LNHA - Licensed Nursing Home Administrator

Elderwood

$150K — $185K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or a related field required
  • Active Massachusetts Nursing Home Administrator (NHA) license required
  • Minimum of three (3) years of experience as a Nursing Home Administrator in a skilled nursing or long-term care setting
  • Strong knowledge of Massachusetts and federal regulations governing skilled nursing and long-term care facilities
  • Excellent verbal and written communication skills

Responsibilities

  • Oversee daily facility operations and ensure compliance with regulations
  • Serve as the Compliance Officer and manage the compliance program
  • Lead quality improvement initiatives and ensure high standards of resident care
  • Develop and oversee the facility budget and monitor financial performance
  • Foster strong interdisciplinary collaboration and address resident concerns promptly

Benefits

  • Competitive Executive Compensation
  • Comprehensive Benefits Package
  • Paid Time Off & Holiday Benefits
  • 401(k) with Employer Match
  • Leadership & Professional Development Opportunities
  • Continuing Education Support
Full Job Description
Salary
$ 150,000 / yr - $ 185, 000 / yr Overview
Licensed Nursing Home Administrator (LNHA) Mattapan Health & Rehabilitation Center | Mattapan, Boston, Massachusetts

Full-Time | Onsite Leadership

We are seeking an experienced, mission-driven Licensed Nursing Home Administrator (LNHA) to lead the overall operations of Mattapan Health & Rehabilitation Center.This is an opportunity for a visible, people-centered healthcare leader who can balance high standards with genuine humanitystrengthening operations, developing leaders, supporting employees, championing quality, and remaining connected to the residents and families we serve.

As Administrator, you will have responsibility for resident care, workforce performance, regulatory compliance, financial results, census development, operational accountability, and the overall experience of residents, families, and employees.

The right leader will understand that strong facility performance and compassionate care go hand in hand.

The Leadership Opportunity

As Administrator, you will set the tone for Mattapan Health & Rehabilitation Center and provide leadership across every aspect of facility operations. You will work closely with department leaders, physicians, consultants, employees, residents, families, referral partners, and organizational leadership to ensure Mattapan remains a safe, responsive, well-managed, and welcoming care environment. This role requires an Administrator who is visible throughout the facility, comfortable addressing challenges directly, and committed to creating a culture where expectations are clear, concerns are heard, and leaders follow through.

Your leadership will directly influence:

  • Quality of care and resident experience
  • Employee engagement, development, and retention
  • Survey readiness and regulatory performance
  • Staffing stability and operational accountability
  • Financial performance and responsible resource management
  • Census development and referral relationships
  • Communication and trust among residents, families, and employees
  • The overall culture and reputation of Mattapan Health & Rehabilitation Center
The Leadership Style That Will Succeed

You may be a strong fit for Mattapan if you:

  • Are visible, accessible, and connected to daily facility operations
  • Lead calmly and decisively when challenges arise
  • Set clear expectations and follow through consistently
  • Develop leaders rather than simply directing tasks
  • Understand the connection between quality, staffing, census, employee engagement, and financial performance
  • Communicate directly and respectfully with residents, families, and employees
  • Bring integrity, sound judgment, and personal accountability to your work
  • Know how to hold people accountable while still creating an environment where employees feel supported
  • Believe strong operations and compassionate care must move forward together
Compensation & Benefits
  • Competitive Executive Compensation
  • Comprehensive Benefits Package
  • Paid Time Off & Holiday Benefits
  • 401(k) with Employer Match
  • Leadership & Professional Development Opportunities
  • Continuing Education Support
  • Employee Referral Program
Lead a Community Where People Matter

At Mattapan Health & Rehabilitation Center, every member of our team plays a role in creating a community where residents feel respected, families feel confident in their loved one's care, and employees have the support and leadership they need to succeed.

As Administrator, you will have the opportunity to shape that experience every day.

If you are a Massachusetts-licensed Nursing Home Administrator ready to lead with purposewe invite you to apply!

