Licensed Nursing Home Administrator (LNHA)

Care Initiatives; Cedar Falls (IA); On-site; USD 85,000 - 110,000; Full time

Job summary

Care Initiatives is hiring a Licensed Nursing Home Administrator (LNHA) to lead Pinnacle Specialty Care in Cedar Falls, IA, a 100-bed SNF. The LNHA will oversee daily operations, drive quality of care, and build a high-performing leadership team.

The role emphasizes staff development, resident-centered care, and strong community partnerships. Iowa licensure and proven SNF leadership are required; internal growth opportunities are highlighted within the Care Initiatives family.

Qualifications

• Valid Iowa Nursing Home Administrator license in good standing or ability to activate Iowa licensure.
• Proven leadership experience in skilled nursing is highly desired.
• Ability to build relationships and lead a team through change with professionalism and empathy.

Responsibilities

• Oversee day-to-day operations of the assigned skilled nursing facility to ensure quality of care and operational excellence.
• Lead and support teams by fostering collaborations, compassion, continuous improvement, and staff development.
• Develop and execute operational strategies to maintain high-quality resident care and positive outcomes.
• Promote a strong culture of service, accountability, and resident-centered care.

Skills

Leadership

Team leadership

Change management

Relationship building

Job description

Licensed Nursing Home Administrator (LNHA)

Pinnacle Specialty Care, 1223 Prairie View Rd., Cedar Falls, Iowa, United States of America

Job Description

Posted Thursday, August 6, 2026 at 6:00 AM

Care Initiatives is now hiring a Licensed Nursing Home Administrator (LNHA) to join our team atPinnacle Specialty Care, a 100 bed Skilled Nursing Facility (SNF), located in Cedar Falls, Iowa!

**As big proponents of growth and development, Care Initiatives is happy to share that this position is available due to internal promotion and transition into leading a larger senior living community under our umbrella.**

Something unique about Pinnacle: They have a therapy pool! The therapy pool offers the opportunity to build valued community partnerships with education institutions and therapy providers, all while enhancing quality of care for our residents and their families!

Pinnacle is a 2024 AHCA/NCAL Bronze National Quality Award Recipient.

Make a Difference Every Day – Join Care Initiatives as a vital part of our senior living leadership team!

As the largest single operator of quality nursing homes in Iowa, Care Initiatives is a nonprofit healthcare organization with over forty (40) skilled nursing communities, eight (8) hospice offices (and growing!), plus our own internal staffing agency. We are committed to providing exceptional care and support at every stage of the healthcare journey. If you're a dedicated and engaged leader looking to make meaningful impacts, this is your opportunity to shine!

What You’ll Do & Key Responsibilities:

• Oversee day-to-day operations of assigned skilled nursing facility to ensure quality of care and operational excellence.
• Lead and support teams by fostering collaborations, compassion, continuous improvement, and staff development.
• Develop and execute operational strategies to maintain high-quality resident care and positive outcomes.
• Promote a strong culture of service, accountability, and resident-centered care.

Qualifications:

• Valid Iowa Nursing Home Administrator (NHA) license in good standing required, or ability to activate NHA licensure in Iowa.
• Proven leadership experience in skilled nursing is highly desired. Aligning with our Always Learn value, we also support growth and development of newly licensed Administrators when applicable.
• Ability to build relationships and lead a team through change with professionalism and empathy.

Why Join Care Initiatives?

• Competitive Compensation: Earn a highly competitive wage.
• Comprehensive Benefits: Eligible employees enjoy robust benefit options including medical, dental, vision, 403(b) retirement savings plan, unlimited PTO, and more.
• Tuition Reimbursement: Develop your skills with company-paid training and education to take your career to the next level.
• Digital Wallet Access: Get paid as you earn—no more waiting for payday!

Start Your Journey with Us

Committed to attracting and retaining a diverse staff, Care Initiatives will honor your experiences, perspectives, and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

Care Initiatives is an Affidant and Equal Opportunity Employer. Care Initiatives complies with applicable federal civil rights laws and does not discriminate based on race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, gender expression, marital status, parental status, genetic information, protected veteran status, or any other characteristic protected by law.

Pinnacle Specialty Care, 1223 Prairie View Rd., Cedar Falls, Iowa, United States of America