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Licensed Nursing Home Administrator (LNHA)

Generations Healthcare
Fresno, CA Full Time
POSTED ON 7/26/2026
AVAILABLE BEFORE 8/23/2026
Horizon Health and Subacute, Fresno CA

$180,000.00 - 200,000.00 Annual Salary DOE / Full Time

Horizon Health and Subacute Center, a Generations Healthcare facility located in Fresno, CA, is looking for a LNHA to join our team. This is a large, 180 bed skilled nursing and rehabilitation facility with 3 distinct units: skilled/short term rehab, subacute and a special treatment program for behavioral health residents. Weare looking for a consummate professional to lead this large team.

Benefits:

We offer a competitive compensation package, healthcare benefits and excellent career growth opportunities. Health Benefits for full-time employees offered 1st of the month following hire date. Benefits and incentive programs (including sign-on bonuses, if applicable) are subject to eligibility requirements and may change at any time. Sign-on bonus terms and amounts are subject to change and are based on the employee’s date of hire.

Position Overview:

The primary role of the Administrator is to direct the day-to-day functions of the facility in accordance with current federal, state, and local standard, guidelines, and regulations that govern nursing facilities to assure that the highest degree of quality care can be provided to our residents at all times.

Essential Duties:

  • Plan, develop, organize, implement, evaluate, and direct the facility’s programs and activities in accordance with guidelines issued by the governing board.
  • Develop and maintain written policies and procedures and professional standards of practice that govern the operation of the facility.
  • Assist the HR Director and department directors in development of performance-based job evaluations.
  • Assist department directors in the development, use, and implementation of departmental policies, procedures, and professional standards of practice.
  • Conduct daily meetings with appropriate staff during facility inspections to discuss survey findings and formulation of plans of action/correction.
  • Maintain a good public relations program that serves the best interest of the facility and community alike.
  • Assist in the recruitment and selection of competent department directors, supervisors, facility- non-licensed staff, consultants, etc.
  • Ensure that facility personnel follow established ergonomics policies and procedures to prevent self-injury.
  • Ensure that the resident’s rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights are well established and always maintained.

Qualifications:

  • A bachelor’s degree is required. A degree in Public Health Administration or Business Administration, or a health-related degree is preferred but not required.
  • Must have, as a minimum, two years of experience in a supervisory capacity in a hospital or nursing facility.
  • Must possess a current, unencumbered Nursing Home Administrator’s license or meet the licensure requirements of CA.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
  • Must have a thorough knowledge of OBRA regulations, the survey process, survey tag numbers, and quality measures.
  • Must be knowledgeable of reimbursement regulations and nursing practices and procedures, as well as laws, regulations, and guidelines pertaining to nursing facility administration.
  • Must possess the ability to work harmoniously with and supervise other personnel.
  • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedures, etc., that are necessary for providing quality care and maintaining a sound operation.
  • Must be thoroughly familiar with laws, regulations, and guidelines governing personnel administration.
  • Must be able to read and interpret financial records, reports, etc.
  • Must be knowledgeable of computer systems, system applications, and other office equipment.
  • Must be able to communicate policies, procedures, regulations, reports, etc., to personnel, residents, family members, visitors, and government agencies/personnel.
  • This position requires the successful completion of a background check, pre-employment physical, and drug screening as part of the hiring process.

Generations Healthcare was founded upon the belief that caring for the sick, the elderly, and the infirm is a special and sacred stewardship. It is our mission to have this belief reflected in everything we do: in the presentation of our homes, in the professionalism of our staff, and in the daily delivery of care to our residents and their families. It is our purpose that whoever enters a Generations home will be met with kindness, competence and compassion.

We invite you to make a difference in the lives of others and our residents, who represent a Lifetime of Memories, a Lifetime of Care, and a Lifetime of Love.

For more detailed information and a virtual 360 tour, please visit www.lifegen.net.

The Company is an equal opportunity employer and makes employment decisions on the basis of merit. The Company prohibits unlawful discrimination against employees or applicants based on race(including traits historically associated with race, such as hair texture and protective hairstyles), religion, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, reproductive health decision making, gender, gender identity, gender expression, age, military status, veteran status, uniformed service member status, sexual orientation, transgender identity, citizenship status, pregnancy, or any other consideration made unlawful by federal, state, or local laws. The Company also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics, or is associated with a person who has or is perceived as having any of those characteristics.

Salary : $180,000 - $200,000

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