Long-Term Care Executive Director

Legacy Healthcare; Johnston City (IL); On-site; USD 110,000 - 160,000; Full time

Job summary

Legacy Healthcare seeks an experienced Licensed Nursing Home Administrator (LNHA) to lead a skilled nursing facility in Illinois. The role oversees operations, regulatory compliance, financial performance, and quality of care to ensure safe, compassionate resident services.

The LNHA directs the interdisciplinary team, maintains survey readiness, manages budgets, and collaborates with clinical leadership to optimize resident outcomes and satisfaction.

Qualifications

• Current and unrestricted LNHA license in the applicable state.
• Bachelor's degree in healthcare administration, business administration, nursing, or a related field preferred.
• Experience leading in skilled nursing or long-term care.
• Strong knowledge of federal and state nursing facility regulations and survey processes.
• Experience managing staff, budgets, quality initiatives, and facility operations.
• Strong communication, leadership, organization, and problem-solving skills.
• Ability to work effectively with residents, families, employees, physicians, and regulatory agencies.
• Proficiency with electronic medical records and standard business/administrative software.

Responsibilities

• Provide overall leadership and day-to-day operational management of the nursing facility.
• Ensure compliance with federal, state, and local regulations, including CMS and licensing requirements.
• Maintain a strong culture of resident-centered care, safety, dignity, and quality.
• Lead and support department directors, nursing leadership, and interdisciplinary teams.
• Monitor clinical, operational, staffing, and quality metrics and implement corrective action.
• Oversee development and evaluation of facility policies and procedures.
• Prepare for and manage regulatory surveys, audits, inspections, and complaint investigations.
• Develop and monitor the facility's annual operating budget, census goals, labor costs, and financial performance.
• Partner with Nursing leadership to promote quality outcomes and regulatory compliance.
• Monitor staffing, recruitment, retention, engagement, and workforce performance.
• Address resident and family concerns promptly and professionally.
• Build positive relationships with residents, families, physicians, hospitals, vendors, and community organizations.
• Oversee QAPI activities and continuous improvement.

Skills

Executive Leadership

Regulatory Knowledge

Budget Management

Staff Development

Communication

Problem Solving

Team Leadership

Education

Bachelor's degree in healthcare administration or related field

Tools

EMR Proficiency

Administrative Software

Job description

Licensed Nursing Home Administrator (LNHA)

Position Summary

The Licensed Nursing Home Administrator (LNHA) is responsible for the overall leadership, operations, regulatory compliance, financial performance, and quality of care of the skilled nursing facility. This role provides strategic and operational direction to ensure residents receive high-quality, compassionate care in a safe, compliant, and respectful environment.

The LNHA leads the interdisciplinary team, develops and implements operational strategies, maintains compliance with federal and state regulations, and works closely with residents, families, employees, physicians, vendors, and community partners.

Key Responsibilities

• Provide overall leadership and day-to-day operational management of the nursing facility.

• Ensure compliance with federal, state, and local regulations, including CMS, state Department of Public Health, and applicable licensing requirements.

• Maintain a strong culture of resident-centered care, safety, dignity, and quality.

• Lead and support department directors, nursing leadership, and interdisciplinary teams.

• Monitor clinical, operational, staffing, and quality metrics and implement corrective action when needed.

• Oversee the development, implementation, and evaluation of facility policies and procedures.

• Prepare for and successfully manage regulatory surveys, audits, inspections, and complaint investigations.

• Develop and monitor the facility's annual operating budget, census goals, labor costs, and financial performance.

• Partner with the Director of Nursing and clinical leadership to promote quality outcomes and regulatory compliance.

• Monitor staffing levels, recruitment, retention, employee engagement, and workforce performance.

• Address resident and family concerns promptly and professionally.

• Build positive relationships with residents, families, physicians, hospitals, vendors, and community organizations.

• Oversee facility performance improvement initiatives and Quality Assurance/Performance Improvement (QAPI) activities.

• Ensure accurate documentation, reporting, and maintenance of required records.

• Identify operational risks and develop strategies to improve efficiency, quality, and resident satisfaction.

• Participate in admissions, census development, marketing, and referral relationship initiatives as appropriate.

• Promote employee accountability, professional development, teamwork, and a positive workplace culture.

• Ensure the physical environment is safe, clean, secure, and appropriately maintained.

• Investigate incidents, complaints, and deficiencies and implement appropriate follow-up.

• Communicate organizational goals and expectations effectively to employees and leadership.

• Perform other duties necessary to support the successful operation of the facility.

Qualifications

• Current and unrestricted Licensed Nursing Home Administrator (LNHA) license in the applicable state.

• Bachelor's degree in healthcare administration, business administration, nursing, or a related field preferred.

• Previous leadership experience in skilled nursing, long-term care, post-acute care, or a related healthcare environment.

• Strong knowledge of federal and state nursing facility regulations and survey processes.

• Demonstrated experience managing staff, budgets, quality initiatives, and facility operations.

• Strong communication, leadership, organizational, and problem-solving skills.

• Ability to work effectively with residents, families, employees, physicians, and regulatory agencies.

• Proficiency with electronic medical records and standard business/administrative software.

Preferred Experience

• Experience leading a skilled nursing or long-term care facility.

• Experience with CMS/state surveys and plans of correction.

• Knowledge of QAPI, quality measures, and regulatory compliance.

• Experience with census growth, hospital relationships, and referral development.

• Experience with budget management, labor optimization, and financial reporting.

• Proven ability to improve clinical, operational, and resident satisfaction outcomes.

Core Competencies

• Executive Leadership

• Long-Term Care Operations

• Regulatory Compliance

• Financial & Budget Management

• Quality Assurance & Performance Improvement

• Staff Development & Retention

• Resident & Family Relations

• Risk Management

• Strategic Planning

• Performance Management

• Interdisciplinary Team Leadership

• Survey Readiness

Success in This Role

Success as an LNHA is demonstrated through strong regulatory compliance, high-quality resident care, effective staffing and employee engagement, positive resident and family experiences, strong census and financial performance, and the development of a collaborative, accountable leadership team.