TIJUANA FLANAGAN, MSN-MHA
DeSoto,TX
Summary
Transformational nursing executive with over 26 years of progressive leadership experience in long-term care, skilled nursing, LTAC, inpatient rehabilitation, Acute care and multi-site home health operations. Proven track record of elevating clinical quality, strengthening regulatory compliance, and driving organizational performance across diverse healthcare environments. Expertise in leading large interdisciplinary teams to optimize operational efficiency and implement evidence-based practices that enhance patient outcomes, mitigate risk, and ensure financial sustainability. Recognized for a collaborative leadership style, strategic foresight, and an unwavering commitment to compassionate, patient-centered care.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Director of Nursing
The Plaza at Edgemere
03.2024 - 12.2025
- Maintained a CMS 5-Star Rating, ensuring excellence in quality measures, staffing, and regulatory compliance.
- Directed all clinical operations, supervising a multidisciplinary team and ensuring delivery of high-quality, person-centered care.
- Strengthened survey readiness, achieving compliance with federal, state, and Medicare regulations.
- Reduced facility-acquired infections through enhanced infection control monitoring and staff education.
- Ensured accurate and timely MDS completion, supporting reimbursement integrity and compliance.
- Implemented new nursing policies aligned with evidence-based standards and regulatory updates.
- Led root-cause analyses and corrective action plans following adverse events, reducing recurrence.
- Developed mentorship and preceptorship programs that improved nurse retention and onboarding success.
- Collaborated with case management and marketing to expand referral partnerships and census growth.
- 87-Bed Skilled Nursing & Long-Term Care Facility
Director of Nursing
Red Oak Health & Rehabilitation Center
01.2022 - 01.2024
- Directed nursing operations, ensuring compliance with regulatory standards and quality care protocols.
- Led interdisciplinary teams in developing patient-centered care plans to enhance resident satisfaction.
- Implemented evidence-based practices to improve clinical outcomes and operational efficiency.
- Mentored nursing staff, fostering professional development and promoting best practices in patient care.
- Oversaw budget management for nursing services, optimizing resource allocation and cost-effectiveness.
- Coordinated training programs to elevate nursing competencies and maintain high standards of care delivery.
- Evaluated performance metrics to drive continuous improvement initiatives across nursing departments.
- Cultivated relationships with healthcare providers and community stakeholders to enhance service offerings.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Performed rounds to observe care and interview staff, residents, and families.
- Streamlined nursing operations by optimizing staffing schedules, resource allocation, and workflow processes.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for patients with complex needs.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
- Developed strong relationships with community partners to facilitate continuity of care for patients transitioning between healthcare settings.
- Mentored new nurses through orientation programs, facilitating their integration into the team and fostering their professional growth.
- Served as a liaison between nursing leadership, hospital administration, medical staff, allied health professionals, patients, families, and other stakeholders to ensure effective communication and collaboration.
- Strengthened survey readiness, achieving compliance with federal, state, and Medicare regulations.
- 144-Bed Skilled Nursing & Long-Term Care, Memory care Facility
Director of Nursing
Crystal Creek at Preston Hollow
12.2020 - 12.2021
- Directed nursing operations, ensuring compliance with regulatory standards and quality care protocols.
- Led interdisciplinary teams in developing patient-centered care plans to enhance resident satisfaction.
- Implemented evidence-based practices to improve clinical outcomes and operational efficiency.
- Mentored nursing staff, fostering professional development and promoting best practices in patient care.
- Oversaw budget management for nursing services, optimizing resource allocation and cost-effectiveness.
- Coordinated training programs to elevate nursing competencies and maintain high standards of care delivery.
- Evaluated performance metrics to drive continuous improvement initiatives across nursing departments.
- Cultivated relationships with healthcare providers and community stakeholders to enhance service offerings.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Performed rounds to observe care and interview staff, residents, and families.
- Streamlined nursing operations by optimizing staffing schedules, resource allocation, and workflow processes.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for patients with complex needs.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
- Developed strong relationships with community partners to facilitate continuity of care for patients transitioning between healthcare settings.
- Mentored new nurses through orientation programs, facilitating their integration into the team and fostering their professional growth.
- Served as a liaison between nursing leadership, hospital administration, medical staff, allied health professionals, patients, families, and other stakeholders to ensure effective communication and collaboration.
