The Executive Director is responsible for the overall leadership, management, and day-to-day operations of the skilled nursing community, ensuring the delivery of high-quality resident care, regulatory compliance, financial performance, workforce engagement, and operational excellence. This position provides strategic and operational oversight of all departments, fostering a culture of accountability, service, safety, and continuous improvement. The Executive Director works collaboratively with residents, families, employees, physicians, and community partners to ensure exceptional outcomes and a positive living and working environment, while maintaining compliance with all applicable federal, state, and local regulations and organizational standards.
Essential Job Functions
ADMINISTRATION
- Provide overall leadership and operational oversight for all aspects of the skilled nursing community, ensuring excellence in resident care, customer service, operational performance, and regulatory compliance.
- Develop, implement, evaluate, and continuously improve programs, services, policies, and operational processes.
- Lead, mentor, and hold accountable department leaders to achieve operational, clinical, financial, and customer satisfaction goals.
- Develop, monitor, and manage operating and capital budgets while ensuring responsible stewardship of organizational resources.
- Monitor key performance indicators, quality measures, resident satisfaction scores, workforce metrics, and financial results, implementing improvement plans as needed.
- Ensure ongoing survey readiness and compliance with all applicable federal, state, and local regulations.
- Partner with clinical leadership to promote resident safety, quality outcomes, infection prevention, risk management, and continuous quality improvement.
- Establish and maintain effective relationships with residents, families, physicians, referral sources, regulatory agencies, and community partners.
- Conduct routine rounds and inspections to ensure quality standards, operational efficiency, safety, and customer service expectations are met.
- Lead response efforts related to surveys, audits, investigations, emergency preparedness, and plans of correction.
- Promote employee engagement, professional development, succession planning, and a positive workplace culture.
- Lead occupancy growth initiatives and support census development through marketing, networking, and business development activities.
- Represent the community and organization in professional, civic, regulatory, and industry organizations.
- Ensure all residents receive care and services in an environment that promotes dignity, choice, quality of life, safety, and resident rights.
- Perform other duties as assigned.
PERSONNEL FUNCTIONS
- Help recruit and select qualified managers, supervisors, consultants, and support staff.
- Collaborate with department managers to address issues and improve services.
- Ensure sufficient trained staff are present at all times.
- Support staff development; monitor performance and implement coaching, counseling, or discipline as needed. Address issues up to termination if required.
- Maintain positive relationships with medical professionals and related organizations via formal agreements.
- Assist in planning and conducting training, orientation, and ongoing education for staff.
SAFETY AND SANITATION
- Ensure that all facility personnel, residents, visitors, etc., follow established safety regulations, including fire protection/prevention, smoking regulations, infection control, etc.
- Ensure that the building and grounds are maintained in good repair.
- Review accident/incident reports and establish an effective accident prevention program.
- Ensure development of county-approved Disaster Plan
EQUIPMENT AND SUPPLY FUNCTIONS
- Authorize the purchase of major equipment/supplies in accordance with established purchasing policies and procedures.
- Ensure that the building and grounds are maintained in good repair.
BUDGET AND PLANNING FUNCTIONS
- Prepare an annual operating budget for approval by the management and allocate the resources to carry out programs and activities of the facility.
- Assist in the establishment and maintenance of adequate facility systems that reflects the operating cost of the facility.
Knowledge and Critical Skills
- Be able to make independent decisions and follow instructions.
- Deal tactfully with personnel, prospects, residents, family members, visitors, government agencies/personnel, and the public.
- Capable of working with ill, disabled, elderly, and emotionally upset people within the facility.
- Communicate effectively in a manner that is sufficient for supervisors, team members, prospects, residents, and families.
- Knowledge/proficiency of Microsoft Office Suite.
Education and Experience
- Must meet all applicable state and federal requirements for this position.
- A bachelor's degree is necessary. A degree in Public Health Administration or Business Administration, or a health-related degree is preferred but not required.
- Must have, as a minimum, 5-year (s) experience in a supervisory capacity in a hospital or long-term care facility.
- Must possess a current, unencumbered Nursing Home Administrator / Executive Director's license or meet the licensure requirements of this State.
Supervisory Responsibility
- This position does have any direct reports or supervisory requirements.
