Description
“How do you live in the moment?”

We are passionate about ‘Making Every Moment Matter’™. We are seeking a candidate thatshares our values - a person who has a passion to make a difference, who has a robust moralcompass and who has a commitment to teamwork. The ideal candidate is a warm and lovingperson who makes meaningful connections with those they are caring for.

Step into the pivotal role of Director of Care (DOC) to lead our nursing team in delivering exceptional day-to-day health care operations, ensuring compliance with the Ministry of LTC and other relevant legislation. Join us and make a significant impact on health care today!

Reporting to the Administrator/Executive Director , and through management to the Board of Directors in accordance with the home’s governance structure, the Director of Care (DOC) is the senior nursing leader and designated Director of Nursing and Personal Care under Ontario’s Fixing Long-Term Care Act, 2021 (FLTCA) and O. Reg. 246/22.

The DOC is accountable for planning, organizing, directing and evaluating all nursing andpersonal support services to ensure safe, effective, resident-centred care and compliance with:

Ministry of Long-Term Care / Ministry of Health legislation, regulations, standards anddirectives

Ministry of Labour requirements (OHSA and related regulations)

Public Health and IPAC standards and guidance

College of Nurses of Ontario (CNO) legislation, standards and guidelines

CARF standards and requirements (where applicable to the home’s accreditation status)

Other applicable laws and professional/organizational policies.

The DOC provides visible clinical and operational leadership, foster a culture of safety,inclusion and continuous quality improvement, and works collaboratively with theAdministrator, Medical Director, physicians/NPs, interprofessional team, residents, families andexternal partners.

Wage Rate:

The starting annual salary is $110,000.00

Vacancy:

This is an existing vacancy.

Key Responsibilities

1. Regulatory, Professional & Board Accountability

Serve as the Director of Nursing and Personal Care as defined in FLTCA and O. Reg.246/22.

Ensure all nursing and personal support services comply with FLTCA, O. Reg. 246/22,CNO standards, PHIPA, HCCA, SDA, OHSA and Public Health/IPAC requirements.

Develop, implement and regularly review nursing/personal support policies, proceduresand clinical protocols to reflect legislation, CNO and evidence-informed practice.

Prepare and present regular reports to the Administrator and Board of Directors/Board Committees (e.g., Quality Committee) on:

Care quality and resident outcome indicators

Critical incidents, complaints and risk trends

Outbreaks and infection control issues

CQI initiatives and accreditation (including CARF progress).

Ensure timely mandatory reporting to the Ministry, Public Health and other authorities(critical incidents, abuse/neglect, outbreaks, workplace injuries etc.).

2. Resident Care & Clinical Leadership

Provide overall leadership for the assessment, planning, implementation and evaluation of resident care to ensure it is safe, person-centred, culturally sensitive andgoal-concordant.

Oversee care planning, documentation and interprofessional collaboration, including restorative, palliative and behavioural support programs.

Provide leadership and oversight for key clinical programs (e.g., medicationmanagement, falls, skin and wound care, pain, restraints, responsive behaviours,continence, nutrition/hydration).

Promote and support evidence-informed practice, clinical pathways and best practiceguidelines.

3. Staffing, Human Resources & Labour Relations

Plan, implement and monitor staffing models and skill mix to ensure sufficient and competent nursing and personal support staff on all shifts, consistent with legislativeand funding requirements.

Oversee recruitment, selection, orientation, scheduling and performance management ofnursing and personal support staff.

Work with HR on labour relations (collective agreement interpretation, attendancemanagement, progressive discipline, accommodation, return-to-work).

Promote a psychologically and physically safe workplace, complying with OHSA,workplace violence and harassment policies, and WSIB obligations; participate in/support the Joint Health & Safety Committee.

4. Budget, NPC Envelope & Resource Management

Monitor and manage the nursing department operating budget , with specificaccountability for the Nursing and Personal Care (NPC) funding envelope and otherrelated funding, in line with Ministry funding policies and eligible expenditureguidelines.

