Director of Nursing

Director of Nursing (DON) – Registered Nurse

Huntington Healthcare & Rehabilitation

220 E. Ash Street, Huntington, TX 75949 Job Type: Full-time

Schedule

Monday–Friday, with leadership on-call responsibilities

Compensation

Competitive salary based on experience Reports to: Facility Administrator

About Huntington Healthcare & Rehabilitation

Huntington Healthcare & Rehabilitation is the only locally owned and operated Skilled Nursing Facility in Angelina County, serving residents throughout all of the East Texas Pineywoods. We provide compassionate, resident-centered nursing and rehabilitation services in a welcoming environment where residents, families, and employees are treated with dignity and respect.

We are seeking a dependable Director of Nursing (DON) to lead our nursing department. This position is ideal for an RN leader who combines strong clinical judgment with the ability to develop staff, manage daily operations, maintain regulatory compliance, and create a culture of accountability and excellent resident care.

Position Summary

The Director of Nursing is responsible for the overall leadership, organization, and management of nursing services throughout the facility. The DON establishes standards of nursing practice, supervises clinical personnel, monitors resident outcomes, supports appropriate staffing, and ensures that care is delivered in accordance with physicians’ orders, resident care plans, facility policies, and all applicable federal and Texas requirements.

Working closely with the Administrator, Medical Director, interdisciplinary team, residents, and families, the DON will help ensure that every resident receives safe, compassionate, individualized care.

Essential Duties and Responsibilities of our Nursing leadership

• Direct, organize, and evaluate all nursing services provided by the facility.

• Provide visible, hands-on leadership to RNs, LVNs/LPNs, CNAs, restorative nursing staff, and other members of the clinical team.

• Establish clear expectations for clinical performance, professionalism, communication, documentation, and resident safety.

• Support nurse managers, charge nurses, and other clinical leaders in performing their responsibilities effectively.

• Conduct employee coaching, counseling, performance evaluations, and corrective action in coordination with the Administrator and Human Resources.

• Promote teamwork, accountability, employee engagement, and respectful communication.

• Participate in leadership meetings and contribute to facility-wide operational planning.

Resident care and clinical oversight

• Ensure each resident receives appropriate nursing care based on individual needs, diagnoses, preferences, and physician orders.

• Monitor changes in condition and ensure timely notification of physicians, responsible parties, and appropriate members of the care team.

• Review significant clinical events, including falls, infections, skin concerns, medication errors, weight changes, hospital transfers, and changes in functional status.

• Oversee systems for wound prevention and management, infection prevention, fall reduction, medication management, behavioral health, pain management, and restorative nursing.

• Ensure that resident assessments and care plans are accurate, current, person-centered, and implemented consistently.

• Participate in resident care conferences and high-risk resident reviews as appropriate.

• Make clinical rounds to assess resident care, staff performance, documentation, infection-control practices, and environmental safety.

• Respond promptly and professionally to concerns raised by residents and families.

• Ensure residents’ rights, privacy, dignity, choices, and quality of life are protected.

Regulatory compliance and quality assurance

• Maintain compliance with applicable federal and state regulations, professional nursing standards, and facility policies.

• Prepare the nursing department for surveys, inspections, complaint investigations, and other regulatory reviews.

• Participate in survey activities and lead the development and implementation of corrective action plans when necessary.

• Oversee nursing documentation to ensure accuracy, completeness, timeliness, and consistency with the resident’s condition and plan of care.

• Participate actively in the facility’s Quality Assurance and Performance Improvement program.

• Analyze clinical data, trends, incidents, grievances, rehospitalizations, and other quality indicators.

• Develop measurable improvement plans and monitor their effectiveness.

• Ensure allegations of abuse, neglect, exploitation, misappropriation, or mistreatment are immediately protected against, reported, investigated, and addressed according to policy and law.

• Collaborate with the Infection Preventionist to maintain an effective infection prevention and control program.

• Support emergency preparedness, disaster response, and continuity-of-care planning.

Staffing and nursing operations

• Develop and monitor nursing schedules to maintain appropriate coverage based on resident acuity, census, and regulatory requirements.

• Monitor overtime, attendance, turnover, and staffing patterns.

• Work with department leaders to address staffing needs and promote employee retention.

