Director of Nursing (RN) (23792)

Cantex Continuing Care Network · Houston, TX Full Time

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Job Description

Description Offering a $10,000 sign-on Bonus Location: 2101 Greenhouse Road, Houston, TX 77084-6108 Schedule: Full ‑ time, exempt role with 24/7 nursing leadership responsibility Reports to: Administrator What We Offer You • Competitive pay • Performance ‑ based bonus opportunities • Comprehensive health, dental, and vision insurance • Additional supplemental benefits (life insurance, disability, accident, etc.) • 401(k) with company match • Generous paid time off (PTO/Sick) • Clear career growth and advancement opportunities • A supportive and vibrant company culture • Many more employee perks and benefits Job Summary The Director of Nursing Services (DON) oversees all clinical operations within the Skilled Nursing Facility (SNF), ensuring high ‑ quality resident care, regulatory compliance, and strong clinical outcomes. This role is responsible for planning, organizing, developing, and directing the Nursing Department in alignment with state, federal, and facility standards. The DON provides strategic leadership to nursing staff, drives quality improvement initiatives, and ensures that resident care is delivered safely, efficiently, and compassionately. This position is ideal for an experienced RN leader with a strong background in SNF operations, survey readiness, staffing management, and clinical excellence. Qualifications Qualifications • Current and valid state ‑ specific Registered Nurse (RN) license • Minimum of 2 years of supervisory experience as a DON or ADON in a Skilled Nursing Facility • Strong knowledge of state and federal long ‑ term care regulations • Experience with survey readiness, Plans of Correction (POCs), and quality improvement • Demonstrated leadership skills with the ability to coach, mentor, and develop nursing staff • Ability to read, write, and speak the English language Essential Functions Clinical Leadership & Resident Care • Provide overall clinical leadership to ensure high ‑ quality resident care, regulatory compliance, and strong clinical outcomes • Oversee, direct, and support nursing staff in the delivery of safe, effective, and compassionate care • Oversee the comprehensive care planning process and ensure interdisciplinary coordination • Uphold resident rights, including dignity, privacy, informed consent, and safety • Ensure timely communication with physicians, families, and responsible parties regarding significant changes in condition • Participate in pre ‑ admission assessments and approve admissions in coordination with the Administrator Regulatory Compliance & Survey Readiness • Ensure compliance with all federal, state, and local regulations governing SNF operations • Lead regulatory surveys, complaint investigations, and Plans of Correction (POCs) • Maintain continuous readiness for unannounced surveys and regulatory visits • Ensure timely corrective actions for survey deficiencies and grievances • Maintain compliance with health, fire, safety, sanitation, OSHA, and disaster ‑ preparedness standards Infection Prevention & Safety • Oversee the Infection Preventionist and Infection Control Program, including surveillance, reporting, and staff edu

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $48.00/hr ($99,840/yr). The typical range is $39.37 – $55.77/hr (25th–75th percentile).

Entry Level (10th) $74,859/yr

Houston Median $99,840/yr

Experienced (90th) $130,437/yr

vs. National Median +2.3%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.