Lead the preparation of nursing and NPC envelope forecasts, including analysis oftrends (e.g., acuity, staffing mix, overtime, agency use) and identification of financial andoperational risks and mitigation strategies.





Conduct regular variance reviews of the nursing/NPC budget, investigate root causes ofvariances, and implement timely corrective action plans while maintaining resident carequality and safety.

Collaborate with Finance and the Administrator to support responsible resourceallocation, procurement and capital/operational planning as it relates to nursing andpersonal support services.

Provide leadership and oversight for the home’s IPAC program, ensuring compliancewith provincial IPAC standards and Public Health guidance for long-term care.

Collaborate with the home’s IPAC Lead/Designate to monitor and reinforce IPACpractices, conduct audits, and implement quality improvements.

Coordinate outbreak preparedness and response in conjunction with the Public HealthUnit, including communication with residents, families and staff.

6. Continuous Quality Improvement (CQI), Risk Management & Accreditation (includingCARF)

Lead the nursing and personal support components of the home’s Continuous Quality Improvement (CQI) work as required under the FLTCA and O. Reg. 246/22.

Partner with the quality lead and Administrator to develop, implement and evaluate thehome’s CQI workplan and annual report , ensuring required quality indicators andimprovement projects are in place and monitored.

Use interRAI LTCF data, clinical outcome scales, quality indicators and CAPs,along with other resident outcome data (e.g., incident trends, complaints,surveys), to identify priorities, monitor trends and measure improvement.

Use resident outcome data (e.g., interrail LTCF, CIHI/OH indicators), incidents,complaints and resident/family feedback to identify priorities, monitor trends andmeasure improvement.

Integrate quality improvement tools and methods (e.g., PDSA cycles, root causeanalysis, audits, scorecards) into day-to-day operations and leadership practices.

Provide leadership for accreditation-related activities, including CARF where applicable:

Align nursing and personal support services with CARF standards

Coordinate self-assessment, survey preparation, on-site survey activities andfollow-up actions

Ensure ongoing readiness and integration of CARF requirements into policies,practices, quality and risk management and Board reporting.

7. Education, Coaching & Professional Practice

Ensure nursing and personal support staff receive mandatory and role-specific education(e.g., abuse prevention, dementia, responsive behaviours, IPAC, OH&S;, medicationsafety, documentation, resident rights).

Coach and mentor charge nurses, RNs, RPNs and PSW leads in clinical decision-making,delegation, documentation and collaborative practice consistent with CNO standards.

Support staff education and competency related to interRAI LTCF assessments and theuse of assessment outputs in care planning and CQI.

Promote professional accountability, reflective practice and a culture of respect, inclusionand continuous learning.

8. External Partnerships, Research & Innovation

Build and maintain effective partnerships with external organizations and resources,

Hospitals and Ontario Health Teams

Primary care providers, specialists and clinics

Community support and mental health/addictions agencies

Colleges, universities, professional associations and LTC networksto support resident care, transitions, staff development, and system integration.

Represent the home on relevant external committees, networks and working groups andbring back learnings, best practices and opportunities for innovation.

Explore, evaluate and facilitate opportunities for the home to participate in appliedresearch, evaluation and innovation projects that:

Align with resident needs and organizational priorities

Support CARF and CQI goals

Comply with ethical, legal and privacy requirements.

Serve as or support the operational lead/liaison for research and innovation projectsinvolving nursing and personal support services (e.g., pilot projects, trials of new modelsof care, technology implementations).

Promote the ethical conduct of research in the home, ensuring resident rights, informedconsent, privacy and data security and consistency with organizational policies andapplicable legislation.

Qualifications

Required

Current Registered Nurse (RN) certificate of registration in good standing with the College of Nurses of Ontario (CNO) or Registered Nurse registered with aregulatory authority in a Canadian jurisdiction, other than Ontario,



and holds in thatjurisdiction the equivalent of a certificate of registration authorizing independentpractice in Ontario as of right exemption Bill 60

Bachelor of Science in Nursing ( BScN ) or equivalent education accepted by CNO.

