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The Executive Director (LNFA) leads the operational, clinical, and financial performance of the Skilled Nursing Facility (SNF) by driving strong EBITDAR results, census growth, and high‑quality resident care. This role builds a high‑performance culture, strengthens regulatory readiness, and develops strategic relationships that expand market share and elevate the resident and family experience. The Executive Director ensures compliance with state and federal regulations while fostering a culture of service excellence, accountability, and continuous improvement. This role is ideal for an experienced Nursing Home Administrator (NHA/LNFA) with a strong background in skilled nursing facility operations, census growth, and regulatory compliance.
Qualifications
Current, valid Texas Nursing Home Administrator license (LNFA) required
Minimum 3–5 years of experience as an LNFA in a Skilled Nursing Facility
Proven ability to achieve or exceed EBITDAR budgets and financial performance targets
Demonstrated success in census development and referral relationship management
Strong knowledge of state and federal regulations governing nursing home operations
Comprehensive understanding of SNF reimbursement models across multiple payors
Successful track record of regulatory and quality inspections
Exceptional leadership, communication, and customer service skills
Ability to work in a fast‑paced environment with a strong sense of urgency
Essential Functions
Deliver strong EBITDAR performance through disciplined revenue management, cost control, and labor optimization
Champion a service‑excellence culture for residents, families, visitors, and staff
Analyze financial reports and key performance indicators (KPIs); identify trends and implement corrective actions
Drive census growth and occupancy through strategic marketing, referral development, and hospital/ACO engagement
Build and strengthen relationships with hospitals, physicians, case managers, and other referral sources
Ensure a rapid, seamless admissions process that improves conversion rates and positions the facility as a preferred provider
Achieve positive survey outcomes through proactive oversight of survey readiness, survey response, and timely execution of Plans of Correction (POCs)
Ensure delivery of compassionate, resident‑centered care that meets or exceeds clinical, regulatory, and quality standards
Foster a culture of safety, dignity, and service excellence for residents and families
Proactively address resident and family concerns, ensuring timely resolution and communication
Build and lead a high‑performing, accountable management team aligned to facility outcomes
Strengthen employee engagement, communication, and recognition to reduce turnover and improve stability
Collaborate with the Director of Nursing and interdisciplinary team to improve quality measures, financial outcomes, and resident satisfaction
Maintain a proactive risk‑management posture through strong systems oversight, incident management, and timely reporting
Lead Quality Assurance and Performance Improvement (QAPI) initiatives to improve outcomes, reduce rehospitalizations, and meet quality‑based reimbursement targets
Oversee interdisciplinary collaboration for timely discharge planning and strong care transitions
Monitor accounts receivable aging to maintain strong revenue cycle performance
Represent the facility at community events and partnerships to support brand visibility and referral growth
Provide strong, visible leadership to all department managers and staff
Recruit, develop, and retain high‑performing leadership and staff
Promote employee engagement, accountability, and professional development
Continuing Education
Attend continuing education programs as necessary to maintain current licensure and stay informed on regulatory changes and best practices.
We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.
The minimum salary is $49K and the max salary is $81K.
$49K – $81K/yr (Glassdoor est.)
$63K
/yr Median
Spring, TX
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