Chief Operating Officer Skilled Nursing

COO Opportunity

This opportunity sits within a large and well-established skilled nursing organization that has built a strong reputation for stability, operational maturity, and consistent performance across a broad regional footprint. The company manages a substantial portfolio of facilities supported by seasoned regional directors, well-aligned VPs, and a leadership culture that emphasizes accountability, collaboration, and long-term sustainability. The organization is not in "fix-it mode" it is strong as is and the next phase of leadership is about refinement, measured growth, and shaping the future identity of the company.

The incoming COO will lead day-to-day operational strategy, elevate performance across multiple markets, and serve as an executive counterpart to regional and facility leadership teams. The position requires regular travel, including consistent visits to company offices in Indiana, Illinois, and Tennessee, along with monthly corporate leadership meetings. This role carries a clear and intentional pathway to transition into the CEO position and calls for someone who blends operational rigor with strategic vision.

• Provide executive oversight across a multi-state skilled nursing portfolio, ensuring strong operational stability, consistent quality outcomes, financial strength, and sustained census development.
• Work in close partnership with VP-level and regional teams to align priorities, strengthen accountability structures, and reinforce high-performing leadership behaviors throughout the organization.
• Shape and evolve operating systems, performance frameworks, and cultural expectations in a way that supports growth while maintaining the organization's long-standing identity, values, and stability.
• Maintain a strong and consistent presence in the field, spending meaningful time in facilities to observe operations directly, support local leaders, and ensure clarity and alignment on initiatives and expectations.
• Lead strategic projects, organizational enhancements, and major initiatives tied to both immediate performance and long-term positioning, serving as a central voice in executive decision‑making.
• Exhibit the leadership presence, judgment, communication style, and executive maturity required to transition naturally and credibly into the CEO role over time.

• Skilled nursing facility operational leadership experience is required, with a strong preference for those who have led large, multi‑facility portfolios.
• Currently serving as a COO or CEO within the skilled nursing sector, or a senior Director of Operations with extensive multi‑region oversight and a documented history of elevating performance at scale.
• Deep knowledge of the operational, clinical, financial, and regulatory dynamics that shape success in skilled nursing environments, with a strong grasp on census strategy, survey management, and workforce leadership.
• Demonstrated ability to lead through influence rather than pressure, building trust with facility leaders while still maintaining clear expectations, accountability, and performance standards.
• Comfortable with high travel frequency, committed to real in‑person leadership, and able to balance strategic direction‑setting with hands‑on operational engagement.

• Compensation range : $275,000 $ 350,000 annually, dependent on experience and organizational fit.
• Performance‑based incentive structure included.