Licensed Nursing Home Administrator

The Licensed Nursing Home Administrator is responsible for the overall operations, performance, compliance, and quality of care within a skilled nursing or long-term care facility. This role provides leadership across clinical support, resident services, staffing, employee relations, regulatory compliance, quality improvement, and financial performance.

The Administrator establishes a culture focused on resident‑centered care, ethical business practices, employee engagement, and operational excellence. The position requires strong leadership, sound judgment, and the ability to respond to operational needs outside of regular business hours, including evenings and weekends as necessary.

• Maintain overall responsibility and accountability for facility operations and ensure effective day-to-day management.
• Establish a positive organizational culture that supports the facility’s mission, values, and commitment to quality resident care.
• Promote ethical business practices and ensure decisions are made in accordance with applicable policies, regulations, and professional standards.
• Delegate appropriate authority, responsibility, and accountability to department leaders and other employees to ensure effective execution of assigned duties.
• Remain available during off‑hours and weekends as necessary to address operational needs and urgent matters.

• Develop, implement, and monitor a Quality Assurance and Performance Improvement (QAPI) program in accordance with established guidelines and regulatory requirements.
• Monitor standards of care, quality indicators, clinical outcomes, and other performance measures.
• Incorporate quality data and performance results into ongoing QAPI initiatives.
• Participate in the analysis of performance issues and develop and implement corrective action plans when established quality thresholds are not met.
• Promote continuous improvement across facility operations, resident care, and service delivery.

• Ensure facility operations comply with applicable federal and state laws, regulations, licensing requirements, and industry standards.
• Ensure resident rights are respected and integrated into all aspects of resident care and facility operations.
• Oversee the investigation, documentation, reporting, and follow‑up of incidents, complaints, and other matters requiring administrative attention.
• Partner with the Medical Director to ensure licensed independent practitioners are appropriately credentialed and operate within applicable policies and regulatory requirements.
• Maintain awareness of changes in healthcare regulations and implement necessary operational updates.

• Oversee recruitment, selection, hiring, and onboarding processes to ensure appropriate staffing levels across budgeted positions.
• Establish and lead recruitment and retention initiatives designed to attract and retain qualified employees.
• Lead or participate in regular recruitment and retention committee meetings.
• Ensure employee coaching, counseling, performance management, and disciplinary actions are handled consistently and in accordance with established policies.
• Participate in employee termination decisions and ensure all employment actions comply with applicable policies and federal and state employment laws.
• Ensure compliance with applicable employment requirements, including equal employment opportunity, wage and hour regulations, immigration requirements, child labor laws, and other relevant employment standards.

• Monitor facility census, payer mix, and Medicare/Medicaid acuity to support operational and financial objectives.
• Work toward meeting or exceeding established census and acuity targets.
• Manage facility expenses within approved budgetary guidelines.
• Monitor supply and expense accounts and maintain appropriate spending controls.
• Review financial and operational performance and identify opportunities to improve efficiency and resource utilization.

• Work collaboratively with clinical, administrative, financial, human resources, and operational leadership.
• Maintain effective communication with residents, families, employees, physicians, vendors, and other stakeholders.
• Serve as a visible and accountable leader within the facility.
• Foster teamwork, professionalism, and a…