SNF Director of Nursing

Skilled Nursing Facility

Executive Director

Full Time

The Skilled Nursing Facility Director of Nursing (SNF DON) will have responsibility and accountability for the nursing services within the facility and serve only one facility in the capacity at any one time. The SNF DON maintains current knowledge of California Title 22, OSHA, Center for Disease Control (CDC) and CMS regulations, as well as other applicable standards to ensure that standards are met.

This position is responsible for the overall administration and management of nursing services in the Skilled Nursing Unit; planning, organizing, developing and implementing quality nursing service programs; for the ongoing professional development of licensed and non-licensed staff; and maintaining compliance with CDPHS licensing guidelines and regulatory requirements. Ability to maintain excellent interpersonal relations with internal staff and external vendors.

• Upholds and maintains the mission, vision, policies and procedures of the Chinese Hospital and SNF Department.
• Will be employed eight hours a day, on the day shift five days a week.
• Acts as part of the leadership team for the facility in developing and maintaining the facility budget, program direction, policies and procedures, plans for resident care, performance improvement, patient safety and other leadership responsibilities.
• Acts as administrative designee during emergency situations e.g., direction during fire, disaster, evacuation etc. Implements call back of personnel during an emergency. Provides directions and ensures that all appropriate persons and agencies are notified in a timely manner.
• Acts as a leader of the performance improvement program by collecting pertinent data, analyzing data and making recommendations for improvement as needed.
• Acts as leader in resident safety by ensuring the infection control and environmental safety rounds are completed on a monthly basis.
• Ensures that national patient safety goals are met.
• When safety and/or infection control issues are identified, initiates a plan of correction.
• Ensures that all incidents of resident injury receive prompt attention. Ensures that incident reports concerning resident injuries are tracked, trended and analyzed.
• Notifies CDPH of all required reportable incidents.
• Screens prospective residents to ensure that staff has the ability to provide the care needed.
• Provides overall direction to the nursing services with supervision over nursing staff.
• Ensures medication administration oversight by ensuring proper medication administration practices are followed, informed consents are signed and obtained prior to administering psychotherapeutic medications, reporting adverse drug reactions (ADR) and ensuring follow up treatment, accurately counting controlled drugs, assuring discontinued drugs are destroyed per procedure, medication refrigerators are maintained / documented daily, and resident drug reactions, refusal, etc. are reporting to the physician in a timely manner.
• Oversees the review, revision and implementation of policies and procedures as necessary and at least annually.
• Completes all assigned performance evaluations in a timely manner.
• Reviews and revises job descriptions and performance evaluations as necessary and at least annually.
• Prepares nursing budget, monitors expenditures and controls costs.
• Participates in hiring, mentoring, counseling, completing performance evaluations, disciplinary action and termination per corporate policy.
• Acts as administrative designee during emergency situations e.g. direction during fire, disaster, evacuation etc. Implements call back personnel during an emergency. Provides directions and ensures that all appropriate persons and agencies are notified in a timely manner.
• Serves as lead for all CDPH surveys and other surveys performed by agents of CMS/CDPH.
• Responds promptly to all requests from agencies including, but not limited to, the California Department of Public Health (CDPH).
• Participates in developing a plan of correction(s) to address any identified deficiencies following the prescribed format.
• Implements any plan of correction(s) developed for the facility and provides ongoing monitoring to ensure that compliance is achieved.
• Reviews staffing to ensure appropriate staffing to meet residents’ needs.
• Ensures appropriate interventions when there is a blood borne pathogen exposure by providing first aid to residents and health care workers and ensures that prompt medical attention is provided. Completes investigation in a thorough and complete manner and reports to infection control designee.
• Ensures that infection control duties are completed in a timely manner.
• Ensures that the duties of the director of staff development are completed in a timely manner and that all staff mandatory education is completed and documented.
• Ensures that all assessments and reassessments include a suicide assessment.
• Ensures that resident education is completed as assigned and accurately documented including resident’s response to the education.
• The Director of Nursing Services develops nursing service objectives, policies and procedures and directs the implementation of these objectives.
• The incumbent continuously monitors Federal and State guidelines and requirements and revises Departmental procedures accordingly.
• This position recommends in-service educational programs geared to the specialized needs of geriatric patients.
• This position also monitors on-going staff development programs for all nursing personnel.
• Functions as a liaison between the residents, their families, staff and the general public – responding to inquiries and providing information on nursing care and services.
• This position also monitors the success of the Restorative Care Program in providing restorative nursing that maximizes each resident’s existing abilities. This position collaborates with the contracted Rehabilitation vendor to enhance the quality of care for the residents.
• 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 as to the purchase of such equipment.

General Responsibilities:

• Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc.
• Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials. Failure to do so may result in disciplinary action up to and including termination.
• Customer Service – Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed.
• Communication ¬ Keeps manager and team informed of progress, problems, development and plans. Gets along and interacts positively with co-workers and others.
• Maintains resident confidentiality according to facility policy and HIPPA guidelines.
• Successfully completes all competency requirements on hire and annually.
• Maintains clinical license and certifications as applicable.
• Uses proper body mechanics and safety precautions in job duties.
• Uses supplies and equipment in a cost-effective way.
• Reads and follow new procedures, policies and program changes.
• Adheres to the policies and procedures of Castlewood West Treatment Center for attendance including reporting to work, use of sick leave, vacation, overtime and dress code.
• Completes assignments in a timely manner.
• Demonstrates positive role model towards work and the workplace with behavior that supports administrative and facility decisions; creates atmosphere of mutual trust, harmony, acceptance and respect within the community.
• Participates in/and contributes to performance improvement and resident safety activities of the facility.
• Demonstrates knowledge and effectively implements the fire/safety program including the following: resident safety, security, emergency procedures, fire procedures, internal and external disaster procedures, life safety and adverse medication reactions.
• Practices good infection control practices including hand hygiene when indicated.
• Maintains open communication and participates in “hand off” information at change of shift.
• Assists in providing a safe, clean and pleasant environment for residents, families and staff.
• Performs all other duties as assigned.

• Graduate from an accredited school of nursing.
• Maintains a California RN license.
• Master’s degree in nursing is preferred.
• At least four or more years’ experience in a management position in the delivery of skilled nursing.
• Shall have at least one year of experience as a nursing supervision within the last five years and in assessing, planning implementing and evaluating nursing services/therapy to individuals with eating disorders.
• In-depth knowledge and demonstrated skill in working with an interdisciplinary team to provide individual and group therapy and maintain a therapeutic milieu.
• Knowledge and skill in providing supervision to nursing and other staff.
• Demonstrated ability to work collaboratively with all disciples to ensure quality care is provided.
• Demonstrated experience in assuring compliance with Joint Commission and Title 22 standards and best practices for eating disorder treatment programs.

While performing the duties of this job, staff is regularly required to sit, stand, walk, talk, and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties.

• Able to lift up to 30 pounds.
• Stand, walk, and move 50% of the day.
• Use proper body mechanics when handling equipment.

Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs.

Starting at $147,118-$186,368/year. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.