Vice President, Senior Living Operations

Cornerstonemgmt; Rochester (MN); Hybrid; USD 180,000 - 260,000; Full time

Job summary

Cornerstone Management Services seeks a Vice President of Senior Living Operations to oversee multi-state senior living portfolios, optimize occupancy and NOI, and drive regulatory compliance. You will lead executive directors and regional leaders, implement scalable systems, and partner with development teams on new opportunities.

Travel across a national portfolio is required. The role focuses on resident experience, labor optimization, and performance metrics to position Cornerstone as a

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Hospitality, or related field.
• 7–10 years of progressive senior living leadership overseeing multi-site operations.
• Experience with budgeting, financial reporting, and executive-level strategy.
• Strong regulatory knowledge across multiple states.

Responsibilities

• Provide executive oversight for senior living operations across regions.
• Drive occupancy, NOI, labor efficiency, and resident satisfaction portfolio-wide.
• Lead turnarounds for distressed assets and partner on acquisitions.
• Ensure regulatory compliance and survey readiness across communities.
• Develop leadership teams and KPI dashboards.

Skills

Leadership

Operations

Regulatory Compliance

Financial Management

Strategic Planning

Talent Development

Travel

Education

Bachelor’s degree in Healthcare Administration, Business, Hospitality, or related field

Master’s degree preferred

Tools

Cornerstone Compass

EHR

CRM

Billing

Workforce Management

Job description

Vice President of Senior Living Operations

Cornerstone Management Services
Reports To: Chief Operating Officer (COO) / Executive Leadership Team
Location: Multi-State Travel Required (Regional/National Portfolio Oversight)

Position Summary

The Vice President of Senior Living Operations (VP of Senior Living Operations) serves as a key executive leader responsible for driving operational excellence, financial performance, regulatory compliance, and resident experience across Cornerstone Management’s senior living portfolio, including Assisted Living, Memory Care, Independent Living, and specialized senior housing communities. This role provides strategic oversight to Executive Directors, Regional Directors, and corporate support teams while ensuring communities align with Cornerstone’s mission of Creating Healthy Communities through honesty, integrity, responsiveness, hard work, dedication, fun, and success.

This leader is responsible for stabilizing under-performing assets, maximizing occupancy, driving NOI growth, optimizing labor, ensuring survey readiness, and implementing scalable systems that position Cornerstone communities as market leaders.

Key Responsibilities

Strategic Portfolio Leadership

• Provide executive oversight for all senior living operations across assigned communities and regions.
• Drive occupancy, NOI, labor efficiency, and resident satisfaction benchmarks portfolio-wide.
• Lead operational turnarounds for distressed assets through zero-based budgeting, labor restructuring, vendor optimization, and sales acceleration.
• Partner with Business Development on acquisitions, transitions, lease-ups, and new management opportunities.
• Ensure operational consistency through implementation of Cornerstone Compass standards.

Financial Performance &NOI Growth

• Own P&L accountability across portfolio communities.
• Analyze financial statements, budgets, labor percentages, occupancy metrics, and cost comparisons to drive profitability.
• Develop and execute action plans to move communities toward targeted NOI benchmarks (10%, 20%+).
• Reduce labor costs while maintaining quality outcomes, with targeted labor benchmarks (e.g., 40% or less where operationally appropriate).
• Evaluate and renegotiate legacy contracts, systems, and vendor partnerships.

Leadership Development & Team Accountability

• Directly supervise Regional Directors, Executive Directors, and operational leaders.
• Build high-performance leadership teams through coaching, accountability systems, and succession planning.
• Develop structured KPI dashboards and performance scorecards.
• Support recruitment, retention, and top-grading of senior leadership talent.
• Champion Cornerstone culture, employee engagement, and leadership development initiatives.

Clinical, Regulatory & Compliance Oversight

• Ensure state, federal, and company regulatory compliance across all communities.
• Maintain survey readiness and oversee corrective action planning when needed.
• Partner with clinical leadership to ensure excellence in resident care, quality assurance, and memory care programming.
• Oversee policy implementation and operational governance standards.

Sales, Marketing & Occupancy Growth

• Collaborate with sales leadership to drive census growth and conversion strategy.
• Ensure CRM systems, tour standards, and sales accountability are optimized.
• Support repositioning strategies for communities based on market demographics and competitive analysis.

Systems & Process Optimization

• Drive adoption of Cornerstone’s preferred systems and platforms (EHR, CRM, billing, workforce management, dashboards).
• Standardize best practices across communities for operations, staffing, resident experience, and financial controls.
• Identify automation opportunities that improve visibility, efficiency, and scalability.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Hospitality, or related field required; Master’s degree preferred.
• Minimum 7–10 years of progressive senior living leadership experience overseeing multi-site operations.
• Proven success managing Assisted Living, Memory Care, and/or Independent Living portfolios.
• Demonstrated expertise in operational turnarounds, occupancy growth, labor management, and NOI improvement.
• Strong understanding of regulatory requirements across multiple states.
• Experience with budgeting, financial reporting, and executive-level business strategy.
• Exceptional leadership, communication, and change management capabilities.
• Ability to travel extensively.

Preferred Competencies

• Distressed asset turnaround expertise
• Multi-state portfolio management
• Public and private-pay reimbursement understanding
• Sales and occupancy strategy
• Zero-based budgeting
• Executive leadership and team development
• Vendor negotiation and systems integration

Success Metrics

• Portfolio Occupancy Growth
• NOI Improvement
• Labor Cost Reduction
• Survey Outcomes / Compliance
• Resident & Family Satisfaction
• Employee Retention
• Sales Conversion Performance

Why Cornerstone?

At Cornerstone Management, we do more than manage communities—we transform them. Our VP of Senior Living Operations will play a critical role in scaling healthy communities, elevating resident experiences, and delivering measurable operational success across a growing portfolio. This is an opportunity for a strategic, results-driven leader to make lasting impact at one of the most progressive senior living management organizations in the industry.