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Executive Director - LNHA

Accura HealthCare of Shenandoah
Shenandoah, IA Full Time
POSTED ON 12/12/2025 CLOSED ON 2/11/2026

What are the responsibilities and job description for the Executive Director - LNHA position at Accura HealthCare of Shenandoah?

ABOUT OUR COMMUNITY:
Accura HealthCare of Shenandoah is a 45-bed Skilled Nursing Facility (SNF) located in Shenandoah, IA. We embrace a unique, upside-down philosophy that places residents, patients, and direct care employees at the very top of the organizational chart. That includes you!

We are proud to share that we were named Southwest Iowa's Best Skilled Nursing Community for 2023! We take pride in providing quality, person-centered care, in addition to fostering an environment that team members want to be a part of. If you desire an organization that creates an environment that allows both our residents and team members to thrive, consider Accura HealthCare and join us in being partners in care, family for life.

ABOUT ACCURA HEALTHCARE:
Accura HealthCare is a Midwest-based healthcare company that manages and operates over 50 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. From its beginning in 2016 with 9 care communities, Accura HealthCare has held true to its mission and vision while serving others. Built on the pillars of trust, integrity, accountability, commitment, and kindness, Accura HealthCare is a leader in the Midwest in providing high-quality care. Our employees play a key role in supporting our purpose, “to care for others,” while advancing our mission “to be partners in care, family for life.”

JOB SUMMARY:
The Executive Director is a Licensed Nursing Home Administrator (LNHA) who directs the day-to-day functions of the facility in accordance with current federal, state and local standards, guidelines, and regulations that govern long-term care facilities to assure that the highest degree of quality care can be always provided to our residents. Ensure that all established policies and procedures including nursing care procedures, safety regulations, human resources policies, departmental policies, and procedures to assure that quality resident care and an effective operation can be maintained.

ESSENTIAL JOB FUNCTIONS:
  • Lead all department leadership and operations in achieving the company mission, vision, values, goals, and objectives.
  • Lead the facility management staff and consultants in developing and working from a business plan that focuses on all aspects of facility operations, including setting priorities and job assignments.
  • Lead facility QA committee and ensure compliance with regulations for state of operation.
  • Monitor each department’s activities, communicate policies, evaluate performance, provide feedback, assist, and observe, coach, and discipline as needed.
  • Develop an environment that allows for creative thinking, problem solving, and empowerment in the development of the facility management team.
  • Oversee and conduct regular rounds to monitor delivery of nursing care, operation of support departments, cleanliness and appearance of the facility, morale of the staff, and ensure resident and tenant needs are being addressed.
  • Exhibit positive customer service both to internal and external customers through the ongoing support and implementation of customer service initiatives and business objectives.
  • Utilize survey information to address areas of importance as defined by customers.
  • Ensure consultants and other support resources are appropriately utilized, all staff is appropriately trained, and a high level of interdepartmental teamwork is maintained.
  • Ensure the building and grounds are appropriately maintained and that equipment and work areas are clean, safe, and orderly, and any hazardous conditions are timely addressed.
  • Monitor Human Resources to ensure compliance with employment laws, company policies, and to ensure practices maintain high morale and staff retention, including effective communication, prompt problem resolution, and a proactive work environment.
Develop positive relationships on behalf of the company with government regulators, residents, tenants, families, area healthcare providers, physicians, and the community.
  • Manage facility budgets and business practices to include labor costs, payables, and receivables.
  • Ensure a marketing strategy for the facility is developed and implemented that reflects service opportunities, completion, potential market area changes, and maximizes census, payer mix, and ancillary revenues.
  • Knowledge and adherence to safety / disaster preparedness plan.
  • All other duties as needed.
REQUIRED SKILLS ABILITIES:
  • Excellent verbal and written communication skills.
  • Excellent customer service skills with a desire to build and nurture relationships.
  • A professional, courteous, and helpful demeanor.
  • Ability to support a diverse group of internal customers, focusing on the specific needs of each facility and community.
  • Proficient with Applicant tracking systems, CRMs and HRIS systems with Microsoft Office Suite.
  • Experience with social networking and internet vehicles and tools such as emails, search engines, social media, blogs job boards.
  • Proven ability to manage multiple priorities with excellent organization and time management skills.
  • Ability to work independently with little direction and with a team.
  • Ability to strategically drive results while promoting Accura’s values and mission.
  • Must possess a valid driver’s license; some overnight travel required.
EDUCATION QUALIFICATIONS:
  • Associate degree or state-approved education is required.
  • Experience serving in a supervisory role; 1-2 years of healthcare experience is preferred.
  • Licensed as an Assisted Living Director in the state of operation.
  • Must be capable of performing the Essential Functions of this job, with or without reasonable accommodation.
BENEFITS:
  • Paid Time Off (PTO) Paid Holidays*
  • Medical, Dental, Vision Benefits*
  • Flexible Spending Account*
  • Employer Paid Life ADD*
  • Supplemental Benefits*
  • Employee Assistance Program
  • 401(k)
  • These benefits are available to full-time employees. Minnesota employees are eligible for PTO regardless of status.
This organization is an Equal Opportunity Employer and leading post-acute healthcare provider.

Salary.com Estimation for Executive Director - LNHA in Shenandoah, IA
$114,394 to $156,478
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