- Strengthened survey readiness, achieving compliance with federal, state, and Medicare regulations.
- 55-Bed Skilled Nursing & Long-Term Care, 35-Bed Memory care, 68-Bed assisted living Facility
Director of Nursing
Heritage Oaks Nursing & Rehab
07.2020 - 12.2020
- Directed nursing operations, ensuring compliance with regulatory standards and quality care protocols.
- Led interdisciplinary teams in developing patient-centered care plans to enhance resident satisfaction.
- Implemented evidence-based practices to improve clinical outcomes and operational efficiency.
- Mentored nursing staff, fostering professional development and promoting best practices in patient care.
- Oversaw budget management for nursing services, optimizing resource allocation and cost-effectiveness.
- Coordinated training programs to elevate nursing competencies and maintain high standards of care delivery.
- Evaluated performance metrics to drive continuous improvement initiatives across nursing departments.
- Cultivated relationships with healthcare providers and community stakeholders to enhance service offerings.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Performed rounds to observe care and interview staff, residents, and families.
- Streamlined nursing operations by optimizing staffing schedules, resource allocation, and workflow processes.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for patients with complex needs.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
- Developed strong relationships with community partners to facilitate continuity of care for patients transitioning between healthcare settings.
- Mentored new nurses through orientation programs, facilitating their integration into the team and fostering their professional growth.
- Served as a liaison between nursing leadership, hospital administration, medical staff, allied health professionals, patients, families, and other stakeholders to ensure effective communication and collaboration.
- Strengthened survey readiness, achieving compliance with federal, state, and Medicare regulations.
- 204-Bed Skilled Nursing & Long-Term Care, Memory care Facility
Director of Nursing
Arlington Residence & Rehab Care Center
08.2019 - 07.2020
- Led clinical operations across multiple SNFs, improving survey outcomes, stabilizing staffing, and strengthening QAPI programs. Consistently improved patient satisfaction, reduced rehospitalizations, and enhanced interdisciplinary collaboration.
Assistant Director of Nursing
New-Way Healthcare Services, Garland, TX
05.2016 - 03.2020
- Oversaw clinical operations, infection control, budgeting, and compliance with Conditions of Participation.
- Supported QAPI monitoring and interdisciplinary coordination to improve patient outcomes.
- Led nursing staff in delivering high-quality patient care and adherence to healthcare regulations.
- Developed and implemented training programs to enhance staff competencies and improve patient outcomes.
- Conducted performance evaluations to assess staff effectiveness and identify areas for professional growth.
- Oversaw compliance with state and federal health standards, ensuring facility accreditation readiness.
- Served as a role model for nursing staff by demonstrating exceptional clinical skills, ethical behavior, and commitment to continuous learning.
- Enhanced staff performance through regular training sessions and professional development opportunities.
Chief Clinical Officer / Nurse Manager
Kindred Healthcare, Mansfield, TX
06.2017 - 03.2019
- Specialty LTAC Hospital | 162 FTEs
- Directed nursing and therapy operations, ensuring compliance with JCAHO and CMS standards.
- Led QAPI initiatives that improved patient safety, clinical outcomes, and policy adherence.
- Managed staffing, productivity, and resource allocation for a high-acuity patient population.
- Strengthened interdisciplinary collaboration across nursing, therapy, respiratory, and case management.
- Developed and implemented clinical protocols enhancing patient care quality.
- Led multidisciplinary teams to improve operational efficiency and patient outcomes.
- Oversaw compliance with regulatory standards, ensuring high-quality healthcare delivery.
- Analyzed clinical data to drive strategic decision-making and resource allocation.
- Improved patient outcomes by implementing evidence-based clinical protocols and best practices.
Chief Nursing Officer
Mesquite Specialty Hospital
05.2016 - 05.2017
- Directed clinical operations, survey readiness, and regulatory compliance for a specialty hospital.
- Led risk management, staff development, and cost-containment strategies.
- Oversaw EMR optimization and multi-site collaboration.
- Directed nursing operations to enhance patient care delivery and operational efficiency.
- Implemented strategic initiatives to improve clinical outcomes and patient satisfaction metrics.
- Streamlined nursing operations for increased efficiency and better resource allocation.
