Quality Assurance & Compliance Coordinator

Job Description

The Quality Assurance & Compliance Coordinator operates under the direct guidance of the Executive Director to support and lead the implementation and oversight of the quality assurance program. This role is vital for ensuring rigorous compliance with local, state, and federal regulations, upholding MBK’s adherence to all regulatory and accreditation standards, and enhancing resident outcomes through data-driven performance monitoring and cross-functional collaboration, while fostering a culture of continuous quality improvement across all operations.

• Lead the execution of the quality assurance program, verifying adherence to all regulatory mandates (federal, state, local), and protecting resident confidentiality per HIPAA.
• Oversee and verify daily and future staffing plans and schedules to ensure actual and projected staffing levels continuously comply with the state-mandated acuity model (i.e., ABST) and minimum staffing ratios for resident care needs.
• Maintain official accreditation status by continuously monitoring compliance with all established standards and coordinating necessary internal associated activity.
• Serve as a liaison for regulatory agencies and accreditation bodies, and prepare for, manage and coordinate all third-party audits, surveys, and inspections.
• Collaborate with the Executive Director and others to develop action plans to address deficiencies and ensure timely resolution.
• Maintain centralized records for all compliance and survey documentation, ensuring accurate and timely reporting of corrective actions.
• Maintain a safe and secure environment for staff, residents, and guests following established safety standards, policies, and procedures.

• Conduct regular facility inspections, operational site reviews and audits to assess performance and identify areas for improvement.
• Implement and oversee data collection to establish, track, and report on KPIs and trends related to quality, compliance, and resident satisfaction.
• Develop and monitor Quality Improvement Plans (QIPs) and action plans to address deficiencies and drive resolutions.
• Promote a culture of continuous improvement and quality focused care by developing and presenting outcomes and providing actionable recommendations to leadership.
• Implement comprehensive risk-management procedures, including maintaining accurate incident logs, addressing concerns proactively, and overseeing Critical Incident Reporting and Mortality Review processes.
• Proactively investigate and resolve quality assurance concerns, complaints, and incidents to uphold a safe and supportive environment.
• Ensure accurate documentation and record-keeping to support compliance and operational effectiveness.

• Assess ongoing training needs and collaborate with home office to create new training, as needed.
• Conduct training programs for staff on regulatory compliance, risk management, and quality assurance, and educate employees in company policies and procedures.
• Ensure required and assigned training is completed.
• Stay current and comply with industry trends and changes in federal, state, and local regulations affecting senior living communities (assisted, independent, memory care).
• Maintain knowledge and understanding of operation’s regulatory, accreditation, and company regulations, policies, and/or procedures.

• Provide detailed reports and recommendations for executive leadership on operational review findings, quality performance, and compliance status.
• Collaborate with Executive Directors, department heads, and other leadership team members to align quality initiatives with operational goals, and drive quality improvements.
• Ensure effective communication with residents, families, and staff regarding quality assurance initiatives and compliance updates.
• Act as a collaborative partner and cross‑functional team member, providing temporary support and coverage across various departments (e.g., Sales, Operations) during critical periods, staff vacancies, or as…