Administrator, LNFA

Cantex; Plano (TX); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Competitive Wages

401k with match

Medical, Dental, Vision & Supplemental

Vacation & Holidays

Short-Term Disability

Life Insurance

CEU Reimbursement

Rewards & Recognition Program

Job summary

Cantex is seeking an Executive Director to oversee a Texas skilled nursing facility, ensuring regulatory compliance, quality patient care, and financial performance. The role demands strong leadership, census development, and staff development across departments.

The position emphasizes survey readiness, resident satisfaction, and coordination with regulatory agencies to maintain high standards of care and operational excellence.

Qualifications

• Texas LNFA license is required.
• Minimum 1 year as Executive Director in a Texas SNF.
• Proven ability to hit EBITDAR budgets and financial targets.
• Census development and referral relationship management experience.
• Strong understanding of SNF reimbursement models across payors.
• Successful regulatory and quality inspections history.
• Knowledge of state and federal nursing home regulations.

Responsibilities

• Direct and oversee facility operations and resident services.
• Ensure compliance with all regulations and company policies.
• Lead recruitment, onboarding, and staff development.
• Review performance with department supervisors weekly.
• Prepare and manage the annual operating budget.
• Maintain assets and equipment; ensure safety and quality initiatives.
• Foster community relations and referral development.

Skills

Leadership

Regulatory knowledge

Budget management

Census development

Team management

Communication

Education

BS/BA in healthcare administration

Job description

Overview

The purpose of the Executive Director position is to direct the overall operation of the facility in accordance with applicable local, state, and federal regulations. This leadership role provides oversight of healthcare operations, long-term care administration, regulatory compliance, financial performance, census development, quality outcomes, patient services, workforce leadership, and strategic facility operations. The Executive Director ensures the delivery of quality patient care, operational excellence, survey readiness, resident satisfaction, and regulatory compliance within a skilled nursing, rehabilitation, or long-term care environment.

Overview

The purpose of the Executive Director position is to direct the overall operation of the facility in accordance with applicable local, state, and federal regulations. This leadership role provides oversight of healthcare operations, long-term care administration, regulatory compliance, financial performance, census development, quality outcomes, patient services, workforce leadership, and strategic facility operations. The Executive Director ensures the delivery of quality patient care, operational excellence, survey readiness, resident satisfaction, and regulatory compliance within a skilled nursing, rehabilitation, or long-term care environment.

Responsibilities

• Assure facility compliance with all applicable federal, state, and local regulations.
• Direct and ensure implementation of written policies and procedures reflecting the goals and objectives of the facility and administrative team, including all company policies and procedures, RCMS, and FMS programs.
• Conduct routine rounds throughout the facility to verify quality patient care, environmental safety, sanitation standards, operational effectiveness, and appropriate employee supervision.
• Provide executive leadership and oversight of facility operations, resident services, quality initiatives, and operational performance.
• Oversee recruitment, selection, onboarding, retention, and development of competent department supervisors and ancillary staff.
• Meet with Department Supervisors weekly to review operational performance, interdepartmental concerns, labor management, expense control, census initiatives, quality indicators, and patient care issues.
• Conduct weekday morning stand-up meetings to communicate priorities, operational updates, and organizational objectives.
• Develop, establish, and maintain patient census at optimal occupancy levels.
• Assure compliance with the Patients’ Bill of Rights.
• Assist in preparation and management of the annual operating budget.
• Achieve budgeted revenue, expense, and earnings expectations.
• Assure that financial records, reimbursement documentation, and cost reports are submitted to appropriate departments and governmental agencies according to company policy and regulatory requirements.
• Represent the facility in dealings with governmental agencies, regulatory organizations, healthcare partners, referral sources, community organizations, and third-party vendors.
• Authorize purchases of major equipment and routine supplies in accordance with approved company procedures.
• Assure facility assets, equipment, grounds, and physical plant operations are maintained in good condition and inventory levels remain appropriate.
• Assure implementation of therapeutic, recreational, social, and rehabilitative programs that support patient needs and quality of life.
• Assure nutritional needs of patients are met through appropriate services and programs.
• Assure required ancillary services are available and provided to patients.
• Establish and maintain records and documentation necessary for Medicaid, Medicare, Title XIX, and other reimbursement programs.
• Maintain a community relations program that supports referral development, resident advocacy, and positive community engagement.
• Ensure RCMS and FMS Quality Assurance Committee meetings are conducted monthly.
• Demonstrate the ability to function as a Team Leader and Role Model.
• Ensure a workplace culture that promotes dignity, respect, accountability, teamwork, and resident-centered care.
• Approve policies and procedures annually with the Director of Nursing and Medical Director.
• Review and update the Disaster Preparedness Plan annually and ensure employee participation and awareness.
• Complete employee evaluations annually and/or following probationary periods and provide coaching, counseling, corrective action, or performance management when appropriate.
• Serve as Abuse Prevention Coordinator.
• Responsible for assuring patient and resident safety.
• Perform other duties as directed by the Regional Director of Operations.

Qualifications

• A current and valid Texas Nursing Home Administrator (LNFA) license is required.
• Minimum of 1 year of experience as an Executive Director in a Texas Skilled Nursing Facility (SNF)
• Proven ability to achieve or exceed EBITDAR budgets and financial performance targets
• Demonstrated success in census development and referral relationship management
• Comprehensive understanding of SNF reimbursement models across multiple payors
• Successful track record of regulatory and quality inspections
• Strong leadership, communication, customer service, coaching, delegation, and team management skills.
• Strong knowledge of applicable state and federal regulations governing nursing home operations is required.
• Knowledge of skilled nursing operations, healthcare compliance, Medicaid, Medicare, reimbursement programs, budget management, and quality assurance processes preferred.
• BS/BA degree, or equivalent experience in healthcare administration, healthcare management, long-term care administration, business administration, or a related field preferred.

Benefits/EEO

What We Offer You

• Competitive Wages
• 401k with match
• Medical, Dental, Vision & Supplemental Insurance
• Vacation, Sick, Personal Holiday & Paid Holidays
• Short-Term Disability
• Life Insurance
• Tuition & CEU Reimbursement
• Rewards & Recognition Program

EEOC

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.