Executive Director/General Manager

Gemstone Senior Living•San Antonio, TX

5d•Onsite

About The Position

The Executive Director / General Manager (ED/GM) serves as both a strategic leader and operational executor of the assisted living and memory care community, bearing full accountability for genuinely rooted hospitality driven healthcare culture that exemplifies daily commitment to excellence. The ED/GM directs all day-to-day operations with structured intentionality, leads and develops a high-performing team that is dedicated to delivering the established key performance measurement metrics, fosters meaningful relationships with residents, and families. This role requires a dynamic leader to foster a positive, unparalleled service-driven culture.

Requirements

Bachelor's degree in healthcare administration, Business Administration, Nursing, Gerontology, or related field required or equivalent work history experience.
Must hold or obtain (within 90 days of hire) a current state-issued Residential Care / Assisted Living Administrator License, or equivalent, as required by state regulation.
Minimum 3–5 years of progressive leadership experience in assisted living, senior living, long-term care, or a related healthcare environment.
Prior experience as an Executive Director, Administrator, or General Manager preferred.
Demonstrated track record of achieving or exceeding census, financial, and quality outcomes.
Experience managing multi-disciplinary teams of 20 or more employees.
Deep understanding of assisted living regulations, survey processes, and compliance requirements.
Strong financial literacy including budget development, P&L management, and variance analysis.
Excellent interpersonal, written, and verbal communication skills; ability to engage effectively with seniors, families, staff, and external stakeholders.
Proficiency with electronic health records (EHR) and community management software (e.g., Yardi, Alis, PointClickCare, MatrixCare).
Demonstrated leadership presence with the ability to inspire, motivate, and develop diverse teams.
Critical thinking and sound judgment in complex, time-sensitive situations.
Commitment to ethical conduct and maintaining strict confidentiality (HIPAA).

Nice To Haves

Current CPR/First Aid certification preferred.

Responsibilities

Direct and oversee all community operations including memory care, personal care, dining, housekeeping, maintenance, and life enrichment programs.
Establish and maintain community-wide policies, procedures, and best practices in alignment with corporate standards.
Conduct daily rounds to monitor resident well-being, environmental quality, and staff performance.
Ensure seamless coordination across all departments to deliver a consistent, high-quality resident experience.
Lead emergency preparedness planning and serve as the incident commander during crises.
Champion a person-centered care philosophy that honors each resident's individuality, preferences, and dignity.
Oversee the assessment, care planning, and service delivery process in collaboration with the Director of Nursing or Care Coordinator.
Build trusting relationships with residents and families; serve as the primary point of escalation for concerns or complaints.
Encourage community events, attend monthly resident council meetings, facilitate monthly staff meetings/training, and recognize “Gemstone of the month”.
Create and implement improvement plans as needed.
Own full P&L responsibility for the community; develop, monitor, and manage annual operating budgets.
Drive census growth through effective daily strategy review, oversight of the sales and admissions process.
Analyze monthly financial statements, identify variances, and implement corrective actions to achieve financial targets.
Approve community expenditures within authorized limits; partner with accounting on billing, collections, and accounts payable.
Identify revenue-generating opportunities and cost efficiencies without compromising care quality.
Recruit, hire, and retain a qualified and compassionate workforce across all departments.
Set clear performance expectations; conduct 90-day evaluations, and annual evaluations to provide ongoing coaching and feedback.
Foster a positive workplace culture that prioritizes teamwork, accountability, and professional growth, while adhering to our “Excellence Expectations”.
Oversee workforce scheduling, overtime management, and labor cost controls.
Address employee relations issues in accordance with company policy and applicable employment law.
Lead required staff training programs including orientation, annual competencies, and regulatory requirements.
Maintain a thorough working knowledge of all applicable federal, state, and local regulations governing assisted living operations.
Ensure the community is inspection-ready at all times; lead the community through all state licensing surveys and third-party audits.
Develop and implement quality assurance programs; track key performance indicators and present results to leadership.
Oversee timely completion of all incident reports, investigations, and required regulatory notifications.
Partner with compliance teams to mitigate organizational exposure.
Serve as the leader of the community to prospective residents, families, referral sources, and the public.
Collaborate with the Director of Sales to achieve occupancy goals, respond to inquiries, or conduct tours when the DOS is not in the community.
Build and maintain relationships with local hospitals, physicians, discharge planners, senior centers, and community organizations.
In the absence of the DOS, represent the community at industry events, civic groups, and professional associations.
Contribute to marketing strategy including digital presence, collateral review, and reputation management.