Responsibilities Licensed Nursing Home Administrator (LNHA) -What You'll Lead: Facility Operations & Compliance
  • Oversee the day-to-day operations of the facility while ensuring compliance with Massachusetts and federal requirements
  • Serve as the facility's designated Compliance Officer and ensure an effective, active compliance program
  • Maintain readiness for regulatory surveys, inspections, audits, and accreditation requirements
  • Lead corrective action and follow-up when compliance or operational concerns are identified
  • Ensure infection control, safety, emergency preparedness, fire prevention, and disaster response programs remain current and effective
  • Maintain and guide implementation of facility policies and procedures
  • Monitor incident reports, complaints, and quality concerns and ensure appropriate investigation and follow-up
  • Support a culture of Quality Assurance and Performance Improvement (QAPI) through data-driven decision-making and continuous improvement
Resident Care & Quality
  • Ensure residents receive high-quality care and services that promote dignity, independence, safety, and quality of life
  • Foster strong interdisciplinary collaboration across nursing, rehabilitation, social services, dietary, activities, medical, and support teams
  • Ensure care planning, resident assessments, treatment, and documentation meet applicable standards
  • Address resident, family, and responsible-party concerns promptly, respectfully, and effectively
  • Promote resident rights, privacy, confidentiality, and freedom from abuse, neglect, exploitation, and discrimination
  • Maintain a safe, clean, comfortable, and welcoming environment for residents, families, visitors, and employees
  • Maintain visibility throughout the facility and develop meaningful relationships with residents, families, and staff
Leadership & Culture
  • Lead, mentor, and hold accountable department heads and administrative leaders
  • Establish clear operational, financial, quality, and programmatic goals for the facility
  • Conduct regular leadership meetings to ensure communication, accountability, and operational alignment
  • Recruit, develop, and retain qualified employees who support the facility's mission and standards
  • Set the standard for integrity, professionalism, service excellence, and ethical conduct
  • Encourage employee engagement, recognition, professional development, and continuous improvement
  • Ensure required orientation, annual training, resident rights, safety, infection control, abuse prevention, and compliance education are completed
  • Foster a culture where employees are encouraged to identify quality concerns and participate in meaningful solutions
Staffing, HR & Payroll Oversight
  • Oversee staffing levels and ensure the facility has qualified personnel necessary to provide safe, effective resident care
  • Provide leadership in the hiring, development, performance management, and retention of department heads and supervisory personnel
  • Partner with Human Resources regarding employee relations, grievances, performance concerns, Workers' Compensation, FMLA, leave administration, and other personnel matters
  • Maintain oversight of payroll accuracy, timekeeping, PTO, benefits inquiries, and related administrative processes
  • Review and approve payroll documentation and ensure timely submission of required information
  • Support ongoing employee education, training, and professional development
  • Promote a respectful, accountable, and collaborative workplace culture
Financial & Census Accountability
  • Participate in the development and management of the annual facility operating budget
  • Monitor monthly financial performance and take action to address variances and control operating expenses
  • Maintain strong facility census and support appropriate admissions and occupancy strategies
  • Partner with admissions, sales, and marketing teams to support census growth and community awareness
  • Monitor reimbursement-related processes and ensure required documentation is accurate and timely
  • Oversee purchasing, requisitions, supplies, equipment, and contracted services necessary for facility operations
  • Support capital planning and make recommendations regarding equipment, repairs, renovations, and facility improvements
  • Maintain appropriate oversight of resident funds and financial transactions conducted at the facility
Community Presence & Reputation
  • Serve as a primary representative of Mattapan Health & Rehabilitation Center to residents, families, referral partners, physicians, regulators, and the broader community
  • Build and maintain strong relationships with hospitals, healthcare providers, community organizations, and professional partners
  • Support marketing and outreach strategies that strengthen census, referrals, and the facility's reputation
  • Promote positive relationships with the Long-Term Care Ombudsman and community partners
  • Represent the facility with professionalism, transparency, and integrity
  • Participate in community and professional organizations that support the facility and the residents it serves

From Up to Qualifications

Licensed Nursing Home Administrator (LNHA) -What We're Looking For:

  • Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or a related field required
  • Advanced degree preferred
  • Active Massachusetts Nursing Home Administrator (NHA) license required
  • Minimum of three (3) years of experience as a Nursing Home Administrator in a skilled nursing, long-term care, or sub-acute care setting preferred
  • Demonstrated experience leading facility operations, department heads, and interdisciplinary teams
  • Strong knowledge of Massachusetts and federal regulations governing skilled nursing and long-term care facilities
  • Demonstrated experience with regulatory compliance, quality improvement, budgeting, staffing, census management, and financial oversight
  • Strong understanding of resident rights, HIPAA, OSHA, infection prevention, and healthcare compliance requirements
  • Excellent verbal and written communication skills
  • Strong problem-solving, decision-making, organizational, and interpersonal abilities
  • A leadership style that is visible, ethical, calm under pressure, accountable, and people-centered
  • Genuine commitment to providing exceptional care and service to older adults and individuals receiving skilled nursing and rehabilitation services
  • This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit effective communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

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