Nursing Home Adminstrator

LimitlessliWestminster, MD
Onsite

About The Position

The Nursing Home Administrator (NHA) is responsible for the overall leadership, operations, and financial performance of a skilled nursing facility. The Administrator ensures the delivery of high-quality resident care while maintaining compliance with all federal, state, and local regulations. This role oversees all facility departments, promotes operational excellence, and fosters a culture of accountability, collaboration, and resident-centered care. This position manages the daily operations of a 158-bed skilled nursing facility with an average census of approximately 105 residents.

Requirements

  • Current and active Maryland Nursing Home Administrator (NHA) License.
  • Minimum of five (5) years of experience as a Nursing Home Administrator in a skilled nursing facility or long-term care setting.
  • Demonstrated success managing the operations of a skilled nursing facility with strong regulatory compliance and quality outcomes.
  • Thorough knowledge of CMS regulations, Maryland long-term care regulations, and reimbursement systems.
  • Proven leadership experience managing multidisciplinary teams.
  • Strong financial management, budgeting, and operational planning skills.
  • Excellent communication, organizational, and interpersonal skills.
  • Ability to lead in a fast-paced, resident-centered healthcare environment.

Nice To Haves

  • Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field required; Master's degree preferred.
  • Experience improving facility census, quality measures, and survey performance.
  • Experience managing facilities with 100+ residents.
  • Executive leadership and team development
  • Skilled nursing facility operations
  • Regulatory compliance and survey management
  • Financial management and budgeting
  • Census development and business growth
  • Quality Assurance and Performance Improvement (QAPI)
  • Employee engagement and retention
  • Strategic planning and operational excellence
  • Resident and family satisfaction
  • Strong decision-making and problem-solving abilities

Responsibilities

  • Provide strategic and operational leadership for all aspects of the skilled nursing facility.
  • Ensure compliance with all CMS, state of Maryland, and federal regulations governing long-term care facilities.
  • Lead and support department heads, including Nursing, Rehabilitation, Dietary, Social Services, Housekeeping, Maintenance, Admissions, and Business Office.
  • Partner with the Director of Nursing to ensure the delivery of exceptional clinical care and positive resident outcomes.
  • Develop and implement operational strategies that improve quality, efficiency, resident satisfaction, and financial performance.
  • Oversee facility budgets, financial performance, census development, labor management, and expense control.
  • Monitor key performance indicators and implement action plans to achieve organizational goals.
  • Ensure survey readiness and lead the facility through state and federal inspections.
  • Foster a positive work environment focused on employee engagement, accountability, retention, and professional development.
  • Build and maintain strong relationships with residents, families, physicians, hospitals, referral partners, and community organizations.
  • Oversee admissions, census growth initiatives, and marketing efforts in collaboration with the admissions team.
  • Investigate and resolve resident, family, and employee concerns in a timely and professional manner.
  • Ensure effective risk management, emergency preparedness, and regulatory reporting.
  • Promote continuous quality improvement through Quality Assurance and Performance Improvement (QAPI) initiatives.
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