Purpose of Your Job Position

The primary purpose of your job position is to direct the day-to-day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations that govern long-term care facilities to assure that the highest degree of quality care can be provided to our residents at all times.

Delegation of Authority

As the Administrator, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

Job Functions

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Duties and Responsibilities

Administrative Functions

• Plan, develop, organize, implement, evaluate, and direct the facility's programs and activities.
• Develop and maintain written policies and procedures that govern the operation of the facility.
• Develop and maintain written job descriptions for each staff position in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws governing job positions.
• Assist department directors in the development and implementation of performance evaluations.
• Assist department directors in the development and use of departmental policies and procedures, and establish a rapport in and among departments so that each can realize the importance of team work.
• Review the facility's policies and procedures periodically, at least annually, and make changes as necessary to assure continued compliance with current regulations (e.g., ADA, ergonomics, air quality, etc.).
• Interpret the facility's policies and procedures to employees, residents, family members, visitors, government agencies, etc., as necessary.
• Ensure that public information (policy manuals, etc.) describing the services provided in the facility is accurate and fully descriptive.
• Ensure that all employees, residents, visitors, and the general public follow established policies and procedures.
• Assume the administrative authority, responsibility and accountability of directing the activities and programs of the facility.
• Represent the facility at and participate in top level meetings.
• Represent the facility in dealings with outside agencies, including governmental agencies and third-party payers, or provide an authorized representative of the facility when unable to attend such meetings.
• Make written and oral reports/recommendations to the governing board concerning the operation of the facility.
• Assist the Infection Control Coordinator, and/or Committee, in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks involving potential exposure to blood/body fluids are properly identified and recorded.
• Make routine inspections of the facility to assure that established policies and procedures are being implemented and followed.
• Participate in facility surveys (inspections) made by authorized government agencies.
• Review and develop a plan of correction for deficiencies noted during survey inspections and provide a written copy of such plan to the governing board and ombudsman representative as required.
• Maintain an adequate liaison with families and residents.
• Maintain a good public relations program that serves the best interest of the facility and community alike.
• Delegate a responsible staff member to act in your behalf when you are absent from the facility.
• Ensure that appropriate policies and procedures are followed when conducting background checks and when providing information to the Nurse Aide Registry.

Committee Functions

• Serve on various committees of the facility (i.e., Infection Control, Quality Assurance & Assessment, etc.) and provide written/oral reports of such committee meetings to the governing board as directed or as may become necessary.
• Assist the Quality Assurance and Performance Improvement Committee in developing and implementing appropriate plans of action to correct identified quality deficiencies.
• Evaluate and implement recommendations from the facility's committees as necessary.
• Communicates regulator on the progress of QAPI work to home office, employees, and resident/ families.
• Establish overall QAPI objectives for the organization and assign responsibility for their fulfillment.
• Accept responsibility and oversee development of QAPI plan, including policies for ensuring that QAPI activities are given high priority in the overall management of facility operations
• Foster an organization-wide commitment to quality assurance and performance improvement both verbally and non-verbally.
• Allocate sufficient financial, material and human resources, including training, to carry out QAPI activities.
• Ensures QAPI in the organization includes a mechanism for obtaining resident and family input to consider as potential areas for improvement.
• Provide oversight and enthusiastic support.

Personnel Functions

• Assist in the recruitment and selection of competent department directors, supervisors, consultants and other auxiliary personnel.
• Ensure that appropriate identification documents are presented prior to the employment of personnel and that appropriate documentation is filed in the employee's personnel record in accordance with current regulations mandating such documentation.
• Delegate administrative authority, responsibility, and accountability to other staff personnel as deemed necessary to perform their assigned duties.
• Consult with department directors concerning the operation of their departments to assist in eliminating/correcting problem areas, and/or improvement of services.
• Ensure that an adequate number of appropriately trained professional and auxiliary personnel are on duty at all times to meet the needs of the residents.
• Assist in standardizing the methods in which work will be accomplished.
• Review and check competence of work force and make necessary adjustments/corrections as required or that may become necessary.
• Counsel/discipline personnel as requested or as may become necessary.
• Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
• Terminate employment of personnel when necessary, documenting and coordinating such actions with the Personnel Director.
• Schedule and participate in departmental meetings.
• Serve as liaison to the governing board, medical staff, and other professional and supervisory staff.
• Maintain an excellent working relationship with the medical profession and other health related facilities and organizations through formal working and transfer agreements.

Staff Development

• Assist department directors in the planning, conducting, and scheduling of in-service training classes, on-the-job training and orientation programs to assure that current material and programs are continuously provided.
• Meet with department directors on a regularly scheduled basis, and conduct/participate in in-service classes and supervisory level training programs.
• Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the long-term care field, as well as to maintain a professional status.
• Assist the Director of Nursing Services in developing and revising the Nurses' Aide Training Program and curriculum used by the facility. Submit to appropriate state agency for approval, if applicable.
• Assist in establishing a clinical practice program for Nurses' Aides in training.
• Ensure that all personnel attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standard.
• Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the facility.

