Administrator
The-Plaza-Rehab-and-Nursing-Cente
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Job summary
The Plaza Rehab and Nursing Center is seeking an experienced Licensed Nursing Home Administrator (LNHA) to provide executive leadership and full operational management of the facility. The Administrator will ensure exceptional resident care, regulatory compliance, financial performance, and strategic growth while guiding a multidisciplinary leadership team.
Key responsibilities include developing strategic plans, supervising department heads, ensuring survey readiness, and driving quality
Qualifications
- Current LNHA license required.
- Bachelor's in Healthcare Administration, Business Admin, Public Health, or related field.
- Master's degree preferred.
- Minimum 5 years of progressive healthcare leadership experience.
- Minimum 3 years of nursing home administrator experience preferred.
- Demonstrated knowledge of CMS regulations.
- Strong financial and operational management experience.
Responsibilities
- Provide leadership for all facility operations and strategic direction.
- Develop plans aligned with organizational goals and drive resident-centered care.
- Ensure regulatory compliance and survey readiness across CMS/DOH/HIPAA standards.
- Oversee budgeting, labor costs, vendor contracts, and financial performance.
- Partner with HR to recruit, engage, and retain staff while controlling turnover.
- Chair QAPI initiatives, monitor KPIs, and implement quality improvements.
- Foster relationships with residents, families, physicians, and regulators.
- Manage census development and collaborations with admissions/marketing.
- Oversee clinical oversight with Nursing Director to improve outcomes and safety.
Skills
Education
Job description
Licensed Nursing Home Administrator (LNHA)
Chief Executive Officer (CEO) / Chief Operating Officer (COO) / Ownership
The Licensed Nursing Home Administrator (LNHA) provides executive leadership and overall operational management of the nursing home. The Administrator is responsible for ensuring exceptional resident care, regulatory compliance, financial performance, employee engagement, customer satisfaction, and strategic growth while maintaining compliance with all federal, state, and local regulations.
- Provide overall leadership and direction for all facility operations.
- Develop and execute strategic plans aligned with organizational goals.
- Promote a culture of quality, accountability, teamwork, and resident-centered care.
- Lead department heads through regular leadership meetings and performance reviews.
- Foster positive relationships with residents, families, physicians, employees, vendors, and regulatory agencies.
- Maintain compliance with CMS, State Department of Health, OSHA, HIPAA, and all applicable regulations.
- Ensure survey readiness at all times.
- Oversee corrective action plans following state surveys.
- Monitor quality measures and Five-Star Quality Rating performance.
- Ensure timely reporting of incidents and required regulatory documentation.
Collaborate with the Director of Nursing to:
- Maintain quality resident care.
- Improve clinical outcomes.
- Reduce hospital readmissions.
- Reduce infections.
- Improve resident satisfaction.
- Ensure staffing meets regulatory requirements.
- Support interdisciplinary care planning.
- Develop and manage annual operating budgets.
- Monitor labor costs, agency utilization, census, and expenses.
- Improve profitability while maintaining quality care.
- Review monthly financial statements.
- Approve capital expenditures.
- Identify cost-saving initiatives.
- Manage vendor contracts and purchasing.
Partner with Human Resources to:
- Recruit and retain qualified staff.
- Improve employee engagement.
- Reduce turnover.
- Ensure compliance with labor laws.
- Support leadership development.
- Maintain appropriate staffing levels.
- Address employee relations concerns.
- Develop strategies to increase admissions.
- Build relationships with hospitals and referral sources.
- Monitor occupancy trends.
- Collaborate with admissions and marketing teams.
- Improve resident satisfaction and reputation.
- Chair the QAPI Committee.
- Monitor key performance indicators (KPIs).
- Analyze quality data and implement action plans.
- Promote continuous process improvement.
- Ensure follow-up on performance improvement initiatives.
- Reduce liability exposure.
- Oversee incident investigations.
- Monitor workers' compensation claims.
- Ensure emergency preparedness.
- Maintain disaster preparedness plans.
- Coordinate risk reduction initiatives.
- Promote exceptional resident and family satisfaction.
- Resolve complaints promptly.
- Maintain positive community relations.
- Participate in resident and family council meetings.
Oversee:
- Nursing Services
- Rehabilitation
- Social Services
- Dietary
- Housekeeping
- Laundry
- Maintenance
- Environmental Services
- Activities
- Admissions
- Business Office
- Medical Records
- Human Resources
- Current Licensed Nursing Home Administrator (LNHA) license.
- Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field.
- Master's degree preferred.
- Minimum 5 years of progressive healthcare leadership experience.
- Minimum 3 years of nursing home administrator experience preferred.
- Demonstrated knowledge of CMS regulations.
- Strong financial and operational management experience.
- Leadership and team development
- Strategic planning
- Financial management
- Budgeting
- Labor management
- Regulatory compliance
- Survey preparedness
- Conflict resolution
- Quality improvement
- Risk management
- Performance management
- Excellent communication skills
- Customer service excellence
- Critical thinking and decision-making
- Project management
- Data analysis
The Administrator will be evaluated on:
- CMS Five-Star Rating
- Survey outcomes
- Infection rates
- Falls with injury
- Pressure injuries
- Hospital readmissions
- EBITDA performance
- Labor cost percentage
- Agency utilization
- Overtime
- Operating margin
- Budget performance
- Employee turnover
- Retention
- Vacancy rate
- Employee engagement
- Time-to-fill positions
- Occupancy rate
- Average daily census
- Medicare census
- Referral conversion rate
- Customer satisfaction
- Family satisfaction
- Ability to walk throughout the facility daily.
- Ability to stand for extended periods.
- Ability to respond to emergencies at any time.
- Ability to lift up to 25 pounds occasionally.
- Ability to work flexible hours, including weekends and holidays as needed.
The Administrator works in a fast-paced healthcare environment requiring frequent interaction with residents, families, physicians, regulatory agencies, and employees. The role requires availability during emergencies, surveys, and other critical operational events.
- Resident-Centered Leadership
- Ethical Decision-Making
- Accountability
- Emotional Intelligence
- Operational Excellence
- Financial Stewardship
- Regulatory Expertise
- Collaboration
- Innovation
- Change Management
- Talent Development
- Continuous Quality Improvement
- Customer Service Excellence
Position Classification: Exempt (Salaried)
Supervises: All Department Directors and Facility Leadership Team
FLSA Status: Exempt
This job description is designed to provide a comprehensive framework for a modern skilled nursing facility Administrator, emphasizing leadership, regulatory compliance, financial performance, clinical quality, and operational excellence.
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