ensure delivery of quality nursing care to all residents
  • Oversee care planning process and interdisciplinary collaboration
  • Monitor infection control practices and clinical outcomes
  • Ensure proper documentation and adherence to standards of care


Regulatory Compliance & Survey Readiness

  • Maintain compliance with all CMS, federal, and state regulations
  • Lead facility preparation for state and federal surveys
  • Develop and implement Plans of Correction (POC) when necessary
  • Monitor and address compliance issues, including F-tags


Quality Assurance & Performance Improvement (QAPI)

  • Lead QAPI initiatives and performance improvement efforts
  • Analyze clinical data, trends, and quality indicators
  • Implement corrective actions to improve resident outcomes


Staff Development & Education

  • Ensure ongoing education and competency of nursing staff
  • Conduct performance evaluations and disciplinary actions as needed
  • Promote leadership development within the nursing team


Resident & Family Relations

  • Address concerns and grievances related to nursing care
  • Promote resident rights, dignity, and person-centered care
  • Collaborate with families and interdisciplinary team members


Operational Responsibilities

  • Manage nursing department budget and resources
  • Ensure appropriate use of supplies and equipment
  • Participate in facility committees and leadership meetings
  • Maintain adequate staffing levels and schedule coverage


On-Call Responsibility

  • Participate in on-call rotation and respond to facility needs as required


✅ Minimum Qualifications

  • Current, active, and unrestricted Registered Nurse (RN) license in Tennessee.
  • Minimum [2–5] years of nursing leadership experience (preferably in LTC/SNF)
  • Strong knowledge of long-term care regulations and survey process
  • Demonstrated leadership, communication, and organizational skills


⭐ Preferred Qualifications

  • Prior experience as Director of Nursing or Assistant DON
  • Experience with CMS quality measures and Five-Star program
  • Preferred BSN or advanced nursing degree


Knowledge, Skills & Abilities

  • Strong understanding of clinical operations in long-term care
  • Ability to lead teams and manage multiple priorities
  • Knowledge of infection control, documentation standards, and risk management
  • Effective problem-solving and decision-making skills
  • Ability to maintain confidentiality and professionalism


Physical Requirements

  • Ability to stand, walk, and move throughout the facility
  • Ability to lift, push, or pull up as needed
  • Ability to respond quickly in emergency situations


Work Environment

  • Long-term care setting with frequent interruptions
  • Exposure to infectious diseases and healthcare-related hazards
  • Requires flexibility in schedule, including weekends and on-call


Compliance Statement

The Director of Nursing must comply with all facility policies and procedures, as well as federal, state, and local regulations governing long-term care facilities.

Equal Opportunity Employer Statement

TN Healthcare and Rehab is an equal opportunity employer and complies with all applicable employment laws.

Come join our team today!

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