- Managed budgets, ensuring cost-effective use of resources without compromising patient care quality or employee satisfaction.
- Led recruitment efforts to attract top talent in nursing professionals, maintaining high standards for excellence in patient care delivery.
- Participated in community outreach events to promote healthcare awareness and foster strong relationships with local organizations.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Regional Director of Operations – Home Health
Maximum Care Home Health, Inc.
08.2015 - 04.2016
- Oversaw 8 Home Health Agencies Across Texas
- Achieved zero-deficiency surveys across multiple branches.
- Increased census by 90% and improved patient satisfaction to 100%.
- Managed multimillion-dollar budgets, reducing operational costs while improving efficiency.
- Strengthened QAPI programs, reducing hospital readmissions.
- Mentored Directors, Clinical Managers, and field staff to enhance retention and performance.
Nurse Manager
Select Specialty Hospital, South Dallas
08.2013 - 07.2015
House Supervisor
Select Specialty Hospital, South Dallas
09.2010 - 08.2013
- Interim CNO (Two Terms)
Charge Nurse, ICU/Med-Surg
03.2010 - 09.2010
Administrator
Maximum Care Home Health Agency
10.1993 - 06.1998
Education
MSN - Healthcare Administration
Lamar University
Beaumont, TX01.2018
BSN - Nursing Science
Texas Tech University
Lubbock, TX01.2013
AAS - Nursing
Cisco Junior College
Arlington. TX01.2007
LVN - undefined
Extended Health Education
01.1999
Skills
- Executive Nursing Leadership & Multi-Site Oversight
- Regulatory Compliance (CMS, Joint Commission, State)
- Skilled Nursing & Post-Acute Operations
- Home Health Administration & Regional Management
- Quality Assurance & Performance Improvement (QAPI)
- Patient Safety & Risk Mitigation
- Budgeting, Forecasting & Resource Allocation
- Workforce Optimization & Staff Development
- Interdisciplinary Team Collaboration
- Survey Readiness & Deficiency-Free Outcomes
- Evidence-Based Clinical Practice
- Patient Experience & Outcome Management
Affiliations
- Sigma Theta Tau (Phi Pi)
- Phi Theta Kappa
- Chi Eta Phi Nursing Sorority
- American Nurses Association
- Lamar Dean’s Honor Roll
- Texas Tech Presidential Honor Roll
Certification
- Registered Nurse, Compact License – Valid through March 2027
- BLS/ACLS Certified – 2025–2027
Additional Clinical Experience
- Metro Home Care Services | Staff Nurse
- Life Care Hospital of Dallas | ICU Nurse
- Favorite Nurses/Favorite Temps | ICU/ER Nurse
- The Cedars Hospital | Psychiatric Nurse
- Compass Hospital/Heavens Mental Health | ICU/ER Nurse
- Sunrise Healthcare & Rehab | ADON/Charge/Wound Nurse
Timeline
Director of Nursing
The Plaza at Edgemere
03.2024 - 12.2025
Director of Nursing
Red Oak Health & Rehabilitation Center
01.2022 - 01.2024
Director of Nursing
Crystal Creek at Preston Hollow
12.2020 - 12.2021
Director of Nursing
Heritage Oaks Nursing & Rehab
07.2020 - 12.2020
Director of Nursing
Arlington Residence & Rehab Care Center
08.2019 - 07.2020
Chief Clinical Officer / Nurse Manager
Kindred Healthcare, Mansfield, TX
06.2017 - 03.2019
Assistant Director of Nursing
New-Way Healthcare Services, Garland, TX
05.2016 - 03.2020
Chief Nursing Officer
Mesquite Specialty Hospital
05.2016 - 05.2017
Regional Director of Operations – Home Health
Maximum Care Home Health, Inc.
08.2015 - 04.2016
Nurse Manager
Select Specialty Hospital, South Dallas
08.2013 - 07.2015
House Supervisor
Select Specialty Hospital, South Dallas
09.2010 - 08.2013
Charge Nurse, ICU/Med-Surg
03.2010 - 09.2010
Administrator
Maximum Care Home Health Agency
10.1993 - 06.1998
LVN - undefined
Extended Health Education
MSN - Healthcare Administration
Lamar University
BSN - Nursing Science
Texas Tech University
AAS - Nursing
Cisco Junior College