Associate Director, Field Reimbursement - Upstate NY Daiichi Sankyo, Inc.Associate Director, Field Reimbursement - Upstate NYBuffalo, MI$168,400–$252,600 / yearFull timeDemonstrate extensive knowledge of specialty payer landscape, the appropriate utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes and the general evolution of the healthcare landscape. The ADFR may advise sites of care on payer specific nuances related to utilization managements protocols and appeals Partner with DSI oncology field staff to ensure aligned customer approach.
NewSenior Business Development Manager, Account Director DSV Air & SeaSenior Business Development Manager, Account DirectorBuffalo, NY$109,000–$163,500 / yearDSV provides a comprehensive package of health benefits including medical, prescription, dental, vision, and life insurance, along with flexible and health spending accounts, short and long‑term disability coverage, and wellness resources to support overall well‑being. Actual base compensation will be determined based on various factors including job‑related knowledge, skills, experience, geographic location and other objective business considerations.
Regional Account Director (RAD) | Team Foxtrot Team VelocityRegional Account Director (RAD) | Team FoxtrotBuffalo, NYRADs closely monitor and report on client campaign effectiveness utilizing proprietary company technology platforms and work closely with the Client Services and Production Teams to ensure all campaign deliverables are accurately executed on deadline and all projected revenue is accounted for each month. You have advanced proficiency in end-to-end digital marketing strategy development and optimization as an: OEM Regional Representative, Automotive Dealership in-house Marketing, Automotive Advertising Agency, or Automotive Industry Vendor for Multichannel Marketing Solutions.
Regional Director, Strategic Oncology Account Director Team - Northeast Region GSK plcRegional Director, Strategic Oncology Account Director Team - Northeast RegionBuffalo, NYRemote$186,750–$311,250 / yearAs Regional Director, Oncology Strategic Accounts, you will lead a team of regional Strategic Oncology Account Directors who shape and execute GSK's oncology strategy across health systems, cancer centers, and community oncology accounts. Direct the Strategic Oncology Account Directors in the development and execution of GSK's go-to-market model within targeted community oncology, health system accounts, and leading cancer centers across the region, partnering closely with Oncology commercial field teams.
Regional Account Director (RAD) | Team Foxtrot Team Velocity Marketing, LLCRegional Account Director (RAD) | Team FoxtrotBuffalo, NYRADs closely monitor and report on client campaign effectiveness utilizing proprietary company technology platforms and work closely with the Client Services and Production Teams to ensure all campaign deliverables are accurately executed on deadline and all projected revenue is accounted for each month. You have advanced proficiency in end-to-end digital marketing strategy development and optimization as an: OEM Regional Representative, Automotive Dealership in-house Marketing, Automotive Advertising Agency, or Automotive Industry Vendor for Multichannel Marketing Solutions.
NewCreative Director, Brand Marketing Inside Out® CommunityCreative Director, Brand MarketingBuffalo, NYRemoteWhat We Offer For Our Full‑time, Regular EmployeesOur in‑office work policy is designed to keep you connected – with four days a week in the office and Fridays from home for those near one of our offices, plus team and company‑wide events depending on location. They should be able to develop creative ideas that build awareness, drive consideration, and support conversion, ensuring campaigns are not only culturally resonant and brand‑defining, but also strategically connected to business objectives across every stage of the customer journey.
Associate Director of Women's & Gender Center Amherst CollegeAssociate Director of Women's & Gender CenterAmherst, New YorkAmherst College invites applications for the position of Associate Director, Women’s & Gender Resource Center (WGC) to advance the Center’s mission to further conversations around gender equity, feminism, and the diverse experiences that shape womanhood across campus by providing opportunities for leadership development, intentional programming, and space for community building, which is welcoming to all. The Associate Director of WGC will work collaboratively on shared projects and initiatives with the Office of Identity and Cultural Resources— composed of Amherst’s six identity-based resource centers, including: the Center for International Student Engagement, Center for Religious and Spiritual Life, Multicultural Resource Center, Class and Access Resource Center, and the Queer Resource Center.
