Licensed Nursing Home Administrator lnha

LongTerm Healthcare; Decatur (IL); On-site; USD 110,000 - 170,000; Full time

Benefits offered by this job

Competitive salary

Paid time off

Professional growth

Job summary

LongTerm Healthcare is seeking an experienced Licensed Nursing Home Administrator (LNHA) to lead the overall operations of a skilled nursing facility in Illinois. The role emphasizes resident care, regulatory compliance, and operational excellence, with an emphasis on visibility, accountability, and team development.

The LNHA will collaborate with the DON, department heads, physicians, residents, families, and ownership to ensure high-quality care, effective staffing, and strong financial

Qualifications

• Current Nursing Home Administrator license in the state of employment.
• Experience leading nursing home or skilled nursing facility operations.
• Strong understanding of SNF operations and regulatory requirements.
• Proven leadership and team-building abilities.

Responsibilities

• Provide overall leadership and direction for facility operations.
• Oversee budget, expenses, and financial performance.
• Ensure regulatory compliance and survey readiness.
• Develop and retain department leaders and staff.
• Monitor resident care quality and safety.

Skills

Leadership

Communication

Regulatory compliance

Financial management

Team development

Education

Nursing Home Administrator license

Job description

Licensed Nursing Home Administrator (LNHA)

Skilled Nursing Facility (SNF)

We are seeking an experienced, compassionate, and results-driven Licensed Nursing Home Administrator (LNHA) to lead the overall operations of our skilled nursing facility.

This is an excellent opportunity for a strong healthcare leader who understands the unique demands of skilled nursing and is passionate about resident care, team development, regulatory compliance, and operational excellence.

We are looking for an Administrator who is visible, approachable, accountable, and committed to creating a positive environment for residents, families, and employees.

Why Join Our Team?

• Competitive salary based on experience
• Supportive ownership and leadership team
• Collaborative interdisciplinary environment
• Opportunity to make a meaningful impact on resident care
• Professional growth and advancement opportunities
• Paid time off and benefits for eligible employees
• Strong clinical and operational support
• Opportunity to lead and develop a dedicated team

Position Summary

The Licensed Nursing Home Administrator (LNHA) is responsible for the overall leadership, operations, financial performance, regulatory compliance, and quality of care within the facility.

The Administrator works closely with the DON, department heads, physicians, residents, families, employees, and ownership to ensure the facility operates efficiently while maintaining the highest standards of resident care and safety.

The ideal candidate will have a strong understanding of skilled nursing operations, staffing, census development, financial management, regulatory requirements, quality improvement, and employee engagement.

Key Responsibilities

• Provide overall leadership and direction for facility operations
• Establish a culture focused on resident-centered care, safety, dignity, and quality of life
• Partner closely with the DON and nursing leadership to maintain strong clinical outcomes
• Oversee all facility departments and ensure effective communication between departments
• Recruit, develop, coach, and retain department leaders and staff
• Establish clear expectations and promote accountability throughout the organization
• Monitor staffing levels and work with department leaders to address staffing needs
• Oversee facility budget, expenses, and financial performance
• Monitor census, occupancy, admissions, discharges, and referral relationships
• Develop and maintain positive relationships with hospitals, physicians, residents, families, and community partners
• Oversee admissions and ensure an effective transition of new residents into the facility
• Monitor resident and family satisfaction and address concerns promptly
• Ensure compliance with federal, state, and local regulations
• Maintain survey readiness and coordinate preparation for regulatory inspections
• Review survey results and develop and implement corrective action plans when necessary
• Monitor quality measures and facility performance indicators
• Lead and support QAPI initiatives
• Review incident reports, complaints, and risk-management concerns
• Ensure appropriate follow-up and resolution of identified issues
• Oversee infection prevention, emergency preparedness, and safety initiatives in collaboration with appropriate leaders
• Ensure facility policies and procedures are implemented consistently
• Conduct regular leadership and department meetings
• Maintain effective communication with ownership and senior leadership
• Monitor employee engagement, turnover, attendance, and retention
• Promote professional development and staff education
• Ensure the physical environment is safe, clean, comfortable, and well maintained
• Work with maintenance and environmental services to address facility needs
• Oversee purchasing, vendor relationships, and supply management
• Ensure appropriate documentation and recordkeeping
• Collaborate with the Medical Director and interdisciplinary team
• Represent the facility professionally within the local community
• Perform other duties and leadership responsibilities as needed

Regulatory & Compliance Leadership

The LNHA will take an active role in maintaining regulatory compliance and survey readiness, including:

• CMS and state regulatory requirements
• Quality measures and performance improvement
• Resident rights and grievance processes
• Staffing requirements
• Infection prevention and control
• Emergency preparedness
• Health and safety standards
• Documentation and recordkeeping
• Plan of correction development and implementation
• Ongoing survey readiness

What We’re Looking For

• Current Nursing Home Administrator license in the state of employment
• Previous nursing home or skilled nursing facility leadership experience
• Strong understanding of SNF operations and regulatory requirements
• Proven leadership and team-building abilities
• Strong financial and operational management skills
• Excellent communication and interpersonal skills
• Ability to make sound decisions in a fast-paced environment
• Strong problem-solving and conflict-resolution skills
• Experience with census development and referral relationships preferred
• Experience leading successful surveys and regulatory processes preferred
• Strong understanding of quality improvement and performance management
• Professional, compassionate, and resident-focused leadership style

Leadership Experience That May Transfer

We welcome applications from experienced:

• Licensed Nursing Home Administrators
• Nursing Home Administrators
• Executive Directors – SNF
• Executive Directors – Long-Term Care
• Healthcare Administrators
• Facility Administrators
• Assistant Nursing Home Administrators
• Assistant Administrators
• Senior Living Administrators with SNF experience
• Regional Nursing Home Administrators

The Ideal Administrator

The right candidate is more than an operations manager—they are a leader who sets the tone for the entire facility.

We are looking for someone who:

• Leads by example
• Is visible and engaged with residents and staff
• Builds trust with employees and families
• Holds leaders accountable while providing support
• Understands both the clinical and business sides of skilled nursing
• Makes decisions based on resident needs and facility performance
• Communicates clearly and consistently
• Builds strong relationships with hospitals and referral partners
• Creates a culture of teamwork and professionalism
• Takes ownership and follows through

What Success Looks Like

Success in this role means creating a facility where residents receive excellent care, employees feel valued, departments work together, regulatory standards are consistently met, and the facility operates efficiently and successfully.

The Administrator will be expected to establish strong leadership systems, develop department heads, improve staff retention, maintain survey readiness, support census growth, and continuously improve the resident and employee experience.

Equal Opportunity Employer.