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Purpose of Your Job Position
The primary purpose of your job 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
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 procedures periodically, at least
annually, and make changes as necessary to
assure continued compliance with current regulations (e.g.,
ergonomics, air quality, etc.).
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Interpret the facility's policies and procedures to employees,
residents, family members, visitors,
government agencies, etc., as necessary.
Ensure that all employees, residents, visitors, and the general
public follow established policies
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
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
Make written and oral reports/recommendations to the governing
board concerning the operation of
Assist the Infection Control Coordinator, and/or Committee, in
identifying, evaluating, and
classifying routine and job-related functions to ensure that
tasks involving potenti_al · 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
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.
Serve on various committees of the facility (i.e., Infection
Control, Quality Assurance &
Assessment, etc.) and provide written/oral reports of such
committee meeting to the governing board
as directed or as may become necessary.
Assist the Quality Assurance and Assessment 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.
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
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
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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
Ensure that disciplinary action is administered fairly and
without regard to race, colo:r, creed,
national origin, age, sex, religion, handicap, or marital
Terminate employment of personnel when necessary, documenting
and coordinating such actions with
the Business Office Manager.
Schedule and participate in departmental meetings.
Serve as liaison to the governing board, medical staff, and
other professional and supervisory
Maintain an excellent working relationship with the medical
profession and other health related
facilities and organizations through formal working and transfer
Assist department directors in the planning, conducting, and
scheduling of in-service training
classes, on-tile-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
Assist the Director of Nursing in developing and revising the
Nurses' Aide Training Program and
curriculum used by the facility. Submit to appropriate state
agency for approval.
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
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 for protection/prevention, smoking
regulations, infection control, etc.
Ensure that the building and grounds are maintained in good
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 is used when lifting or moving
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
Assist the Maintenance Director in developing and implementing
waste disposal policies • and
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
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 make
adjustments as necessary to assure the
continued ability to provide quality care.
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
resident complaints and grievances 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.
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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.
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 psychological 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 in developing the Preadmission
Screening and Annual Review of
Mentally Ill and Mentally Retarded Individuals (PASARR) program
Works in office areas as well as throughout the facility and its
premises. Moves intermittently
during work hours.
Is subject to frequent interruptions.
Is involved with residents, family members, personnel, visitors,
etc., under all conditions/circumstances.
Is subject to hostile and emotionally upset residents, family
members, personnel, and visitors.
Works beyond normal working hours, weekends and holidays and on
other shift/positions as necessary.
Is subject to call-back during emergency conditions (e.g. severe
May be involved in community/civic health matters/programs.
Attends and participates in continual
Is subject to injury from falls, burns from equipment, odors,
assaults from hostile residents, etc.
throughout the work day, as well as reactions from dust,
disinfectants, tobacco smoke, and other
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
Maintains a liaison with the residents, their families, support
personnel, etc., to assure that the
residents' needs are continually met.
A Bachelor's Degree is necessary. A degree in Public Health
Administration or Business
Administration, or a health related degree is preferred but not
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Must have, as a minimum, year(s) experience in a supervisory
capacity in a
hospital or long-term care facility.
Must possess a current, unencumbered Nursing Home
Administrator's license or meet the licensure
requirements of this State.
Must be able to read, write, speak, and understand the English
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 advance training in hospital or long-term care
Must be knowledgeable of reimbursement regulations and nursing
practices and procedures, as well as
laws, regulations, and guidelines pertaining to long-term care
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
Must have patience, tact, a cheerful disposition and enthusiasm,
as well as the willingness to
handle residents, staff, and visitors, based on whatever
maturity level at which they are currently
Must be willing to seek out new methods and principles and be
willing to incorporate them into
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
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
Must possess sight/hearing senses or use prosthetic that will
enable these senses to function
adequately so that the requirements of the position can be fully
Must function independently, have flexibility, personal
integrity, and the ability to work
effectively with residents, personnel, and support agencies.
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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, and/or lift a minimum of
pounds to a minimum height of feet and be able to push, pull, move,
and/or carry such weight a minimum distance of feet.
May be necessary to assist in the evacuation of residents during
I have read this job description and fully understand the
requirements set forth therein. I hereby
accept the position of Administrator and agree to perform the
identified essential functions in a
safe manner and in accordance with the facility's established
procedures. I understand that as a
result of my employment, I may be exposed to blood, body fluids,
infectious diseases, air
contaminants (including tobacco smoke), and hazardous chemicals
and that the facility will provide
to me instructions on how to prevent and control such exposures.
I further understand that I may
also be exposed to the Hepatitis B Virus and that the facility
will make available to me, free of
charge, the hepatitis B vaccination.
I understand that my employment is at-will, and thereby
understand that my employment may be
terminated at-will either by the facility or myself, and that
such termination can be made with or