Deputy Director of Financial Control StaffBuffaloDeputy Director of Financial ControlBuffalo, NY$70,000–$85,000 / yearThis Deputy Director of Financial Control role serves as a key member of the finance leadership team and is ideal for candidates currently working as an Accounting Manager, Finance Manager, Senior Accountant, Assistant Controller, Budget Manager, or Financial Reporting professional who are ready to expand their leadership responsibilities. Candidates currently working in positions such as Accounting Manager, Assistant Controller, Senior Accountant, Financial Reporting Manager, Budget Manager, Finance Manager, or Government Accounting professional are encouraged to apply.
Sales Executive, Financial Services - Associate Director, Buffalo, NY - BCM Ernst & Young Global LtdSales Executive, Financial Services - Associate Director, Buffalo, NY - BCMBuffalo, NY$214,410–$254,590 / yearIf you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com. The Sales & Strategic Pursuits Organization shapes and drives an integrated growth strategy across EYs most strategic accounts, industry sectors, solutions, and services, while demonstrating and achieving market leadership through a client centric culture.
Director of Development StaffBuffaloDirector of DevelopmentBuffalo, NY$100,000–$120,000 / yearStaffBuffalo is working with a highly respected, mission-driven nonprofit organization to hire a Director of Development, paying $100,000–$120,000 annually, depending on experience. The ideal candidate is confident, relationship-oriented, professional, and comfortable engaging with donors, community leaders, and philanthropic organizations in meaningful conversations centered around passion, impact, and legacy giving.
Director of Pharmacy CompleteRxDirector of PharmacyBuffalo, NY$155,000–$173,000 / yearAs the Director of Pharmacy, you will provide strategic leadership and operational oversight for at our partnered hospital, Wyoming County Community Health System, while having the support and expertise of CompleteRx’s operations team as a resource. We believe the very best outcomes are accomplished when all employees share a sense of mutual ownership for successful results and where each employee accepts personal accountability for their individual contributions.
Assistant Director of Multimedia (Videographer) Daemen UniversityAssistant Director of Multimedia (Videographer)Amherst, NYFull timeThe Assistant Director of Multimedia will assist in maintaining and growing the university's presence across digital and social media platforms, including YouTube, Instagram, TikTok, Snapchat, Facebook, and LinkedIn while supporting day-to-day photography and multimedia needs across campus. The Assistant Director of Multimedia is responsible for creating digital content for Daemen University, including storyboarding, filming, photographing, editing, and dissemination of original multimedia content to help foster enrollment and promote the institution's brand and reputation.
Assistant Director for Community Standards and Student Advocacy Daemen UniversityAssistant Director for Community Standards and Student AdvocacyAmherst, NYFull timeThe University places special emphasis on preparing students for excellence in professional life, civic engagement, and on instilling and understanding that learning is an exciting lifelong journey. Maintain active memberships with professional organizations as it is related to student conduct and provides necessary updates and training to relevant community members.
Funeral Director - Advance Planning SCI Shared Resources, LLCFuneral Director - Advance PlanningKenmore, NY$100,000–$150,000 / yearThe Advance Planning Funeral Director is accountable for serving client families by making pre-need arrangements with a focus on community engagement and advance-planning services. Postal Code: 14217 Category (Portal Searching): Sales Job Location: US-NY - Kenmore Job Profile ID: S00164 Time Type: Full time Location Name: Dengler & Roberts Funeral Home
Funeral Director/Embalmer Service Corporation InternationalFuneral Director/EmbalmerNY$21–$30 / hourFollowing company processes and adhering to hazardous waste procedures cleans and embalms body; uses scalpels, pumps, tubes, and equipment to replace bodily fluids/waste with embalming fluids; performs restorations, styling hair, applying cosmetics, dressing body, and other preparation required for human remains. Visually inspects Services Arrangements (visitation, funeral, or graveside) against contractual arrangements and the next of kin expectations; initiates corrective action as appropriate; may provide instruction or guidance to services team members.
