Director of Nursing
Touchstone Communities
San Antonio, TX

Director of Nursing (DON)

Make Lives Better. Be a Part of Something Meaningful: The Touchstone Experience.

At Touchstone Communities, our purpose is simple yet powerful: to make lives better—for our residents, their families, and the dedicated team members who care for them every day. The Touchstone Experience is defined by compassionate care, clinical excellence, accountability, and a deep respect for the individuals and communities we serve.

We are currently seeking an exceptional Director of Nursing (DON) to join Del Rio Nursing and Rehab.  This role is ideal for a visionary nursing leader who is clinically strong, operationally savvy, and deeply committed to developing people while driving quality outcomes in a skilled nursing environment.

Key Responsibilities:

Clinical & Regulatory Excellence

• Provide strategic and day-to-day leadership of all nursing services in the community.
• Ensure compliance with all federal, state, and local regulations, including CMS, DADS, QAPI, and infection control standards.
• Lead initiatives that drive strong clinical outcomes, survey readiness, and sustained CMS 5-Star performance.
• Oversee clinical risk management, quality improvement initiatives, and performance monitoring.

Leadership & Team Development

• Build, mentor, and retain a high-performing clinical team through coaching, education, and accountability.
• Foster a culture of trust, collaboration, and professional growth aligned with Touchstone values.
• Serve as a hands-on educator—developing nurses at all levels through ongoing training, skills validation, and leadership development.
• Promote staff engagement, morale, and retention through visible leadership and recognition.

Resident-Centered Care

• Champion individualized, compassionate care that honors resident dignity, choice, and quality of life.
• Partner with residents, families, physicians, and interdisciplinary team members to ensure optimal care planning and outcomes.
• Lead by example in establishing meaningful connections with residents and families.

Operational Partnership

• Collaborate with the Administrator on staffing strategies, budgeting, and resource utilization.
• Ensure efficient scheduling, appropriate skill mix, and optimal staffing levels to support quality care and regulatory compliance.
• Utilize data and metrics to inform decisions, improve performance, and achieve organizational goals.

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What We’re Looking For:

Required Qualifications

• Active Registered Nurse (RN) license in the state of practice.
• Minimum of 5 years of experience as a Director of Nursing in a skilled nursing facility.
• Demonstrated success in regulatory compliance, survey management, and quality improvement initiatives.
• Strong working knowledge of CMS 5-Star Quality Rating System, MDS, QAPI, and clinical best practices.

Ideal Leadership Profile

• A confident, compassionate, and accountable leader who leads with integrity.
• A natural teacher and mentor who is passionate about developing others.
• A collaborative team-builder with a positive outlook and solutions-focused mindset.
• An adaptable leader who thrives in a fast-paced environment and embraces change.
• Deeply aligned with Touchstone’s mission to make lives better—every day, for everyone.

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Why Join Touchstone Communities?

We don’t just offer jobs—we offer careers with purpose. At Touchstone, we invest in our leaders and recognize the impact they make.

What You’ll Love:

• Your voice matters—be part of a culture where ideas are welcomed and leadership is empowered.
• Competitive compensation with eligibility for performance-based bonuses.
• Comprehensive benefits, including medical coverage starting the first of the month after hire and no-cost life insurance.
• Professional growth & education with tuition reimbursement and ongoing leadership development.
• Financial well-being support, including paycheck advances and a 401(k) with company match.
• Work-life balance with PTO accrual beginning on day one.
• Recognition & incentives, including the Shine Bright Team Member Bonus Program and referral bonuses.
• Emergency assistance through the Touchstone Emergency Assistance Foundation Grants.