Licensed Nursing Home Administrator (LNHA)
Chief Executive Officer (CEO) / Chief Operating Officer (COO) / Ownership
The Licensed Nursing Home Administrator (LNHA) provides executive leadership and overall operational management of the nursing home. The Administrator is responsible for ensuring exceptional resident care, regulatory compliance, financial performance, employee engagement, customer satisfaction, and strategic growth while maintaining compliance with all federal, state, and local regulations.
Provide overall leadership and direction for all facility operations.
Develop and execute strategic plans aligned with organizational goals.
Promote a culture of quality, accountability, teamwork, and resident-centered care.
Lead department heads through regular leadership meetings and performance reviews.
Foster positive relationships with residents, families, physicians, employees, vendors, and regulatory agencies.
Maintain compliance with CMS, State Department of Health, OSHA, HIPAA, and all applicable regulations.
Ensure survey readiness at all times.
Oversee corrective action plans following state surveys.
Monitor quality measures and Five-Star Quality Rating performance.
Ensure timely reporting of incidents and required regulatory documentation.
Collaborate with the Director of Nursing to:
Maintain quality resident care.
Improve clinical outcomes.
Reduce hospital readmissions.
Reduce infections.
Improve resident satisfaction.
Ensure staffing meets regulatory requirements.
Support interdisciplinary care planning.
Develop and manage annual operating budgets.
Monitor labor costs, agency utilization, census, and expenses.
Improve profitability while maintaining quality care.
Review monthly financial statements.
Approve capital expenditures.
Identify cost-saving initiatives.
Manage vendor contracts and purchasing.
Partner with Human Resources to:
Recruit and retain qualified staff.
Improve employee engagement.
Reduce turnover.
Ensure compliance with labor laws.
Support leadership development.
Maintain appropriate staffing levels.
Address employee relations concerns.
Develop strategies to increase admissions.
Build relationships with hospitals and referral sources.
Monitor occupancy trends.
Collaborate with admissions and marketing teams.
Improve resident satisfaction and reputation.
Chair the QAPI Committee.
Monitor key performance indicators (KPIs).
Analyze quality data and implement action plans.
Promote continuous process improvement.
Ensure follow-up on performance improvement initiatives.
Reduce liability exposure.
Oversee incident investigations.
Monitor workers' compensation claims.
Ensure emergency preparedness.
Maintain disaster preparedness plans.
Coordinate risk reduction initiatives.
Promote exceptional resident and family satisfaction.
Resolve complaints promptly.
Maintain positive community relations.
Participate in resident and family council meetings.
Oversee:
Nursing Services
Rehabilitation
Social Services
Dietary
Housekeeping
Laundry
Maintenance
Environmental Services
Activities
Admissions
Business Office
Medical Records
Human Resources
Current Licensed Nursing Home Administrator (LNHA) license.
Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field.
Master's degree preferred.
Minimum 5 years of progressive healthcare leadership experience.
Minimum 3 years of nursing home administrator experience preferred.
Demonstrated knowledge of CMS regulations.
Strong financial and operational management experience.
Leadership and team development
Strategic planning
Financial management
Budgeting
Labor management
Regulatory compliance
Survey preparedness
Conflict resolution
Quality improvement
Risk management
Performance management
Excellent communication skills
Customer service excellence
Critical thinking and decision-making
Project management
Data analysis
The Administrator will be evaluated on:
CMS Five-Star Rating
Survey outcomes
Infection rates
Falls with injury
Pressure injuries
Hospital readmissions
EBITDA performance
Labor cost percentage
Agency utilization
Overtime
Operating margin
Budget performance
Employee turnover
Retention
Vacancy rate
Employee engagement
Time-to-fill positions
Occupancy rate
Average daily census
Medicare census
Referral conversion rate
Customer satisfaction
Family satisfaction
Ability to walk throughout the facility daily.
Ability to stand for extended periods.
Ability to respond to emergencies at any time.
Ability to lift up to 25 pounds occasionally.
Ability to work flexible hours, including weekends and holidays as needed.
The Administrator works in a fast-paced healthcare environment requiring frequent interaction with residents, families, physicians, regulatory agencies, and employees. The role requires availability during emergencies, surveys, and other critical operational events.
Resident-Centered Leadership
Ethical Decision-Making
Accountability
Emotional Intelligence
Operational Excellence
Financial Stewardship
Regulatory Expertise
Collaboration
Innovation
Change Management
Talent Development
Continuous Quality Improvement
Customer Service Excellence
Position Classification: Exempt (Salaried)
Supervises: All Department Directors and Facility Leadership Team
FLSA Status: Exempt
This job description is designed to provide a comprehensive framework for a modern skilled nursing facility Administrator, emphasizing leadership, regulatory compliance, financial performance, clinical quality, and operational excellence.
