Nursing Home Adminstrator

Full Spectrum Search Group•Cedar Rapids, IA
•Onsite

About The Position

The Skilled Nursing Facility Administrator provides operational, financial, regulatory, and team leadership for a 63-bed skilled nursing health center within a broader life plan community in Cedar Rapids, Iowa. The community serves more than 300 residents across independent living, assisted living, memory care, and skilled nursing, with occupancy stabilized across skilled nursing, assisted living, and memory care. Reporting to the Executive Director, the Administrator leads skilled nursing operations, oversees the Assisted Living Manager, and works closely with clinical leadership, department heads, and corporate resources. This hands-on operational leadership role is responsible for maintaining a resident-centered, survey-ready operation and supporting quality care, regulatory compliance, resident satisfaction, and operational performance. The Administrator will help influence the staffing model, strengthen in-house staffing, reduce contract labor, and improve labor management and staffing stability, including during the community’s management transition. The role offers meaningful autonomy and partnership with an Executive Director who has direct health center operational experience.

Requirements

  • Current administrator license.
  • Significant experience leading skilled nursing operations as an Administrator or Health Center Administrator.
  • Strong command of SNF regulations, survey readiness, quality systems, and day-to-day health center operations.
  • Demonstrated financial and business acumen within a skilled nursing environment.
  • Proven success reducing agency or contract labor and rebuilding, restructuring, or stabilizing in-house staffing.
  • Experience leading through staffing-model changes, labor challenges, or nursing-hour initiatives.
  • Strong culture-building, team-development, and labor-management skills.
  • Ability to work collaboratively with an Executive Director while operating with meaningful autonomy.

Nice To Haves

  • CCRC or life plan community experience; strong standalone SNF administrators will also be considered.

Responsibilities

  • Lead daily operations for the skilled nursing health center, ensuring quality care, regulatory compliance, resident satisfaction, and operational performance.
  • Partner with the Executive Director on campus priorities while maintaining accountability for skilled nursing operations.
  • Oversee the Assisted Living Manager and collaborate across independent living, assisted living, memory care, and skilled nursing leadership.
  • Maintain survey readiness and ensure compliance with applicable federal, state, and local skilled nursing regulations.
  • Lead staffing strategy, including reducing contract labor, strengthening in-house staffing, and supporting nursing-hour and staffing-model improvements.
  • Provide financial oversight for the health center, including labor management, budgeting, expense control, and operational decision-making.
  • Build trust and accountability with the DON, ADON, MDS team, unit leadership, and non-clinical department heads.
  • Support a positive, high-performance culture that retains strong team members and reinforces resident-centered service.
  • Partner with rehabilitation and interdisciplinary teams to support effective care delivery for a standard skilled nursing and rehabilitation population.
  • Work with corporate and local leadership to implement operational recommendations associated with the community's management transition.
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