Minimum 3 years of recent nursing leadership/management experience in health care,including direct staff supervision; at least 1 year in long-term care or gerontologicalpractice is strongly preferred but not required.

Demonstrated, in-depth knowledge of:

FLTCA and O. Reg. 246/22

Nursing Act, RHPA, PHIPA, HCCA, SDA

OHSA and relevant regulations

Public Health and IPAC standards/guidance for LTC

CNO practice standards and guidelines.

Demonstrated working knowledge of the interRAI Long‑ Term Care Facilities (interRAILTCF) assessment system (or equivalent RAI‑ based LTC assessment), including itsapplication to care planning, quality indicators and case‑ mix/funding where applicable.

Proven ability to lead Continuous Quality Improvement (CQI)/QI initiatives , usingQI methods and data to improve resident outcomes and staff practice.

Experience in budget management , including monitoring, forecasting and varianceanalysis, preferably for a clinical department or LTC NPC envelope.

Strong leadership competencies, including team building, conflict resolution,coaching/mentoring, change management and strategic thinking.

Excellent communication (oral and written), interpersonal, organizational andtime-management skills.

Proficiency in electronic health records/EMR systems, Microsoft Office and use ofdata/analytics in decision-making.

Asset Qualifications

Previous experience as a Director of Care/Director of Nursing and Personal Care or Assistant DOC in a long-term care home.

Experience with accreditation (e.g., CARF, Accreditation Canada/HSO LTC standards)and related self-assessment, survey and follow-up processes.

Formal education or certification in one or more of: gerontology, dementia care, leadership/management, quality improvement, IPAC, occupational health andsafety.

Experience preparing and/or implementing CQI or Quality Improvement Plans/Reports within Ontario or similar health-care quality frameworks.

Demonstrated success in building partnerships with external organizations (hospitals,community agencies, colleges/universities, research/education networks) to enhanceresident care, staff development or innovation.

Completion of interRAI LTCF assessor training/education and/or certification, and/orexperience as a “super‑ user” or trainer for interRAI/RAI assessment systems, is a strongasset.

Experience participating in or leading practice-based research or innovation projects in health care (e.g., pilot projects, applied research, collaborative QI/researchinitiatives).

Other Employment Requirements

Satisfactory vulnerable sector criminal reference check.

Proof of required immunizations and TB screening in accordance with Public Health. TheEmployer strongly recommends to “stay up to date” with the recommended vaccines.Vaccination requirements are subject to change as determined by the Employer.

Ability and willingness to work flexible hours, including on-call responsibilities forclinical/operational issues on a rotational or ongoing basis as part of the leadership team.

Two supervisory references required

French speaking an asset Lancaster

What do we offer you?

Competitive wages

Employee benefits

Employee and Family Assistance Program

Support for personal and professional growth

We look forward to speaking with you and Making Every Moment Matter™. Although weappreciate all applicants' interest, only those selected for further consideration will be contacted.

As part of our recruitment process, we may use secure, limited AI tools to assist withadministrative tasks such as organizing applications or analyzing role alignment. These tools areused solely to support our recruitment team. All hiring decisions are made by people. We are committed to ensuring our hiring practices are equitable, inclusive, and privacy-conscious. Any personal information collected or processed is handled in accordance with thePersonal Information Protection and Electronic Act (PIPEDA) and our internal privacy policies.

We strive to be diverse, inclusive, fair, equitable and accessible by addressing barriers andpromoting dignity and respect for all. If you require accommodation at any time during therecruitment process, please contact the hiring manager.

Qualifications
Skills
Required
3 years of RN Supervisory Experience
Expert

Preferred
Person-centered approach
Expert

Ability to Meet Clinical Infection Protocols
Expert

Ability to Work Collaboratively
Expert

Expert

Verbal Communication
Expert

Computer Skills
Expert

Evidence Based Clinical Practice Knowledge
Expert

Ability to Work Independently
Expert

Interpersonal Skills
Expert

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📌 Director Of Care (Ontario)
🏢 Lancaster Long Term Care Residence
📍 Ontario