Job Summary The Long Term Care Administrator provides strategic, operational, and clinical oversight for the Long-Term Care (LTC) facility, ensuring high-quality resident care, regulatory compliance, financial stewardship, and an engaged workforce. This role directs day-to-day operations, leads interdisciplinary teams, and ensures adherence to federal, state, and local regulations governing nursing home administration. The Administrator serves as the primary liaison to residents, families, physicians, regulators, and organizational leadership, fostering a culture of safety, service excellence, compassion, and continuous improvement.
Essential Functions - Provides overall leadership and direction for LTC operations, ensuring alignment with organizational goals, mission, and values.
- Ensures compliance with CMS requirements, state LTC regulations, survey readiness, and accreditation standards.
- Oversees resident care delivery, collaborating closely with nursing leadership to uphold high standards of safety, documentation, privacy, and clinical quality.
- Maintains a resident-centered environment that respects dignity, preferences, cultural considerations, and supportive family engagement.
- Ensures active and ongoing Quality Assurance/Performance Improvement (QAPI) programs, including monitoring outcomes, trends, audits, and corrective actions.
- Directs the facility's budget, revenue cycle performance, staffing plan, and resource allocation to achieve operational and financial targets.
- Partners with Human Resources to recruit, onboard, train, evaluate, and develop LTC staff, promoting teamwork, retention, and a positive work culture.
- Investigates and resolves resident, family, and staff concerns; documents actions and communication in a timely and compliant manner.
- Ensures compliance with safety standards, infection control principles, emergency preparedness, and risk-mitigation practices.
- Serves as liaison to physicians, outside agencies, vendors, and regulatory bodies.
- Ensures accurate and complete documentation of resident histories, assessments, plans of care, and services delivered.
- Ensures supplies, equipment, and facility systems are maintained, safe, and adequately stocked.
- Represents the organization professionally in the community and with regulatory agencies.
- Leads or participates in regular leadership, departmental, and interdisciplinary meetings.
- Supports organizational strategies, policies, performance standards, and cultural expectations.
- Performs other duties as assigned.
Knowledge/Skills/Abilities/Expectations - Strong working knowledge of CMS LTC regulations, survey processes, and state-specific licensing requirements.
- Demonstrated ability to lead teams, build trust, and foster a collaborative culture.
- Strong written and verbal communication skills, including effective communication with residents, families, physicians, and staff.
- Proficient in electronic health records and standard office software.
- Critical thinking, sound judgment, and ability to manage complex operational challenges.
- Ability to work independently with minimal supervision and make data-informed decisions.
- Ability to adapt to changing priorities, regulatory expectations, and operational needs.
- Commitment to resident rights, dignity, safety, and quality of life.
- Standing, walking, and sitting: Frequently
- Use of hands, talking, hearing, vision: Frequently
- Lifting: Up to 20 lbs occasionally; up to 10 lbs frequently
- Reaching, stooping, kneeling: Occasionally
- Ability to respond quickly in emergency situations required
- Visual and auditory acuity required to monitor resident conditions, facility operations, and communication.
QualificationsEducation - Bachelor's degree in Healthcare Administration, Nursing, Business, Public Health, or related field required.
- Master's degree in Healthcare Administration or related field preferred.
Licenses/Certifications - Current and active Nursing Home Administrator (NHA) license for the state of operation required.
- Additional certifications in gerontology, regulatory compliance, or leadership preferred.
Experience - Minimum of 3-5 years of progressive leadership in long-term care, skilled nursing, or senior living operations required.
- Prior experience managing regulatory surveys, QAPI programs, and interdisciplinary teams strongly preferred.
- Experience partnering with clinical nursing leadership and knowledge of LTC resident care practices recommended.
- Experience in budget management, staffing strategies, and operational performance improvement required.
