[9744] Nursing Home Administrator

Full Spectrum Search Group•Waynesville, NC

19d•Onsite

About The Position

Full Spectrum Search Group is a full-service healthcare recruiting agency specializing in post-acute leadership and healthcare administration. We are seeking an experienced Nursing Home Administrator for a skilled nursing facility in the Waynesville, North Carolina market. This is an opportunity for a strong, visible operator to take ownership of a nearly full facility and lead its next phase of improvement. The building has solid census, a complete department head team, stable licensed nursing coverage, and strong operational flow. The organization is seeking a mature, hands-on leader who can strengthen culture, improve survey performance, and create greater accountability throughout the facility. Position Summary The Nursing Home Administrator will oversee the clinical, operational, financial, and cultural performance of the facility. This leader will be expected to maintain the building’s strong census while improving employee engagement, leadership visibility, regulatory performance, and the overall resident and family experience. The ideal candidate is comfortable stepping into a challenging environment, establishing expectations, and working closely with the DON and department heads to create a more accountable and resident-focused culture. This is not a passive administrative role. The successful candidate must be visible throughout the building and actively engaged with staff, residents, and families.

Requirements

Active North Carolina Nursing Home Administrator license required
Prior experience leading a skilled nursing facility strongly preferred
Demonstrated success improving facility culture, regulatory performance, or operational outcomes
Strong understanding of state and federal SNF regulations and survey requirements
Ability to lead and develop department heads, including clinical leadership
Mature, hands-on leadership style with strong visibility throughout the facility
Excellent communication, organization, and problem-solving skills
Ability to work effectively in a rural market and maintain strong community relationships

Responsibilities

Provide overall leadership and operational oversight of the 100-bed skilled nursing facility
Build a positive, accountable culture through consistent visibility and staff engagement
Partner closely with the DON to strengthen clinical leadership and increase presence throughout the building
Maintain strong census performance while monitoring skilled mix, admissions, and discharges
Lead survey readiness, regulatory compliance, and performance improvement efforts
Support department heads and establish clear expectations for communication, follow-through, and resident service
Monitor staffing levels and help reduce reliance on agency CNAs
Maintain open communication with residents, families, employees, and regional leadership
Oversee financial performance, labor management, budgeting, and operational outcomes
Ensure the facility consistently delivers high-quality, resident-centered care