Director of Nursing · 140-bed skilled nursing facility · filled after 120 days open
The challenge
A 140-bed skilled nursing facility was operating under a critical clinical leadership vacancy. The Director of Nursing position had been open for 120 days, forcing the facility to rely on expensive interim travel-nurse management and causing the CMS Quality Star rating to slip. Referrals were on hold due to nursing documentation backlogs.
The work
We launched an engaged search, mapping senior clinical RNs in a 40-mile radius who were currently working in peer facilities. We ran voice-AI screening and clinical qualifications verification through ProHireHQ, checking each candidate's survey record directly with state licensing databases. We surfaced a passive candidate who had managed a nearby 5-star facility through a clean survey cycle.
The result
Closed in 48 days. Within 9 months of start, the placed DON rebuilt the internal RN team, reducing contract travel-agency labor spend by 62%, clearing the documentation backlog, and restoring referral relations to lift occupancy from 76% to 89%.
“We had an empty DON seat for four months and were bleeding money to agencies. James Pemberton's team mapped the local market, identified a leader who wasn't actively looking, and had her in our building within seven weeks. The agency spend reduction alone paid for the search fee in the first 30 days.”