Funeral Director Service Corporation InternationalFuneral DirectorNY$25–$33 / hourVisually inspects Services Arrangements (visitation, funeral, or graveside) against contractual arrangements and the next of kin expectations; initiates corrective action as appropriate; may provide instruction or guidance to services team members. Hours: Flexibility of availability may be necessary as services may occur outside of normal business hours and working nights and weekends is frequently necessary.
NewChild Care Center Director BrightPath Early Learning & Child CareChild Care Center DirectorBuffalo, New YorkJoin our diverse community of over 5,000 dedicated employees, and experience competitive pay and benefits, including a childcare discount . Responsibilities include: • Managing the overall operation of the center including recruitment and development of staff, management of policies and procedures, child safety, environmental health/hygiene, and state licensing.
Director, Strategic Vendor Marketing Ingram MicroDirector, Strategic Vendor MarketingBuffalo, New YorkThis position leads the strategy, execution, and optimization of account-based and portfolio marketing initiatives, with a focus on shaping and advancing new vendor investment opportunities that expand marketing impact, strengthen partner engagement, and deliver measurable business outcomes. With the ability to reach nearly 90% of the global population, we play a vital role in the worldwide IT sales channel, bringing products and services from technology manufacturers and cloud providers to business-to-business technology experts.
Associate Director, Internal Tax Team - Federal Direct Tax Deloitte Touche Tohmatsu LtdAssociate Director, Internal Tax Team - Federal Direct TaxNY$118,700–$234,700 / yearThe Federal Direct Tax team within the US Firms Tax ("USFT") group of the Deloitte US Firms is responsible for analyzing and computing book-tax differences, calculating federal taxable income, and the preparation of the Deloitte US Firms' federal partnership returns. The Federal Direct Tax Associate Director will oversee the process of analyzing and computing book-tax differences, calculating taxable income, reviewing federal partnership returns, and reviewing federal partnership Schedules K-1 and K-3.
NewDirector of Human Resources StaffBuffaloDirector of Human ResourcesBuffalo, NY$100,000–$110,000 / yearThis is a highly visible role on the senior management team, perfect for a professional who is equally comfortable rolling up their sleeves on day-to-day issues and driving big-picture initiatives. Are you an experienced HR leader who thrives on building positive workplace cultures, coaching managers, and driving organizational growth?
Director Group Dentistry Solutions Ivoclar North AmericaDirector Group Dentistry SolutionsAmherst, New YorkThis strategic leadership role is responsible for driving profitable growth through key account management, business development, and customer engagement initiatives across the US. Lead, coach, and develop a team of Key Account Managers to achieve sales, profit, market share targets and other key business results.
Director of Business Development – Health Manatt Phelps & PhillipsDirector of Business Development – HealthBoston, New YorkThis role sits at the intersection of strategy, client development, marketing and leadership, offering a unique opportunity to partner closely with business units and client account groups to drive market impact and revenue growth in the health care and life sciences industry. Lead the implementation of the multi-year Manatt Health Strategic Plan and advance the associated Business Development and Marketing Action Plan, in partnership with practice and client account group leadership, to drive growth and identify new revenue opportunities.
Floe - Strategic Accounts Manager 43NorthFloe - Strategic Accounts ManagerBuffalo, New YorkYou will work closely with the CEO, engineering team, outside sales reps, and external partners to develop strategic accounts, expand existing relationships, convert inbound interest, and support customers throughout the project lifecycle. This role interfaces with a diverse set of stakeholders, including facilities leaders, property managers, roofing firms, engineering consultants, architects, construction partners, and insurance carriers.
NewAccounts Receivable Specialist AleronAccounts Receivable SpecialistBuffalo, NYPrepare monthly corporate billings to affiliates for AMEX, FedEx, Home Depot, Capital One, payroll, overhead, insurance, and various other charges. Work closely with the Residential Community Manager regarding billing, collections, tenant move‑ins and move‑outs of residential tenants.
Director Group Dentistry Solutions Ivoclar Vivadent IncDirector Group Dentistry SolutionsAmherst, NYThis strategic leadership role is responsible for driving profitable growth through key account management, business development, and customer engagement initiatives across the US. Lead, coach, and develop a team of Key Account Managers to achieve sales, profit, market share targets and other key business results.
