Administrator / Executive Director- Pediatric and adult community

About the role

We are seeking an experienced, decisive, and people-centered Administrator to lead the operations of our pediatric and adult skilled nursing community. The ideal candidate will oversee clinical, financial, regulatory, and human resources functions, build a strong team culture, drive census growth, and ensure exceptional care for our residents every day.

Responsibilities

• Lead all day-to-day operations of the skilled nursing community, servicing pediatric and adult residents across all departments and shifts
• Build, develop, and retain a high-performing interdisciplinary leadership team
• Foster a culture of accountability, compassion, teamwork, and resident-centered care
• Conduct regular department head meetings, leadership rounds, and staff visibility on all shifts
• Ensure all departments operate in alignment with the community's mission, values, and standards
• Ensure compliance with CMS Conditions of Participation, state health department regulations, and all applicable federal and state laws
• Lead survey preparation and manage the facility's response to annual state inspections and deficiencies
• Oversee clinical quality metrics including falls, pressure injuries, hospitalizations, and infection rates
• Support and partner with the Director of Nursing on clinical operations and staffing
• Ensure the QAPI program is active, data-driven, and producing measurable improvement
• Manage the community's operating budget, census development, and financial performance
• Maintain accurate and timely Medicare, Medicaid, and private pay billing in partnership with the Business Office
• Report financial performance to ownership and regional leadership on a regular basis
• Oversee recruitment, hiring, onboarding, performance management, and retention of all team members
• Address team member relations issues promptly, fairly, and in compliance with applicable employment law
• Champion team member recognition, engagement, and a positive workplace culture
• Ensure compliance with OSHA, HR policies, and all applicable employment regulations
• Maintain an open-door policy for residents, families, and team members
• Respond to and resolve resident and family concerns and grievances promptly and professionally
• Ensure resident rights are protected and upheld throughout the community at all times
• Participate in care conferences and maintain visibility and relationships with residents and families

Requirements

• Current, unrestricted Nursing Home Administrator (NHA) license in the state of practice required
• Minimum 2 to 3 years of experience as a licensed Administrator or Executive Director in a skilled nursing or long-term care setting
• Strong working knowledge of CMS regulations, state survey process, and long-term care operations
• Proven track record of financial management, census development, and regulatory compliance
• Demonstrated ability to lead, develop, and retain a high-performing interdisciplinary team
• Strong communication, conflict resolution, and organizational skills
• Experience with electronic health record systems and operational reporting tools