The posting
Job Description
The Licensed Nursing Facility Administrator (LNFA) is responsible for the overall leadership, management, and operational performance of the facility. This includes planning, organizing, directing, and evaluating all administrative, clinical support, and environmental functions to ensure high-quality resident care, regulatory compliance, and financial stability. The Administrator ensures the facility operates in accordance with all applicable federal, state, and local regulations, as well as established organizational policies and procedures.
Responsibilities
Operational & Regulatory Oversight
- Operate the facility in compliance with all governing body policies and local, state, and federal regulations.
- Maintain continuous readiness for surveys, audits, and inspections.
- Stay current on regulatory updates and ensure facility-wide implementation.
Leadership & Staff Management
- Provide overall supervision of department heads and administrative staff.
- Evaluate employee performance in collaboration with department leaders and provide feedback and corrective action when necessary.
- Support hiring, promotion, discipline, and termination decisions based on performance and organizational needs.
- Promote staff development through training, in-service education, and leadership development opportunities.
Financial & Business Management
- Oversee facility budgeting, financial performance, and operational expenditures.
- Manage accounts receivable, petty cash, and ensure timely collection of resident service payments.
- Monitor purchasing and supply needs to ensure adequate resources for facility operations.
- Follow up on delinquent accounts and maintain financial accountability.
Resident Care & Family Relations
- Maintain ongoing communication with residents, families, and guardians to support satisfaction and continuity of care.
- Ensure resident rights and confidentiality are protected at all times.
- Oversee resident records management, including secure storage of active and closed files.
- Coordinate with clinical leadership regarding transfers, discharges, and end-of-life notifications.
Compliance & Risk Management
- Serve as or support the facility HIPAA Compliance Officer, ensuring confidentiality of resident health information.
- Implement and oversee the facility Compliance Program and staff training initiatives.
- Manage investigations related to residents, incidents, or compliance concerns.
- Ensure all safety protocols are followed, including emergency preparedness and evacuation procedures.
Facility & Operations Management
- Ensure facility equipment, systems, and physical environment are properly maintained and operational.
- Coordinate with maintenance and environmental services to uphold a safe, clean, and functional environment.
- Ensure adequate supply levels and operational readiness at all times.
Communication & Community Relations
- Serve as liaison between the governing body, medical staff, nursing leadership, and external agencies.
- Develop and maintain relationships with community organizations and referral partners.
- Promote positive public relations and community engagement initiatives.
Committee & Quality Improvement Oversight
- Participate in and oversee facility committees and quality assurance initiatives.
- Ensure documentation of meetings, minutes, and follow-up actions are properly maintained.
- Review reports and ensure implementation of committee recommendations.
Emergency & Crisis Management
- Participate in emergency preparedness planning and execution.
- Assist in resident evacuation or crisis response situations as needed.
Qualifications
Education
- Bachelor’s degree required; Master’s degree preferred in one of the following or related fields:
- Healthcare Administration
- Business Administration
- Accounting
- Health Services Management
Licensure
- Must hold a current, valid Nursing Home Administrator (LNFA) license issued by the State Board of Nursing Home Administrators and remain in good standing.
Experience
- Prior leadership experience in a skilled nursing facility or healthcare setting required.
- Demonstrated ability to manage operations, finances, regulatory compliance, and staff performance.
- Experience in long-term care administration strongly preferred.
Skills & Competencies
- Strong leadership, decision-making, and organizational skills.
- Ability to manage multiple departments and priorities effectively.
- Knowledge of federal and state long-term care regulations.
- Strong financial acumen and budget management capability.
- Excellent communication and interpersonal skills.
- Ability to maintain professionalism under pressure and in crisis situations.
- High level of integrity, accountability, and ethical judgment.
Personal Attributes
- Mature judgment and sound decision-making abilities.
- Physically and mentally capable of fulfilling all job responsibilities.
- Strong commitment to resident-centered care and facility excellence.
About Us
Regency Integrated Health Services, Wellsential Health, Senior Solutions Pharmacy, Nurse Practitioner Services of Texas, and Texas Independent Health Care Plan are all an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
Wellsential Health is the largest Texas-based non-profit, skilled nursing organization, representing more than 65 skilled nursing and rehabilitation centers across the state. Our mission is to make better health and wellness possible for all Texans by delivering compassionate, high-quality care in the communities we serve. As a non-profit partner, we reinvest in our residents, our facilities, and our people—because our purpose is care, not profit.
Our team members are dedicated professionals who bring heart, integrity, and commitment to improving quality of life every day. At Wellsential Health, we believe caring for our team is just as important as caring for our residents. When our team members feel supported, valued, and well cared for, they can provide the highest level of care in return. If you’re looking for meaningful work where you can make a lasting impact, Wellsential Health is the place to grow your career and serve with purpose.