Regional Sales Director - PA, DE, Upstate New York Varian Medical Systems IncRegional Sales Director - PA, DE, Upstate New YorkBuffalo, NY$159,200–$218,900 / yearThe Regional Sales Director is field-based sales leadership position responsible for driving commitment and accountability of a core laboratory sales team to achieve and exceed sales goals, grow revenue at assigned integrated delivery networks, hospital laboratories, regional reference labs and physician office labs. "It is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations."
Director, Business Development Livingston International Inc.Director, Business DevelopmentAmherst, NY$99,390–$153,500 / yearThe Director, Business Development is responsible for developing sales in the geographic region, providing leadership and expertise to the sales team on prospect generation, solution selling, as well as developing and executing sales strategies. Define revenue goals for the region, define individual performance requirements, communicate business development plans and leverage incentive programs to motivate team to overachieve revenue target.
Impact Director City Year, Inc.Impact DirectorBuffalo, NYRemoteThe Impact Director (ID) is responsible for the overall management of the day-to-day programmatic operations, ensuring the achievement of City Year's mission and overall service excellence through the successful implementation of the Whole School Whole Child service model by managing and developing Impact Managers and corps members to build and cultivate strong school partnerships and developing a group of committed, idealistic leaders and school practitioners; the successful completion of transformational physical service days and volunteer engagement; and ensuring an impactful and inspirational corps experience as well as corps member development. Impact Directors supervise Impact Managers, oversee the members in their program, ensure a strong service impact, create opportunities for engaging outside volunteers/visitors, foster opportunities for member development and support the overall efforts of City Year's mission statement.
Meritain Director, Pharmacy Client Management CVS Health CorpMeritain Director, Pharmacy Client ManagementNY$68,000–$174,134 / yearThis role partners closely with senior client leadership and cross-functional teams to deliver consultative solutions, resolve issues, and advance the adoption of Meritain Pharmacy Solutions products and services. The Director, Pharmacy Client Management leads a team of account executives, driving strategic and operational excellence to ensure client satisfaction, retention, and growth.
Funeral Director - Advance Planning Service Corporation InternationalFuneral Director - Advance PlanningKenmore, NY$100,000–$150,000 / yearThe Advance Planning Funeral Director is accountable for serving client families by making pre-need arrangements with a focus on community engagement and advance-planning services. Collaborates and teams with funeral directors, location managers, and other members of funeral home and or cemetery staff, to provide seamless, high quality service.
OSS Regional Director, Oncology - New York, Newark, Boston, Buffalo, Albany NeoGenomics IncOSS Regional Director, Oncology - New York, Newark, Boston, Buffalo, AlbanyBuffalo, NYEvaluate market trends and gather competitive information, identify trends affecting current and future growth of regional sales and profitability, and disseminate information to regional sales representatives, corporate marketing, and sales operations. NeoGenomics is looking for an OSS - Regional Director, Pathology Sales (New York, Newark, Boston, Buffalo, Albany) who wants to continue to learn in order to allow our company to grow.
Technical Director - Emergency Preparedness GHD Group Pty LtdTechnical Director - Emergency PreparednessBUFFALO, NY$136,000–$238,000 / yearGHD will reimburse 50% of the cost of the following to a maximum of $250.00 reimbursement annually for such items as: Health club membership fees, Home exercise equipment purchases, Bicycles, Race, run & marathon entrance fees, Smoking cessation programs, Weight loss programs (i.e., Weight Watchers, Jenny Craig), Fitbits and Fitness Tracking devices. Community of Practice Management: Contribute strongly on a strategically significant area to a community of practice in a defined area of expertise or consulting, or lead on an area of expertise or consulting practice, to contribute to thought leadership and to develop innovative practice among colleagues.
NewDirector, Human Resources CalspanDirector, Human ResourcesBuffalo, NYThis strategic leader will serve as a trusted advisor to the executive team, cultivating an environment where employees feel valued, supported, and inspired to deliver their best work. This onsite opportunity at our Buffalo, NY location is a unique opportunity to positively impact every aspect of the employee experience, strengthen our culture, and ensure that our people strategy drives organizational success.
