Licensed Nursing Home Administrator

Ascent Healthcare Management; Asheville (NC); On-site; USD 110,000 - 160,000; Full time

Job summary

Ascent Healthcare Management seeks a Licensed Nursing Home Administrator for Western North Carolina, overseeing day-to-day operations, clinical oversight, regulatory compliance, financial management, and staffing at a skilled nursing facility. The role reports to the Regional/Corporate Executive Team and focuses on high-quality care and resident satisfaction.

This position requires an NC LNHA license, 3–5 years in long-term care leadership, strong budgeting, staffing and people skills, and a

Qualifications

• Valid NC Nursing Home Administrator license or eligible.
• Bachelor’s degree in healthcare administration, business, nursing, or related field; master’s preferred but not required.
• 3–5 years in long-term care administration or equivalent leadership role.
• Demonstrated skills in budgeting, staffing, HR, regulatory compliance, and quality assurance.
• Strong leadership, communication, public-relations, conflict-resolution, and decision-making abilities.
• Ability to work flexible hours and be on-call due to 24/7 operations.

Responsibilities

• Provide executive leadership for all facility departments (clinical, administrative, dietary, maintenance, support services).
• Oversee admissions, care coordination, resident well-being, and discharge processes; ensure care plans are implemented and families informed.
• Maintain regulatory compliance and develop/monitor the facility budget (Medicaid/Medicare/private pay).
• Hire, train, mentor, and evaluate staff; foster a high-performance culture.
• Coordinate with leadership to meet occupancy/census targets; collaborate on marketing and community relations.
• Lead quality-improvement initiatives, safety programs, and resident-satisfaction efforts; support corporate leadership.

Skills

Leadership

Regulatory compliance

Financial management

Staffing

Communication

Decision making

Education

Bachelor’s degree in healthcare or related field

Job description

Licensed Nursing Home Administrator – Western North Carolina

Location: Western NC (facility to be determined — multiple sites under Ascent Healthcare Management in Buncombe, Henderson, Rutherford, Transylvania, and soon to be Rowan County)
Reports to: Regional/Corporate Executive Team
Status: Full-time, Exempt

About Ascent Healthcare Management

Ascent Healthcare Management is a hands-on, values-driven provider of skilled nursing and long-term care facilities throughout Western North Carolina. We pride ourselves on blending operational excellence, regulatory compliance, and a heartfelt commitment to resident dignity, comfort, and quality of life. Our brand is built on a “mountain grit & grace” ethos — we believe in seeing beyond the daily tasks to the bigger purpose: building communities where residents, families, and staff see hope, respect, and compassion in every interaction.

At Ascent, every facility is more than a building — it’s a home. We strive to create environments that feel warm, secure, and intentional, with a “from this Overlook we see a better future” mindset. We value transparency, teamwork, accountability, and continuous improvement. As part of our leadership team, you’ll have real operational influence, a supportive corporate backbone, and the opportunity to shape culture and care in a meaningful way.

Position Summary

As Licensed Nursing Home Administrator (LNHA) for Ascent Healthcare Management, you will hold overall responsibility for the day-to-day operations, clinical oversight, regulatory compliance, financial management, and staffing of one of our skilled nursing / long-term care facilities in Western North Carolina. You’ll serve as the primary leader for staff, residents, families, and regulatory bodies — ensuring high standards of care, resident satisfaction, and financial viability, while upholding the values and culture of Ascent.

Key Responsibilities

• Provide executive leadership for all facility departments — clinical, administrative, custodial, dietary, maintenance, and support services.

• Oversee admissions, care coordination, resident well-being, and discharge processes; ensure residents’ care plans are implemented and families are kept informed.

• Maintain compliance with all applicable state and federal regulations, including licensing requirements for nursing home administrators. Develop, manage, and monitor the facility budget — including revenue (Medicaid, Medicare, private pay), expenses, staffing costs, and overall financial performance.

• Hire, train, mentor, and evaluate all levels of staff; foster a supportive, stable, high-performance culture.

• Coordinate with leadership to meet occupancy and census targets; collaborate on facility marketing, community outreach, and referral relationships. (Reflecting Ascent’s emphasis on census goals, business growth, and community integration.)

• Lead quality-improvement initiatives, safety programs, resident satisfaction efforts, and periodic performance reviews — always with an eye toward Ascent’s mission of “a better future from this Overlook.”

• Serve as point-of-contact and liaison with regulatory authorities, families, community partners, and corporate leadership; represent Ascent’s values in every interaction.

Minimum Qualifications

• Valid, unencumbered North Carolina Nursing Home Administrator license (or eligible for licensure) per state requirements.

• Bachelor’s degree (healthcare administration, business administration, nursing, or related field) — master’s degree preferred but not required.

• Minimum of 3–5 years’ experience in long-term care administration or comparable facility leadership role; proven track record of regulatory compliance and operational excellence.

• Demonstrated skills in financial management, budgeting, staffing, HR, regulatory compliance, and quality assurance.

• Strong leadership, communication, public-relations, conflict-resolution, and decision-making capabilities.

• Ability to work flexible hours and be on-call as needed (nights/weekends/holidays), given the 24/7 nature of skilled nursing operations.

What Makes This Role At Ascent Unique

• Culture-first Leadership – We’re looking for someone who doesn’t just run a building — but lives and breathes a mission of dignity, respect, and hope.

• Operational Clout – As part of our corporate leadership team, you’ll have real influence on staffing strategy, budget oversight, census growth, and quality initiatives.

• Growth-Oriented Vision – With multiple facilities under Ascent, strong census-goals, and ambitious expansion plans, you’ll play a key role in shaping our future and helping us grow — personally and organizationally.

• Opportunity to Build Legacy – You’ll join a company that values long-term commitment, continuous improvement, and community impact — ideal for someone who wants to make a lasting positive difference.

• Supportive Corporate Backbone – While we expect grit and high standards, you won’t be alone. You’ll have corporate support for compliance, policies, marketing, and operational systems — freeing you to focus on leadership and care.