Nursing Home Administrator

Gates Health and Rehabilitation Center; Gatesville (NC); On-site; USD 120,000 - 180,000; Full time

Job summary

Gates Health and Rehabilitation Center in North Carolina is seeking an experienced Administrator to lead facility operations, ensure regulatory compliance, manage financial performance, and promote resident-centered care across all departments. This executive leadership role requires clear communication, strong problem-solving, and the ability to align teams with organizational goals.

The successful candidate will oversee Nursing, Business Office, Social Services, Dietary, Environmental

Qualifications

• Licensed Nursing Home Administrator (LNHA) licensure in NC or eligibility.
• Experience in long-term care leadership.
• Strong knowledge of regulatory compliance and survey processes.
• Excellent communication and interpersonal skills.

Responsibilities

• Provide overall leadership for facility operations.
• Ensure compliance with federal, state, and local regulations.
• Oversee department heads including Nursing, Business Office, Social Services, Dietary, Environmental Services, and Maintenance.
• Monitor performance metrics and drive quality resident care.
• Lead survey readiness and plan-of-correction development.
• Foster accountability and professional culture.
• Communicate effectively with corporate leadership and external partners.

Skills

Leadership

Regulatory Compliance

Operations Management

Communication

Education

LNHA license

Job description

Administrator

Full-Time | Exempt | Executive Leadership Role

We are seeking an experienced and accountable Administrator to oversee the overall operations of the facility. This role is responsible for regulatory compliance, financial performance, clinical collaboration, staff leadership, and ensuring high-quality resident care across all departments.

This position is ideal for a strong operational leader who understands long-term care, values compliance and structure, and can lead teams with clarity and consistency.

Responsibilities

• Provide overall leadership and direction for facility operations
• Ensure compliance with federal, state, and local regulations
• Oversee department heads including Nursing, Business Office, Social Services, Dietary, Environmental Services, and Maintenance
• Monitor financial performance, census, budgets, and operational metrics
• Support survey readiness, surveys, and plan-of-correction development
• Foster a culture of accountability, professionalism, and resident-centered care
• Ensure effective staffing practices and departmental coordination
• Address resident and family concerns and support positive outcomes
• Maintain effective communication with corporate leadership and external partners
• Ensure policies and procedures are implemented consistently across departments

Qualifications

• Licensed Nursing Home Administrator (LNHA) in the state or eligible to obtain
• Prior Administrator or senior leadership experience in long-term care preferred
• Strong knowledge of regulatory compliance and survey processes
• Proven leadership, organizational, and decision-making skills
• Ability to manage multiple priorities in a fast-paced environment
• Excellent communication and interpersonal skills

Physical Requirements

• Office and facility-based work throughout the day
• Standing, walking, and moving throughout the facility as needed
• Ability to respond to emergencies and operational needs

Reasonable accommodations may be provided.

Why Join Us

• Executive leadership role with full operational impact
• Opportunity to influence quality, culture, and outcomes
• Collaborative department head team
• Purpose-driven work in long-term care