Funeral Director SCI Shared Resources, LLCFuneral DirectorWilliamsville, NY$25–$33 / hourOur Funeral Directors and Embalmers enjoy: • Stability – Service Corporation International (SCI) includes the Dignity Memorial® brand and is the North America’s largest provider of cremation, funeral and cemetery services. This is why we provide you and your loved ones with benefits and resources to help you become your best.”_ BETTER HEALTH: Wellbeing is important to us, and to ensure our associates have access to the best care, we offer medical, prescription drug, mental health, dental and vision insurance plans for our associates to select from.
Broadcast Director TegnaBroadcast DirectorBuffalo, New YorkIn addition, the candidate must also be familiar with all studio operations, including floor directing, camera operation, teleprompter, graphics creation, audio, lighting, non-linear editing, content management systems and master control systems. Regardless of participation in TEGNA medical plans, ALL employees and their eligible family members receive nine free virtual doctor’s appointments with a physician through Teladoc, and 12 free annual therapy sessions with a licensed clinician through Spring Health.
DEPUTY DIRECTOR OF PROCUREMENT Niagara Frontier Transportation AuthorityDEPUTY DIRECTOR OF PROCUREMENTBuffalo, NY$78,909–$118,361 / yearWork requires a high degree of initiative and judgment and is performed under the general supervision of the Director of Procurement & Supply Chain and is reviewed by observation of results obtained, periodic reports and conferences. • Ten (10) years of experience in progressively responsible management of procurement operations and supply chain deployment functions including the direct supervision of procurement and supply chain personnel.
Funeral Director/Embalmer SCI Shared Resources, LLCFuneral Director/EmbalmerWilliamsville, NY$21–$30 / hourOur Funeral Directors and Embalmers enjoy: • Stability – Service Corporation International (SCI) includes the Dignity Memorial® brand and is the North America’s largest provider of cremation, funeral and cemetery services. This is why we provide you and your loved ones with benefits and resources to help you become your best.”_ BETTER HEALTH: Wellbeing is important to us, and to ensure our associates have access to the best care, we offer medical, prescription drug, mental health, dental and vision insurance plans for our associates to select from.
NewPrincipal or Managing Director, Originator, Commercial Finance Ares OperationsPrincipal or Managing Director, Originator, Commercial FinanceBoston, New YorkAres offers a number of additional benefits including access to a world-class medical advisory team, a mental health app that includes coaching, therapy and psychiatry, a mindfulness and wellbeing app, financial wellness benefit that includes access to a financial advisor, new parent leave, reproductive and adoption assistance, emergency backup care, matching gift program, education sponsorship program, and much more. ACF leverages the scale and flexible capital of the Ares platform to provide innovative asset-based and cash flow solutions to small and middle-market companies, as well as asset-backed facilities to specialty finance companies.
Senior Director, Global Trade Compliance Moog IncSenior Director, Global Trade ComplianceBuffalo, NY$245,000–$315,000 / yearAs the Senior Director of Global Trade Compliance, you will lead the development and execution of global trade compliance strategies, manage import/export activities, and serve as a key advisor to internal stakeholders. Design and implement programs focused on automation and introduce and implement trade-focused tools and systems to enhance efficiencies of trade processes and proper integration with the business.
NewSenior Director, Global Environmental Health & Safety MoogSenior Director, Global Environmental Health & SafetyBuffalo, New YorkYou will lead enterprise-wide EHS related strategy, risk management, regulatory compliance, and continuous improvement initiatives while partnering closely with manufacturing, engineering, quality, and supply chain leadership in a highly regulated aerospace environment. As the Senior Director of Global Environmental Health & Safety (EHS), you will be responsible for shaping enterprise-wide strategies to protect employees, minimize environmental impact, and ensure regulatory compliance.
Director, Strategic Sourcing Moog IncDirector, Strategic SourcingBuffalo, NYRemote$160,000–$230,000 / yearOur Commercial Aircraft Group (CAG) is seeking a Director, Strategic Sourcing to provide global leadership for strategic sourcing, commodity management, supplier development, and strategic supplier partnerships. As a Director, Strategic Sourcing, you will be responsible for: Serve as a key member of the CAG ISC Leadership Team, helping define strategic priorities and overall supply chain direction.
