This executive role is the senior operating leader of a community, accountable for resident well-being, regulatory compliance, workforce performance, financial stewardship, service quality, and sustainable operations. Working with Home Office Leadership and the community leadership team, the Executive Director translates organizational strategy into reliable daily practice and advances a mission-driven culture of excellence across licensed care and campus services. The Executive Director also serves as the community’s licensed HFA and maintains the credentials required for the role.
Responsibilities
Ensure services are resident-centered, safe, respectful, and responsive to individual needs, preferences, rights, and quality-of-life goals across licensed care and campus programs
Maintain visible relationships with residents and families, establish reliable systems for listening and service recovery, and ensure complaints and concerns are investigated, addressed, documented, and trended
Partner with nursing, medical, therapy, social services, dining, life enrichment, pastoral care, and other leaders to monitor outcomes, coordinate services, evaluate admissions and transitions, and resolve barriers to high-quality care
Operate the community in compliance with the applicable federal, state, and local requirements, professional standards, governing-body direction, organizational policies, licensure conditions, and resident-rights protections
Ensure timely identification, protection, escalation, investigation, documentation, and reporting of allegations, incidents, injuries, complaints, suspected crimes, emergencies, and other reportable events; coordinate with clinical, Human Resources, compliance, legal, and regulatory partners as appropriate
Maintain continuous survey readiness; lead inspection response and plans of correction; monitor corrective actions for effectiveness and sustainability; and communicate material compliance risks promptly to the VP of Operations and other appropriate Home Office leaders
Translate organizational strategy into clear community priorities, annual goals, operating plans, measurable outcomes, and accountable execution across all departments and service lines
Lead the community leadership team through structured communication, collaborative decision-making, disciplined follow-through, cross-functional problem solving, and transparent escalation of risks, barriers, and resource needs
Oversee buildings, grounds, equipment, information systems, records, contracts, supplies, life safety, security, and other operational resources to support continuity, efficiency, compliance, and a safe environment
Build and retain an effective leadership team and workforce through staff strategy, selection, onboarding, development, succession planning, recognition, coaching, performance management, and consistent accountability in partnership with Human Resources
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Ensure staffing levels, schedules, competencies, training, supervision, and delegated authority are appropriate for resident needs, services provided, regulatory requirements, the community assessment, and budgeted resources
Create an environment of psychological safety, teamwork, direct and respectful communication, inclusion, ethical conduct, and shared ownership in which employees understand expectations and feel responsible for outcomes
Accountable for the community’s financial performance by monitoring and managing operations within the operating and capital budgets established by Home Office Finance and the CFO
Track revenue, census, labor, agency use, overtime, purchasing, accounts receivable, expenses, and budget variances in partnership with Finance, and implement timely corrective action as needed to maintain financial and operational performance
Balance resident needs, workforce stability, quality, risk, and financial sustainability when allocating resources; ensure accurate reporting, internal controls, contract oversight, and responsible use of organizational assets
Partner with sales, admissions, finance, clinical, and operations leaders to strengthen occupancy, payer mix, service integration, and responsible growth with ensuring the community can safely and competently meet resident needs
Lead or actively support the community’s data-driven QAPI, compliance and ethics, infection prevention, and facility-assessment processes; use audits, trends, root-cause analysis, and performance improvement work to achieve sustained results
Maintain an all-hazards emergency preparedness program with current plans, communication systems, training, exercises, continuity arrangements, delegations of authority, and after-action improvement in coordination with internal and external partners
Represent the community professionally with residents, families, employees, volunteers, governing representatives, regulators, healthcare partners, referral sources, vendors, community agencies, and civic stakeholders; perform other related duties as assigned
Support the organization’s mission, vision, values, policies, and commitment resident-centered service
Maintain confidentiality and comply with HIPAA and other privacy requirements applicable to the position
Complete required education, meetings, and professional development activities
Follow infection prevention, safety, emergency preparedness, and other applicable policies and procedures
Demonstrate professional conduct, reliable communication, collaboration, and respect in interactions with residents, families, employees, visitors, and partners
Perform other duties as assigned consistent with the position’s scope and organizational needs
Requirements
Current, unencumbered HFA license in the state of operation; license must remain active and in good standing throughout employment
Bachelor’s degree in healthcare leadership, business, public health, gerontology, nursing, or a related field preferred; an equivalent combination of relevant education and executive-level experience may be considered when permitted by law
At least three (3) years of progressive leadership experience in skilled nursing, long-term care, senior-living, post-acute care, or a comparable regulated healthcare environment; prior responsibility for multi-department operations and financial performance strongly preferred
Demonstrated knowledge of long-term care regulations, resident rights, survey and enforcement processes QAPI, emergency preparedness, workforce leadership, budgeting, reimbursement, risk management, and campus operations
Proficiency with financial and operational reporting, electronic health and business systems, Microsoft Office, data analysis, and written and verbal executive communication
Ability to interpret laws, regulations, survey guidance, financial statements, contracts, clinical, and operational reports, and translate them into reliable daily practice
Ability to define problems, evaluate evidence, assess risk, make timely and sound decisions, lead through ambiguity, and verify whether corrective actions are effective
Ability to establish credibility with residents and families, frontline employees, community leaders, medical professionals, regulators, governing representatives, and executive leadership
Important Details
Schedule: flexibility to support a 24-hour operation, including occasional evenings, nights, weekends, holidays, travel, and work beyond the regular schedule
Availability: must be available for consultation and response during urgent, emergency, survey, or business-continuity situations and may be required to report to the community
Physical Requirements
Frequently communicates, observes, reads, writes, uses a computer and business systems, and moves throughout the community; regularly alternates among sitting, standing, and walking
Occasionally bends, stoops, reaches, climbs stairs, pushes or pulls light equipment, and lifts or carries up to 25 pounds; may assist during an emergency within training and safe-work practices
Works in office, resident-care, dining, maintenance, and public settings with interruptions, noise, odors, temperature variation, and potential exposure to infectious agents, bodily fluids, chemicals, construction or mechanical hazards, and other healthcare risks; required protective practices and equipment must be used
Regular local travel and occasional travel between communities or to meetings, training, and professional events may be required
About the Company
This job description summarizes the primary duties and expectations of the position. It is not intended to be an exhaustive list of every responsibility, skill, effort, or working condition associated with the role. Duties may be assigned, modified, or removed based on resident needs, operational requirements, and applicable law. Nothing in this job description alters the at-will employment relationship or creates a contract of employment.
