Healthcare Facility Administrator

Human Resources Generalist at Cardinal Care Strategies

Job Title: Healthcare Facility Administrator – Long-Term Care

Reports To: Chief Operating Officer

Position Summary: The Healthcare Facility Administrator is responsible for the overall leadership, management, and operation of a long‑term care facility. This role ensures compliance with federal, state, and local regulations while delivering high‑quality, resident‑centered care. The Administrator provides strategic direction, oversees clinical and non‑clinical departments, manages financial performance, and promotes a safe, ethical, and compassionate environment for residents, families, and staff.

• Ensure full compliance with federal, state, and local regulations governing long‑term care facilities (e.g., CMS, state licensing, survey readiness).
• Oversee survey preparation, response, and corrective action plans.
• Maintain policies and procedures aligned with regulatory requirements and best practices.
• Ensure resident rights, safety, and quality of care standards are upheld.

• Provide overall leadership and direction to all facility departments, including nursing, dietary, housekeeping, maintenance, social services, and activities.
• Foster a culture of quality improvement, teamwork, accountability, and resident‑centered care.
• Recruit, hire, develop, and retain qualified staff; oversee performance management and disciplinary actions.
• Ensure effective communication among staff, residents, families, and external stakeholders.
• Develop, manage, and monitor the facility’s operating budget.
• Ensure financial sustainability through effective census management, cost control, and revenue optimization.
• Oversee billing, reimbursement, and financial reporting in coordination with finance and clinical teams.
• Approve expenditures and contracts in accordance with organizational policies.

• Lead quality assurance and performance improvement (QAPI) initiatives.
• Monitor clinical outcomes, resident satisfaction, and operational metrics.
• Identify and mitigate risk, including incident management, infection control, and emergency preparedness.
• Ensure compliance with safety standards and emergency preparedness plans.

• Promote resident dignity, choice, and quality of life.
• Address resident and family concerns promptly and professionally.
• Support care planning processes and interdisciplinary collaboration.
• Serve as a visible and accessible leader within the facility.

• Represent the facility in the community and with regulatory agencies.
• Build positive relationships with hospitals, referral sources, and community partners.
• Support marketing and census development efforts.

• Bachelor’s degree in Healthcare Administration, Business Administration, or a related field (Master’s preferred).
• Current and valid Licensed Nursing Home Administrator (LNHA) license (or state‑specific equivalent).
• Must meet all state and federal requirements for long‑term care administrators.

• Minimum of 3–5 years of leadership experience in a long‑term care or skilled nursing facility.
• Demonstrated experience in regulatory compliance, financial management, and staff leadership.
• Proven track record of successful survey outcomes and quality improvement.
• Strong leadership, decision‑making, and organizational skills.
• In‑depth knowledge of long‑term care regulations and operations.
• Excellent communication and interpersonal abilities.
• Financial acumen and budget management skills.
• Ability to manage multiple priorities in a fast‑paced environment.
• Commitment to ethical practice and resident‑centered care.
• Primarily facility‑based with frequent interaction with residents, staff, and families.
• On‑call availability may be required for emergencies or regulatory matters.

• Ability to move throughout the facility, attend meetings, and respond to emergencies.
• May require occasional lifting or standing for extended periods.

• Entry level

• Full‑time

• Health Care Provider

Nursing Homes and Residential Care Facilities