Director of Nursing

DUTIES AND RESPONSIBILITIES:

Clinical Leadership

• Provide overall leadership and direction for all nursing services within the skilled nursing facility.
• Maintain accountability for the quality, safety, and effectiveness of resident care.
• Provide clinical oversight and consultation to the Adult Day Health Care Center nursing staff and programming.
• Ensure resident-centered care is delivered according to evidence-based practices.
• Promote a culture of dignity, compassion, and person-centered care.

 

Regulatory Compliance

• Ensure compliance with all applicable CMS, New York State Department of Health, OSHA, CDC, and organizational regulations and standards.
• Lead preparation for annual surveys, complaint investigations, and regulatory inspections.
• Develop and implement Plans of Correction as necessary.
• Monitor compliance with infection prevention, medication management, documentation, resident rights, and quality measures.

 

Quality Assurance & Performance Improvement (QAPI)

• Lead the Nursing Quality Assurance Performance Improvement (QAPI) program.

• Monitor clinical outcomes including:
  • Falls
• Pressure injuries
• Weight management
• Infections
• Hospital readmissions
• Medication errors
• Behavioral health outcomes
• Analyze quality metrics and implement corrective actions.
• Conduct regular audits of documentation and clinical practices. 

Staffing & Workforce Management

• Develop staffing plans that meet regulatory requirements and resident acuity.
• Maintain required staffing levels, including achievement of target nursing hours per resident day.
• Recruit, hire, orient, coach, evaluate, and retain nursing personnel.
• Conduct annual performance evaluations and competency assessments.
• Promote employee engagement, accountability, and professional development.
• Monitor overtime, agency utilization, absenteeism, and labor productivity.

Clinical Operations

• Oversee:
• Nursing assessments
• Care planning
• Medication administration
• Treatment services
• Wound management
• Infection prevention
• Behavioral health interventions
• Restorative nursing
• Ensure timely and accurate clinical documentation.
• Collaborate with rehabilitation, social work, dietary, pharmacy, and medical providers to coordinate care.

 

Adult Day Health Care Clinical Oversight

• Provide clinical leadership and oversight of nursing services within the Adult Day Health Care Center.
• Ensure compliance with all Adult Day Health Care regulations.
• Review participant clinical status and care plans.
• Collaborate with the ADHC leadership team regarding participant safety, clinical programming, and quality outcomes.
• Support survey readiness and quality improvement initiatives for the program.

 

Resident & Family Experience

• Foster positive relationships with residents, participants, families, physicians, and community partners.
• Address concerns promptly and professionally.
• Promote resident and participant satisfaction through responsive leadership and continuous improvement.

Financial Stewardship

• Manage the nursing department budget.
• Monitor labor expenses, supply utilization, and operational efficiencies.
• Participate in annual budget development.
• Identify opportunities to improve quality while managing costs responsibly.

 

Emergency Preparedness

• Participate in emergency preparedness planning.
• Lead nursing response during emergencies.
• Ensure staff competency in emergency procedures and disaster preparedness.

 

Leadership & Collaboration

• Participate as a member of the Executive Leadership Team.
• Support organizational strategic initiatives.
• Foster interdisciplinary collaboration.
• Serve as Administrator-on-Call as assigned.
• Lead departmental meetings and clinical committees.

• Other duties as assigned.

 

RELATED SKILLS AND COMPETENCIES 

• Ability to interact with seniors, including those with dementia, and their families in a supportive way.
• Excellent analytical, verbal, and written communication skills.
• Excellent