Safety and Sanitation

• Ensure that all facility personnel, residents, visitors, etc., follow established safety regulations, to include 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 that all facility personnel follow established regulations governing the use of labels and MSDSs for hazardous chemicals.
• Ensure that facility procedure manuals identify safety precautions and equipment to use when performing tasks that could cause bodily injury.
• Ensure that facility personnel follow established ergonomics policies and procedures (e.g., a back brace and/or a mechanical lifter are used when lifting or moving heavy objects).
• Ensure that all facility personnel performing tasks that involve potential exposure to blood, body fluids, or hazardous chemicals participate in an in-service training program prior to performing such tasks.
• Assist the Maintenance Director in developing and implementing waste disposal policies and procedures.
• Ensure that personnel follow established policies governing the use/disposal of personal protective equipment and disposal of infectious wastes.
• Other(s) that may become necessary/appropriate to assure that the facility is maintained in a clean, safe and sanitary manner.

Equipment and Supply Functions

• Authorize the purchase of major equipment/supplies in accordance with established purchasing policies and procedures.
• Ensure that the facility is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services.
• Ensure that adequate supplies and equipment are on hand to meet the day-to-day operational needs of the facility and residents.
• Budget and Planning Functions
• Prepare an annual operating budget for approval by the governing board and allocate the resources to carry out programs and activities of the facility.
• Assist in the establishment and maintenance of an adequate accounting system that reflects the operating cost of the facility.
• Review and interpret monthly financial statements and provide such information to the governing board.
• Ensure that adequate financial records and cost reports are submitted to authorized government agencies as required by current regulations.
• Keep abreast of the economic condition/situation and adjust as necessary to assure the continued ability to provide quality care.

Resident Rights

• Maintain confidentiality of all resident information.
• Ensure that the resident's rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints, are well established and maintained at all times.
• Review resident complaints and grievances and make written reports of action taken. Discuss with resident and family as appropriate.
• Assist in establishing and implementing a Resident/Group Council.
• Ensure that policies governing a timely notice for resident discharges and room or roommate changes are strictly followed by all personnel.
• Ensure that resident funds maintained by the facility are managed in accordance with current federal and state regulations and that appropriate accounting records are maintained.

Miscellaneous

• Ensure that all residents receive care in a manner and in an environment, that maintains or enhances their quality of life without abridging the safety and rights of other residents.
• Ensure that each resident receives the necessary nursing, medical and psychosocial services to attain and maintain the highest possible mental and physical functional status, as defined by the comprehensive assessment and care plan.
• Assist the Director of Nursing Services in developing the Preadmission Screening and Annual Review of Mentally Ill and Mentally Retarded Individuals (PASARR) program as necessary.
• Maintains consistent focus on census growth and development. 

Working Conditions

• Works in office areas as well as throughout the facility and its premises.
• Moves intermittently during working hours.
• Is subject to frequent interruptions.
• Is involved with residents, family members, personnel, visitors, government agencies/personnel, etc., under all conditions/circumstances.
• Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
• Works beyond normal working hours and on weekends and holidays when necessary.
• Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.)
• May be involved in community/civic health matters/projects.
• Attends and participates in continuing educational programs.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.
• Communicates with the medical staff, nursing personnel, and other department supervisors.
• Maintains a liaison with the residents, their families, support personnel, etc., to assure that the residents' needs are continually met.

Educational Requirements

A Bachelor's Degree is necessary.
License: Must possess a current, unencumbered Nursing Home Administrator's license

Experience

Must have, as a minimum, 5 year(s) experience in a supervisory capacity in a hospital or long-term care facility.

Specific Requirements

• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
• Must have advanced training in hospital or long-term care administration.
• Must be knowledgeable of reimbursement regulations and nursing practices and procedures, as well as laws, regulations, and guidelines pertaining to long-term care administration.
• Must possess the ability to work harmoniously with and supervise other personnel.
• Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care and maintaining a sound operation.
• Must be thoroughly familiar with laws, regulations, and guidelines governing personnel administration.
• Must have patience, tact, cheerful disposition and enthusiasm, as well as must be willing to handle residents, staff, and visitors, based on whatever maturity level at which they are currently functioning.
• Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.
• Must be able to maintain good personnel relations and employee morale.
• Must be able to read and interpret financial records, reports, etc.
• Must be knowledgeable of computer systems, system applications, and other office equipment.
• Must be able to communicate policies, procedures, regulations, reports, etc., to personnel, residents, family members, visitors, and government agencies/personnel.
• Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

(With or Without the Aid of Mechanical Devices)

• Must be able to move intermittently throughout the work day.
• Must be able to cope with the mental and emotional stress of the position.
• Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.
• Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
• Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
• Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
• Must be able to push, pull, move, lift and carry.
• May be necessary to assist in the evacuation of residents during emergency situations.

Regulatory Requirements – QAPI

• Receive direction from the owner/board of directors on QAPI goals and clearly communicate these to staff.
• Communicate regularly on the progress of QAPI work to the owner/board of directors, employees and other stakeholders.
• Establish overall QAPI objectives for the organization and assign responsibility for their fulfillment.
• Accept responsibility and oversee development of QAPI plan, including policies for ensuring that QAPI activities are given high priority in the overall management of facility operations.
• Foster an organization-wide commitment to quality assurance and performance improvement both verbally and non-verbally (i.e., via actions and attitude).
• Allocate sufficient financial, material and human resources, including training, to carry out QAPI activities.
• Ensure QAPI in the organization includes a mechanism for obtaining resident and family input to consider as potential areas for improvement.
• Create and maintain a consistent process (e.g., scheduled rounding, active participation on quality committee) to stay informed of all QAPI efforts underway including their progress and achievements.
• Provide oversight and enthusiastic support of QAPI activities

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