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Job Location

The Long Term Care (LTC) Administrator is responsible for directing the day-to-day operations of the facility in accordance with current federal, state, and local regulations governing long-term care facilities. The Administrator ensures the highest degree of quality care is provided to residents at all times while maintaining compliance, operational excellence, and a culture of safety, dignity, and respect.

This role provides strategic and operational leadership for a comprehensive long-term care facility, including skilled nursing services.

Key Responsibilities

Leadership & Operations

• Plan, develop, organize, implement, evaluate, and direct all programs and activities supporting long-term care services, including skilled nursing.

• Ensure smooth and effective operations across all departments through collaboration with department directors.

• Represent the facility in executive meetings, governmental reviews, third-party payer discussions, and community engagements.

• Provide written and oral reports and recommendations to the governing board regarding facility operations.

Regulatory Compliance & Quality Assurance

• Ensure compliance with all applicable federal, state, and local laws and regulations (e.g., CMS, ADA, OSHA, infection control, air quality, ergonomics).

• Develop, maintain, and periodically review written policies and procedures governing facility operations.

• Conduct routine inspections to ensure policies and procedures are properly implemented and followed.

• Participate in state and federal surveys; develop and implement plans of correction for identified deficiencies.

• Maintain oversight of licensure, certifications, and registry requirements, including Primary Source Verification (PSV) prior to expiration.

• Maintain current knowledge of regulatory standards and ensure compliance with Corporate Compliance Plan and Code of Conduct requirements.

Resident Care & Advocacy

• Ensure all residents receive care in an environment that enhances quality of life while protecting safety and rights.

• Maintain confidentiality of resident information.

• Review and respond to resident complaints and grievances with documented follow-up.

• Maintain strong liaison relationships with residents, families, and community partners.

Human Resources & Staff Development

• Assist in recruitment, selection, evaluation, and termination of department directors and key personnel.

• Ensure appropriate background checks and Nurse Aide Registry requirements are followed.

• Develop and maintain ADA-compliant job descriptions.

• Support department directors in performance evaluations, orientation, on-the-job training, and continuing education programs.

• Promote quality improvement, patient safety, cultural diversity, and positive employee relations.

• Foster teamwork and maintain strong staff morale.

Financial & Administrative Oversight

• Prepare and manage the annual operating budget.

• Assist in establishing and maintaining appropriate accounting systems.

• Ensure public-facing materials accurately describe facility services.

Infection Control & Safety

• Collaborate with Infection Control Coordinator/Committee to ensure proper identification and documentation of exposure-related tasks.

• Promote safe work environments consistent with regulatory requirements.

Professional Conduct

• Maintain a courteous, professional, and helpful demeanor when interacting with residents, families, staff, medical personnel, and visitors.

• Participate in compliance activities and required training programs.

Minimum Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, or related healthcare field (clinical knowledge preferred).

• Current Missouri Nursing Home Administrator (NHA) license in good standing.

• All certifications and licenses required for long-term care operations.

• 3–5 years of leadership experience in Long Term Care or a related healthcare setting.

Knowledge, Skills & Abilities

• Thorough knowledge of federal and state long-term care regulations.

• Strong leadership, organizational, and strategic planning skills.

• Ability to independently analyze situations and make sound decisions.

• Skilled in policy development, regulatory interpretation, and operational management.

• Knowledge of personnel administration laws and best practices.

• Excellent written and verbal communication skills.

• Strong interpersonal skills with the ability to build effective teams.

• Proficiency in computer systems and healthcare applications.

• Ability to maintain positive employee relations and high morale.