Executive Director for Transitional Care/Skilled Nursing Rehabilitation Community

The Executive Director is responsible for the overall leadership, management, and day-to-day operations of the skilled nursing community, ensuring the delivery of high-quality resident care, regulatory compliance, financial performance, workforce engagement, and operational excellence. This position provides strategic and operational oversight of all departments, fostering a culture of accountability, service, safety, and continuous improvement. The Executive Director works collaboratively with residents, families, employees, physicians, and community partners to ensure exceptional outcomes and a positive living and working environment, while maintaining compliance with all applicable federal, state, and local regulations and organizational standards.

Essential Job Functions

ADMINISTRATION

• Provide overall leadership and operational oversight for all aspects of the skilled nursing community, ensuring excellence in resident care, customer service, operational performance, and regulatory compliance.
• Develop, implement, evaluate, and continuously improve programs, services, policies, and operational processes.
• Lead, mentor, and hold accountable department leaders to achieve operational, clinical, financial, and customer satisfaction goals.
• Develop, monitor, and manage operating and capital budgets while ensuring responsible stewardship of organizational resources.
• Monitor key performance indicators, quality measures, resident satisfaction scores, workforce metrics, and financial results, implementing improvement plans as needed.
• Ensure ongoing survey readiness and compliance with all applicable federal, state, and local regulations.
• Partner with clinical leadership to promote resident safety, quality outcomes, infection prevention, risk management, and continuous quality improvement.
• Establish and maintain effective relationships with residents, families, physicians, referral sources, regulatory agencies, and community partners.
• Conduct routine rounds and inspections to ensure quality standards, operational efficiency, safety, and customer service expectations are met.
• Lead response efforts related to surveys, audits, investigations, emergency preparedness, and plans of correction.
• Promote employee engagement, professional development, succession planning, and a positive workplace culture.
• Lead occupancy growth initiatives and support census development through marketing, networking, and business development activities.
• Represent the community and organization in professional, civic, regulatory, and industry organizations.
• Ensure all residents receive care and services in an environment that promotes dignity, choice, quality of life, safety, and resident rights.
• Perform other duties as assigned.

• Help recruit and select qualified managers, supervisors, consultants, and support staff.
• Collaborate with department managers to address issues and improve services.
• Ensure sufficient trained staff are present at all times.
• Support staff development; monitor performance and implement coaching, counseling, or discipline as needed. Address issues up to termination if required.
• Maintain positive relationships with medical professionals and related organizations via formal agreements.
• Assist in planning and conducting training, orientation, and ongoing education for staff.

• Ensure that all facility personnel, residents, visitors, etc., follow established safety regulations, including fire protection/prevention, smoking regulations, infection control, etc.
• Ensure that the building and grounds are maintained in good repair.
• Review accident/incident reports and establish an effective accident prevention program.
• Ensure development of county-approved Disaster Plan

• Authorize the purchase of major equipment/supplies in accordance with established purchasing policies and procedures.
• Ensure that the building and grounds are maintained in good repair.

• Prepare an annual operating budget for approval by the management and allocate the resources to carry out programs and activities of the facility.
• Assist in the establishment and maintenance of adequate facility systems that reflects the operating cost of the facility.

Knowledge and Critical Skills

• Be able to make independent decisions and follow instructions.
• Deal tactfully with personnel, prospects, residents, family members, visitors, government agencies/personnel, and the public.
• Capable of working with ill, disabled, elderly, and emotionally upset people within the facility.
• Communicate effectively in a manner that is sufficient for supervisors, team members, prospects, residents, and families.
• Knowledge/proficiency of Microsoft Office Suite.

Education and Experience

• Must meet all applicable state and federal requirements for this position.
• A bachelor's degree is necessary. A degree in Public Health Administration or Business Administration, or a health-related degree is preferred but not required.
• Must have, as a minimum, 5-year (s) experience in a supervisory capacity in a hospital or long-term care facility.
• Must possess a current, unencumbered Nursing Home Administrator / Executive Director's license or meet the licensure requirements of this State.

Supervisory Responsibility

• This position does have any direct reports or supervisory requirements.