NewOncology Account Manager-Rochester, NY Taylor Strategy PartnersOncology Account Manager-Rochester, NYBuffalo, NY$210,000–$227,500 / yearThe Oncology Account Manager will be responsible for achieving sales objectives, developing strategic customer relationships, and leveraging available resources to address customer needs through a deep understanding of their practice environment and treatment landscape. TSP is engaged in a direct-hire opportunity with a growing commercial-stage biopharmaceutical organization focused on developing innovative oncology therapies is seeking an Oncology Account Manager.
Sales Account Manager - Liquid Cooling LOB Schneider Electric SESales Account Manager - Liquid Cooling LOBBuffalo, NY$135,000–$202,000 / yearAbout the Role: The Sales Manager position is responsible for growing the company's sales in the Data Center and IT Cooling sector by working with existing and new customers, channel partners and distributors to solve their most demanding cooling challenges that are critical to their business operations by developing relationships with project stakeholders, specifically C-Suite executives, Finance leaders and Operation managers. Position Requirements Bachelor's degree in a related field preferred; engineering degree strongly encouraged 5+ years of sales experience supporting large enterprise customers Industry background in one or more of the following: data center infrastructure, HVAC, thermodynamics, hydronic systems, or related technical environments Proven track record of growing busniess greater than 30% year over year.
Managed Services - Revenue Integrity/CDI/HIM - Director PricewaterhouseCoopers LLPManaged Services - Revenue Integrity/CDI/HIM - DirectorNY$155,000–$410,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.
Sales Director Quest Diagnostics IncSales DirectorBuffalo, NY$126,000–$200,000 / yearThe Sales Director is a front-line sales leader responsible for execution of the commercial sales strategy for profitable growth in geographic area for general and specialized laboratory sales and service representatives. Benefits Information: We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives.
NewAccounts Receivable Specialist Acara Solutions, An Aleron CompanyAccounts Receivable SpecialistBuffalo, NYPrepares monthly corporate billings to affiliates for the following charges AMEX, FedEx, Home Depot, Capital One, Payroll, Overhead, Insurance and various others. (Based on experience)Schedule: M-F 8:00AM-5:00PM In-OfficeAbout the OpportunityPrepare monthly invoices for Commercial and Residential tenants for rent and common area charges.
Maintenance Director Sonida Senior Living IncMaintenance DirectorNYThe Amberleigh, a premier retirement community in Williamsville, NY provides quality care to residents in an INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE community. Qualifications: Experience in maintenance preferred; familiarity with techniques of minor repair and maintenance for structural, electrical, plumbing, security and heating and cooling systems required.
NewWellness Director Sonida Senior Living IncWellness DirectorNY$75,000–$80,000 / yearThe Amberleigh, a premier retirement community in Williamsville, NY provides quality care to residents in an INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE community. Advanced EHR Technologies - automated care assessments eliminating busy work, helping you deliver better care.
Assisted Living Activities Director Sonida Senior Living IncAssisted Living Activities DirectorNY$54,000–$60,000 / yearCreates a strong positive image and establishes good relationships within the community, which may include press relations, promotional activities, scrapbooks, and displays in the facility. We are looking for a compassionate, creative, and organized Activities Director to lead our Life Enrichment program with a team of (insert #) activity assistants.
Assistant Wellness Director Sonida Senior Living IncAssistant Wellness DirectorNY$75,000–$80,000 / yearReviews 24-hour report from every unit daily to ensure timely, effective responses to significant changes in condition, transfers, discharges, use of physical or chemical restraints, unexplained injuries, potential abuse or neglect, medication errors, loss of resident property, or any evidence of resident or family dissatisfaction, as directed. Ensures delivery of compassionate quality care evidenced by adequate services and staff coverage for the facility, appropriateness of staff, absence of odors, cleanliness, absence of pressure wounds, and apparent maintenance of optimal physical, mental and, psychosocial function.