Skilled Nursing Facility Administrator

About the role

The Skilled Nursing Facility Administrator oversees all aspects of the Lorber Care Center, a 125-bed licensed Skilled Nursing Facility. Key responsibilities include leading facility operations, ensuring regulatory compliance, and maintaining high-quality care.

Responsibilities

• Direct and evaluate all facility operations to ensure excellence in resident care, customer service, workforce engagement, operational efficiency, and regulatory compliance.
• Establish strategic goals and performance objectives aligned with organizational priorities.
• Foster a culture of accountability, resident-centered care, teamwork, and continuous improvement.
• Oversee implementation and monitoring of policies and procedures to ensure compliance with all applicable laws and regulations.
• Serve as the facility's primary representative with residents, families, physicians, consultants, regulatory authorities, and community stakeholders.
• Maintain a visible leadership presence throughout the facility and conduct regular leadership rounds.
• Lead emergency preparedness, disaster response, and business continuity planning.

Essential Responsibilities

• Provide overall leadership and operational oversight for all aspects of the Skilled Nursing Facility.
• Evaluate all facility operations to ensure excellence in resident care, customer service, workforce engagement, operational efficiency, and regulatory compliance.
• Ensure compliance with all applicable laws and regulations.
• Serve as the facility's primary representative with residents, families, physicians, consultants, regulatory authorities, and community stakeholders.
• Maintain a visible leadership presence throughout the facility and conduct regular leadership rounds.
• Lead emergency preparedness, disaster response, and business continuity planning.

Regulatory Compliance and Government Reporting

• Maintain overall responsibility for ensuring the facility's compliance with all federal and state reporting requirements, regulatory submissions, certifications, and survey processes.
• Oversee all CMS, CDPH, and other regulatory reporting requirements for Skilled Nursing Facilities.
• Ensure timely and accurate submission of required reports, including but not limited to: Minimum Data Set (MDS) reporting, CMS Payroll-Based Journal (PBJ) submissions, CASPER reports and Quality Measure reporting, Nursing Home Care Compare data validation and compliance, state staffing and workforce reporting, Infection Prevention and Control reporting, NHSN reporting requirements, Medi-Cal and Medicare participation requirements, HCAI/OSHPD reporting requirements, Annual licensure and certification filings, Plan of Correction (POC) submissions, Mandatory incident reporting, Reporting of abuse, neglect, misappropriation, and unusual occurrences, Emergency preparedness and life safety compliance reporting.
• Coordinate survey response activities and oversee implementation of corrective action plans.
• Maintain facility readiness for federal and state surveys, complaint investigations, certification reviews, and audits.
• Serve as the facility's primary liaison with CMS, CDPH, local regulatory agencies, and accreditation organizations.
• Monitor regulatory changes and ensure operational practices align with evolving requirements.

Financial and Business Management

• Ensure conformance with the Nursing Home annual budget.
• Investigate revenue sources, including grant writing, re-adjust services to maximize reimbursement, and complete all required documentation.
• Participate on Medical Advisory, Infection Control & Pharmacy Advisory Committees; confer with Medical Director and other Nursing Home consultants as necessary.
• Serve on various community boards to ensure continued care for residents.
• Monitor revenue, expenses, productivity, and financial performance against budget targets.
• Identify opportunities to maximize reimbursement and operational efficiency.
• Oversee census development and occupancy management initiatives.
• Collaborate with admissions, clinical, and finance teams to optimize payer mix and reimbursement strategies.
• Analyze operational and financial reports and recommend corrective actions when necessary.
• Develop business plans to support new programs, capital projects, and service enhancements.
• Present financial analyses, budget projections, and capital requests to executive leadership and the Board as appropriate.

Human Resources and Workforce Leadership

• Provide leadership, coaching, and performance management to department leaders.
• Ensure staffing levels meet resident care needs while complying with state and federal staffing requirements.
• Promote employee engagement, retention, recognition, and professional development.
• Foster a positive workplace culture grounded in accountability, collaboration, respect, and inclusion.
• Address employee relations issues, employee grievances, and labor-management concerns.
• Support recruitment and retention initiatives to attract and retain high-performing professionals.
• Ensure compliance with labor laws, workplace safety regulations, and organizational policies.

Clinical Operations

• Ensure the delivery of high-quality resident-centered care across all service areas.
• Monitor clinical outcomes, resident satisfaction, and quality performance indicators.
• Collaborate with physicians, advanced practice providers, consultants, and interdisciplinary teams to address resident needs.
• Evaluate care delivery systems and implement improvements to enhance resident outcomes.
• Respond to significant clinical incidents, emergencies, and resident concerns as needed.
• Conducts daily or weekly management team meetings to discuss resident status, census changes, personnel, or resident complaints or concerns.
• Promotes compliance with accident prevention procedures, safety rules, and safe work practices to prevent employee injury and illness and promote workplace safety and reduce employee injuries through effective prevention and risk-management practices.

Quality Assurance and Performance Improvement (QAPI)

• Lead the facility's Quality Assurance and Performance Improvement (QAPI) Program.
• Chair or oversee Quality Assurance and Assessment Committee (QA&A) activities.
• Monitor quality indicators, survey trends, and performance metrics.
• Develop and implement corrective actions to improve clinical and operational outcomes.
• Establish quality improvement teams and facilitate system-wide improvement initiatives.
• Prepare annual quality management plans and reports.
• Ensure sustained survey readiness and continuous regulatory compliance.
• Oversee monitoring of infection prevention and control programs.
• Report quality initiatives and outcomes to executive leadership.

Resident Experience and Resident Rights

• Promote a culture of dignity, respect, autonomy, and person-centered care.
• Ensure all residents receive services consistent with their goals, preferences, and plan of care.
• Protect resident rights and ensure compliance with all applicable resident protections.
• Address resident and family concerns promptly and effectively.
• Foster an environment that supports independence, meaningful engagement, and quality of life.
• Ensure confidentiality of resident information and compliance with HIPAA requirements.

Safety, Risk Management, and Environment of Care

• Direct facility-wide safety and risk management programs.
• Ensure compliance with OSHA, CMS, CDPH, and Life Safety Code requirements.
• Oversee fire safety, emergency preparedness, disaster planning, infection prevention, and workplace safety programs.
• Conduct regular facility inspections and environmental rounds.
• Implement strategies to reduce employee injuries, resident accidents, and organizational risk exposure.