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Altoona Nursing and Rehab

Director of Nursing

Altoona, Iowa

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RNExecutive Nurses & Nurse AdministratorsAdministrative & Consulting NursesDirectors of Nursing

Posted Aug 12, 2026 · Last seen active Aug 13, 2026

What the posting states

Patient load & staffing
Ensures proper staffing level, working as staff nurse if needed.

About this role

Show full description
At Campbell Street, you’ll find purpose, growth, and a team that has your back. We’re committed to creating a workplace where you can thrive – personally and professionally, while making a real difference in the lives of others. If you’re ready to be part of a team that truly cares – we’re ready for you. ABOUT CAMPBELL STREET Great Place to Work® Certified Same-Day Pay + Flexible Scheduling 401(k) Match + Certification Reimbursement Mission: Developing Exceptional People Who Drive Extraordinary Care SMART Values: Servant Leadership, Mirror First, Always Do the Right Thing, Resilience, and Transparency Extra Perks Referral Bonus opportunities for ALL positions Succession planning – true career growth planning & opportunities Annual leadership development summits Scholarship opportunities POSITION SUMMARY The DON leads and manages the nursing department and is ultimately accountable to ensure the highest quality nursing care is received by residents. The DON interprets nursing policies and procedures in collaboration with the Director of Clinical Services to support the provision of nursing care and delegated medical care. All work is performed and guided by the Residents’ Bill of Rights and abides by the facility Quality Assurance and Performance Improvement (QAPI) program. The major challenges of this position are the recruitment and retention of qualified licensed and non-licensed personnel. ESSENTIAL RESPONSIBILITIES AND DUTIES Oversee hiring, terminating and development of nursing staff. Monitors job performance and performance evaluations of nursing staff, completes performance evaluations of Assistant Director of Nursing Services, Restorative Care Coordinator, Care Plan Coordinator, Medical Records Clerk, Nurse Supervisors, all Nursing Direct Care Partners and recommends employee promotions and terminations to the Administrator. Monitors ongoing staff development programs for all nursing personnel. Monitors the staffing levels of various nursing sections; directs staff rotations and reschedules personnel to meet increased or decreased nursing service demands. Develops nursing service objectives, policies and procedures and directs their implementation. Continuously monitors Federal and State guidelines and requirements; revises departmental procedures accordingly. Recommends in-service educational programs geared to the specialized needs of geriatric patients. Functions as a liaison between the elders, their families, staff, and the public - responding to inquiries and providing information on nursing care and services and may screen prospective elders to assure that staff has the ability to provide the care needed. Assures that there is compliance with the regulations pertaining to care plans and elder assessments. monitors the quality of care provided to elders with dementia and assists in the assessment process for admission to and exit from the unit. This position also monitors the success of the Restorative Care Program in providing restorative nursing that maximizes each elder’s existing abilities. This position collaborates with contract therapy companies to enhance the quality of care for the elderly. This position assists with the preparation of the Departmental annual budget and maintains the operating budgets for personnel and medical equipment and makes budget recommendations to the purchase of such equipment. The Director of Nursing Services is responsible for overseeing and implementing infection control, pharmaceutical and physical/chemical restraint policies, and procedures, and assures that committee recommendations are carried out. SUPERVISION AND MANAGEMENT Manages, supervises, and evaluates nursing practices, articulates expectations, and provides corrective guidance as needed. Prioritizes work assignments consistent with level of staff available and resident care acuity. Ensures proper staffing level, working as staff nurse if needed. Ensures duties re complete, following up with delegated tasks and reviews departing staff reports. Provides nursing reports to staff regarding daily resident care needs and significant changes in condition. Maintains knowledge of disaster procedures and implements if needed. Promptly reports and documents incidents and errors involving residents, staff, visitors, or self. BENEFITS: At Campbell Street, we believe in taking care of our employees just as they care for others. We offer a comprehensive benefits package designed to support your health, financial well-being, and career growth. Whether you're looking for great insurance options, financial security, or educational support, we’ve got you covered. Our Benefits Include: Medical, Dental, and Vision Insurance Long-Term & Short-Term Disability Paid Life Insurance Policy + Additional Voluntary Life Insurance Accident & Critical Illness Insurance Matching 401(k) Retirement Plan Same-Day Pay Generous Paid Time Off (PTO) Employee Assistance Program (EAP) At Campbell Street, your well-being, growth, and financial future matter—join us and experience the support you deserve! Important Notice: Campbell Street will never ask candidates to pay for job placement, training, or provide banking or financial information during the hiring process. If you receive an unsolicited offer or interview request that seems suspicious, please contact us directly at adekkers@campbellstreetsl.com to verify its legitimacy. Campbell Street provides equal employment opportunities (EEO) to all employees and applicants in accordance with applicable federal, state, and local laws. We prohibit discrimination and harassment of any type and make all employment decisions based on qualifications, merit, and business needs. QUALIFICATIONS Education and Experience Graduation from an accredited School of Nursing. Current Registration as a Registered Nurse for the state in which the facility is located. Current Certification in Cardiopulmonary Resuscitation (CPR) and emergency care Preferred Three years of experience in skilled nursing and/or assisted living community. Significant critical care and operations management experience Required Skills and Abilities Strong understanding of skilled nursing standards of care Strong understanding of federal and state regulations including Medicare, Medicaid, and Managed Care reimbursement rules Very high level of professionalism Excellent communication skills Compassionate leadership qualities Strong critical thinking skills and adaptability Leadership; achieves established goals through inspiration and loyalty of staff. Resilience: ability to welcome constructive feedback, course correct and not take it personally Personability; ability to get along with all personality types and inspire trust with residents, staff, family High emotional intelligence (EQ) Ability to actively listen, with the goal of understanding. Ability to clearly speak and proficiently read, write, and understand English.

Requirements

  • Nursing policy compliance
  • Clinical staff performance evaluation
  • Managed Registered Nurses (RNs)
  • Financial operations
  • Clinical program budget management
  • Healthcare incident report preparation
  • CPR Certification
  • Experience working with individuals with dementia

About the employer

Altoona Nursing and Rehab logo
Altoona Nursing and Rehab
Rehab Center

Iowa is a compact-license state, and state income tax runs as a flat rate around 3.8%. Life around Altoona tends toward quieter residential streets, parks and trails nearby, and an average commute of about 22 minutes if you head into…

3.2 Google rating

What reviewers appreciate

  • Sign-on bonus listed as available for positions
  • Referral bonuses listed as available
  • Attendance bonuses listed as available

What reviewers flag

  • Bonus amounts are not published
  • No usable base-pay figures from our postings yet
  • Little public detail on scheduling, ratios, or unit culture
rehabhiringreferralssign-onattendancecommunity

Living in Altoona, IA

Altoona is a growing Des Moines suburb known for family-friendly attractions like Adventureland amusement park. This central Iowa community offers a small-town feel with easy metro access, making it appealing for nurses seeking quieter living near urban amenities.

Map showing the location of Altoona, IA
Altoona, IA on the map · © Mapbox © OpenStreetMap· Open the live map
State price level · Iowa
12% below the national average
State index 87.8 (100 = national)
Median gross rent
$1,235/mo
rent and tenant-paid utilities

U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024

Browse open roles in Altoona

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through the base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load and floating handled day to day?
Open the full posting report

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