Assistant Administrator – Long-Term Care Facility
Job Title: Assistant Administrator
Department: Administration
Reports To: Executive Director / Administrator
FLSA Status: Exempt (typically)
Position Summary
The Assistant Administrator supports the Executive Director/Administrator in the daily operations of the long-term care facility, ensuring compliance with federal, state, and local regulations while promoting high-quality resident care, staff performance, and operational efficiency. This role serves as a key liaison between department heads, staff, residents, families, and regulatory agencies, and may assume full administrative responsibility in the Administrator's absence.
Essential Duties and Responsibilities
- Assist the Administrator in overseeing daily facility operations, including staffing, budgeting, and regulatory compliance
- Ensure facility operations align with state and federal regulations (e.g., CMS, OSHA, HIPAA, state licensing requirements)
- Supervise and support department heads (nursing, dietary, housekeeping, activities, maintenance, business office)
- Assist with survey readiness and respond to state/federal inspections and complaints
- Monitor and support quality assurance and performance improvement (QAPI) initiatives
- Assist in recruitment, hiring, training, and performance evaluation of staff
- Address resident and family concerns, grievances, and satisfaction issues
- Assist with budget preparation, expense monitoring, and financial reporting
- Ensure proper documentation and records management in compliance with regulatory standards
- Participate in care planning meetings and interdisciplinary team collaboration as needed
- Serve as Administrator on Duty (AOD) during rotations, evenings, weekends, or emergencies
- Support marketing, census development, and community relations efforts
- Assist in policy development, implementation, and staff training on procedures
- Maintain a safe, clean, and welcoming environment for residents, staff, and visitors
Qualifications
Education & Licensure
- Associate's degree in Healthcare Administration, Business Administration, or related field required (Bachelor's preferred)
- Current or eligible for Nursing Home Administrator (NHA) license per state requirements (or actively pursuing licensure/AIT program), depending on state regulations
Experience
- 1–3+ years of experience in a long-term care, skilled nursing, or healthcare administrative setting preferred
- Supervisory or leadership experience preferred
- Familiarity with CMS regulations, state survey processes, and long-term care operations
Skills & Competencies
- Strong knowledge of long-term care regulations and compliance standards
- Excellent leadership, communication, and interpersonal skills
- Strong organizational and multitasking abilities
- Proficiency in Microsoft Office and electronic health record (EHR) systems
- Sound judgment and problem-solving skills, especially under pressure
- Ability to maintain confidentiality and handle sensitive situations with discretion
- Financial acumen, including budgeting and expense management
Physical Requirements
- Ability to move throughout the facility for extended periods
- Occasional lifting/assisting as needed (specify weight limits per facility policy)
- Ability to respond to emergencies, including after-hours situations
Work Environment
- Long-term care/skilled nursing facility setting
- May require flexible hours, including evenings, weekends, and on-call availability