Licensed Nursing Home Administrator

We are seeking an experienced and compassionate Licensed Nursing Home Administrator (LNHA) to lead our skilled nursing facility in North Carolina!

The LNHA will oversee the day-to-day operations of the facility while ensuring high-quality resident care, regulatory compliance, employee engagement, and strong clinical and financial performance. We are looking for a hands-on leader who can build a strong team, create a positive facility culture, and make a meaningful impact on residents and staff.

Responsibilities

• Provide overall leadership and direction for the facility's daily operations.
• Ensure the delivery of high-quality, person-centered care to all residents.
• Lead and support the interdisciplinary leadership team, including Nursing, Social Services, Activities, Dietary, Maintenance, and other departments.
• Recruit, develop, coach, and retain strong department leaders and staff.
• Maintain compliance with federal, state, and local regulations, including CMS and North Carolina requirements.
• Monitor facility quality measures, survey readiness, clinical outcomes, and regulatory compliance.
• Work closely with the Director of Nursing and clinical leadership to ensure resident care and safety standards are consistently maintained.
• Develop and maintain positive relationships with residents, families, employees, physicians, vendors, and the surrounding community.
• Monitor census, admissions, referrals, and overall occupancy goals.
• Oversee facility budgets, expenses, staffing, and financial performance.
• Address resident and family concerns promptly and professionally.
• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives.
• Maintain a strong focus on employee engagement, accountability, and retention.
• Ensure the facility is prepared for surveys and follow through on plans of correction when needed.
• Promote a positive culture focused on teamwork, accountability, dignity, and excellent resident care.

Qualifications

• Current North Carolina Nursing Home Administrator License (LNHA) required.
• Previous Nursing Home Administrator experience in a skilled nursing/long-term care setting strongly preferred.
• Strong knowledge of CMS, state regulations, survey processes, and long-term care operations.
• Proven ability to lead and develop an interdisciplinary team.
• Strong communication, organizational, and problem-solving skills.
• Demonstrated ability to improve quality outcomes, census, employee engagement, and overall facility performance.
• Strong understanding of clinical operations, staffing, budgeting, and regulatory compliance.
• Must be a hands-on, visible leader who is comfortable working directly with residents, families, and staff.

What We’re Looking For:

We are looking for an engaged, accountable, and resident-focused leader who can take ownership of the building and work collaboratively with the clinical and operational teams. The ideal Administrator is someone who enjoys developing people, solving problems, and creating a culture where both residents and employees feel valued.

If you're an experienced NC-licensed Nursing Home Administrator looking for an opportunity to make an impact, we'd love to hear from you!

Equal Opportunity Employer

#ZrLTC

Confidential opportunity with a growing LTC organization focused on quality care, operational excellence, and team success.