• Ensure nursing supplies, equipment, and medications are available, maintained, and used appropriately.

• Help manage the nursing department budget while preserving resident safety and quality of care.

• Participate in the review of prospective admissions and evaluate whether the facility can safely meet each individual’s clinical needs.

• Support safe admission, transfer, discharge, and hospital-return processes.

• Participate in the facility’s clinical on-call rotation and respond to urgent operational or resident-care concerns outside normal business hours when required.

Staff education and development

• Ensure nursing employees receive appropriate orientation before independently performing assigned duties.

• Identify training needs through observation, audits, performance reviews, incidents, and quality data.

• Coordinate ongoing education and competency validation for nursing personnel.

• Reinforce current standards of practice related to documentation, medication administration, infection prevention, emergency response, resident rights, abuse prevention, and condition changes.

• Encourage professional development and advancement among nursing employees.

Required Qualifications

• Current, active, and unrestricted Registered Nurse license in the State of Texas .

• Clinical experience in skilled nursing, long-term care, rehabilitation, or a closely related healthcare setting.

• Working knowledge of resident assessment, care planning, nursing documentation, infection prevention, medication management, and quality improvement.

• Knowledge of applicable long-term-care regulations and survey expectations.

• Current CPR/BLS certification or ability to obtain certification within the facility’s required timeframe.

• Ability to pass all employment-related background checks, screenings, and health requirements.

• Ability to participate in an administrative or clinical on-call rotation.

Preferred, but not Required

• At least three to five years of long-term-care or skilled-nursing experience.

• Experience leading a facility through regulatory surveys.

• Familiarity with the Minimum Data Set, Medicare and Medicaid requirements, quality measures, electronic health records, and reimbursement-related clinical documentation.

• Experience with staff development, infection prevention, wound care, risk management, or performance improvement.

Knowledge, Skills, and Abilities

The successful candidate will demonstrate

• Strong clinical assessment and decision-making skills.

• Confident, fair, and approachable leadership.

• Excellent organization and attention to detail.

• The ability to prioritize competing clinical and operational demands.

• Effective verbal and written communication.

• The ability to coach employees and address performance concerns constructively.

• Sound judgment when handling confidential or sensitive information.

• The ability to collaborate with residents, families, physicians, pharmacy providers, rehabilitation professionals, and other members of the interdisciplinary team.

• Comfort reviewing clinical reports, identifying trends, and implementing corrective action.

• Proficiency with electronic health records, email, and standard office technology.

• A genuine commitment to compassionate care and service to older adults and individuals requiring rehabilitation or long-term support.

Physical Requirements

The Director of Nursing must be able to perform the essential functions of the position, with or without reasonable accommodation. Duties may require the employee to:

• Remain standing or walking for extended periods.

• Sit, bend, reach, push, pull, and move throughout the facility.

• Assist with resident care or emergency response when necessary.

• Lift or move weight consistent with facility safety policies and applicable job requirements.

• Communicate effectively with residents, families, employees, and healthcare professionals.

• Work around potential exposure to infectious conditions, medical equipment, cleaning products, and other conditions commonly present in a healthcare environment.

What We Offer

Eligible employees may receive a competitive total-rewards package, which may include:

• Competitive salary.

• Medical, dental, and vision insurance.

• Paid time off and paid holidays.

• Retirement-plan options.

• Supportive leadership and a collaborative work environment.

• Opportunities to make a meaningful impact in a locally and family-owned skilled nursing community.

Benefit eligibility, coverage, and waiting periods are governed by the terms of the applicable benefit plans and facility policies.

Why Join Huntington Healthcare & Rehabilitation?

At Huntington Healthcare & Rehabilitation, nursing leadership is about more than managing a department. It is an opportunity to shape the quality of care, support dedicated healthcare professionals, earn the trust of families, and improve residents’ daily lives.

If you are an RN who values compassionate care, high standards, and strong teamwork, we invite you to apply.

Apply today by submitting your CV or résumé at the following link: https://bit.ly/HHREmploymentApplication

Huntington Healthcare & Rehabilitation is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, pregnancy, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable law.

Benefits

• 401(k)

• Dental insurance

• Health insurance

• Life insurance

• Paid time off

• Vision insurance

Work Location: In person