Assisted Living Administrator

Ransomville Manor; Town of Lewiston (NY); On-site; USD 95,000 - 160,000; Full time

Benefits offered by this job

Medical insurance

Paid Time Off

401(k)

Job summary

Ransomville Manor, a 142-bed Adult Care Facility with ALP and Memory Care, seeks an experienced Administrator to lead daily operations. You will be the on-site leader, ensuring regulatory compliance, resident wellbeing, census and revenue, staff development, and a positive culture.

This is a hands‑on leadership role; you will be visible on the floor, interact with residents and families, and ensure every action aligns with policy and licensing requirements.

Qualifications

• Associate or Bachelor's degree required.
• Minimum 5 years of supervisory experience in adult care, nursing home, or senior living.
• Experience as Administrator/Executive Director in NY adult home or assisted living preferred.
• Licensed NY Nursing Home Administrator or related degree preferred.
• Memory care/ALP experience or Special Needs ALR certification preferred.
• Familiarity with electronic health records and census systems preferred.
• Proven track record of census growth and staff retention encouraged.

Responsibilities

• Ensure regulatory compliance with all federal, state, and local requirements.
• Serve as primary contact for NYSDOH surveyors; manage inspections and plans of correction.
• Maintain resident records, admission agreements, and service plans.
• Oversee admissions, retention, and discharges to meet licensed scope.
• Lead staffing, training, and performance reviews for department heads and staff.
• Represent the residence with regulators, referral partners, and community organizations.

Skills

Leadership

Regulatory compliance

Survey/inspection experience

Census growth

Staff retention

Electronic health records

Education

Associate or Bachelor's degree

Tools

NYSDOH familiarity

Job description

POSITION SUMMARY

Ransomville Manor is seeking an experienced Administrator to lead the day‑to‑day operation of our 142‑bed Adult Care Facility, which includes an ALP program and recently licensed Memory Care Unit. The Administrator is the licensed operator’s designated on‑site leader and is accountable for regulatory compliance, resident well‑being, census and revenue performance, staff development, and the overall culture of the community.

This is a hands‑on leadership role. You will be visible on the floor, known by name to residents and families, and responsible for making sure that what happens in the building matches what our policies and our license say should happen.

KEY RESPONSIBILITIES

Regulatory Compliance & Licensing

• Operate the residence in full compliance with all applicable federal, state, and local requirements.
• Serve as the primary point of contact for NYSDOH surveyors; manage inspections, prepare and execute plans of correction, and track corrective actions to closure.
• Ensure timely investigation and reporting of reportable incidents to the Department, and maintain accurate incident and complaint logs.
• Maintain resident records, admission agreements, and individualized service plans in compliance with regulation and facility policy.
• Oversee admission, retention, and discharge decisions to ensure every resident’s needs can be safely met within the facility’s licensed scope.
• Maintain and update facility policies, emergency and disaster plans, and required postings; review annually and after any regulatory change.

Resident Care & Quality

• Partner with the Case Manager, Director of Patient Services, and staff to ensure services are delivered as written in each resident’s service plan.
• Monitor quality indicators — falls, medication errors, hospital transfers, infection control, resident satisfaction — and lead improvement efforts where trends emerge.
• Uphold resident rights, dignity, and choice; ensure grievances are received, documented, and resolved promptly.
• Support an active resident council and a meaningful life‑enrichment and dining program.

Operations & Financial Management

• Lead census development: local outreach, referral relationships with hospitals, discharge planners, and community agencies, tours, and move‑in conversion.
• Ensure the physical plant, life‑safety systems, and housekeeping meet regulatory standards and feel like a home, not an institution.

Staff Leadership

• Recruit, hire, train, schedule, supervise, and evaluate department heads and staff; maintain staffing levels that meet regulatory and resident‑need requirements.
• Verify that all staff complete required pre-service and annual in-service training and that credentials, health clearances, and background checks stay current.
• Build a culture of accountability and retention; conduct regular rounds, staff meetings, and performance conversations.

Family & Community Relations

• Serve as the primary contact for families on care, billing, and service questions; communicate proactively during changes in condition or facility incidents.
• Represent the residence with regulators, referral partners, and community organizations.

REQUIRED QUALIFICATIONS

Associate degree or Bachelor’s degree

Minimum 5 years experience in a supervisory position in Adult Care, Nursing Home, or Senior Living

PREFERRED QUALIFICATIONS

• Prior experience as an Administrator or Executive Director in a New York adult home, enriched housing program, assisted living residence.
• Direct experience managing a NYSDOH survey and writing an accepted plan of correction.
• Licensed Nursing Home Administrator (NY), or a degree in health administration, social work, gerontology, or a related field.
• Experience with memory care, an Assisted Living Program (ALP), or Special Needs ALR certification.
• Familiarity with electronic health record and census systems.
• Proven track record of census growth and staff retention.

COMPENSATION & BENEFITS

Final compensation depends on experience and credentials.

Benefits include:

• Medical
• Paid Time Off
• 401(k)

EQUAL OPPORTUNITY

The Facility is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, creed, sex, gender identity or expression, sexual orientation, national origin, age, disability, marital or familial status, military or veteran status, predisposing genetic characteristics, domestic violence victim status, or any other characteristic protected by federal, state, or local law. We provide reasonable accommodation to applicants and employees with disabilities.