Nursing Home Administrator - Terrace of Kissimmee

Purpose of Your Job Position:

The primary purpose of the nursing home administrator is to manage operations effectively and efficiently in accordance with all current applicable federal, state, and local standards, guidelines, and regulations, and as directed by the President/CEO and Director of Operations.

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 work is similar, related, or is an essential function of the position.

Duties and Responsibilities:

1. Administrative Functions:

• Plan, develop, organize, implement, evaluate, and direct the facility’s programs and activities.
• Develop , implement, evaluate, revise and direct the Facility Assessment as defined at §483.70(e) and all subparts
• Develop and maintain written policies and procedures that govern the operation of the facility.
• 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 may realize the importance of teamwork.
• Interpret the facility’s policies and procedures to employees, residents, family members, visitors, government entities, etc., as necessary.
• Ensure that public information describing the services provided in the facility is accurate and fully descriptive.
• Ensure that all employees, residents, visitors, and the general public adhere to 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 meetings.
• Represent the facility, as directed, in legal proceedings, meeting, mediations, and trials.
• 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.
• Coordinate, review, and ensure completion of all legal requests and actions and ensure notification of the Director of Strategic Affairs and Compliance of all legal notices.
• Ensure timely submission of all documents required for continued licensure, certification, and business operation.
• Obtain and maintain all contracts.
• Ensure adherence to the facility budget and timely submission of accounts payable.
• Prepare written and/or oral reports/recommendations concerning the operation of the facility to the Director of Operations.
• Ensure the implementation of PPS meetings and triple check.
• Assist the Infection Preventionist, and/or Infection Control Committee, in identifying, evaluating, and classifying routine and job-related functions to ensure 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, as well as applicable laws and regulations are being implemented to include, but not limited to, provision of care and services, promotion of residents’ rights; and maintenance of a sanitary and safe environment for residents, staff and visitors.
• Participate in and provide leadership during facility surveys (inspections) made by any government agency.
• Review, develop and implement, a plan of correction for deficiencies identified during inspections and provide a written copy to the Director of Operations and other governmental agencies as required.
• Maintain an adequate liaison with families, resident representatives, guardians, and residents.
• Maintain a good public relations program that serves the best interests of the facility and community alike.
• Delegate a responsible staff member to act on your behalf when you are absent from the facility.

1. Committee Functions:

• Serve on various committees of the facility (i.e., Infection Control, QAPI, etc.) and provide written/oral reports of such committee meetings to the Director of Operations as directed or as may be necessary.
• Assist the Quality Assurance and Performance Improvement (QAPI) Committee to identify, develop and implement appropriate plans of action to correct quality deficiencies.
• Evaluate and implement recommendations from the committees as necessary.
• Serves on the Compliance and Ethics Committee

1. Personnel Functions:

• Assist in the recruitment and selection of the competent department directors, supervisors, consultants, and other auxiliary personnel.
• 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 appropriate number of qualified, trained, professional and auxiliary staff 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 evaluate the competence of the work force and make necessary adjustments/corrections as required or that may become necessary.
• Counsel/discipline personnel as required or as may be necessary.
• Ensure disciplinary action is administered fairly, in accordance with the employee handbook, and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
• Schedule and participate in departmental meetings.
• Serve as liaison to consultants, 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.
• Monitor/Complete Annual performance evaluations on your staff in a timely manner.
• Monitor/ complete Annual Competencies test upon hire and annually for all your staff.

1. 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 and are in compliance with all application rules, laws and regulations.
• Meet with department directors on a regular basis, and conduct/participate 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.
• Ensure that all personnel attend and participate in annual OSHA and CDC/Infection Control in-service training programs for hazard communication, TB management, and bloodborne pathogens standards.
• Create and maintain a calm, pleasant, professional environment with emphasis on the personal interests of the residents and positivity.

1. 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 all facility personnel follow established regulations governing the use of labels and MSDS for hazardous chemicals.
• Ensure that facility procedures manuals identify safety precautions and equipment to use when performing tasks which could cause bodily injury.
• Ensure that facility personnel follow established ergonomics policies and procedures/techniques (use of proper body mechanics and lifts 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 Corporate Consultant, Maintenance Director and Housekeeping Director in developing and implementing waste disposal policies and procedures.
• Ensure the development and implementation, in coordination with the Corporate Consultant, of NFPA Chapter 13 regulations.
• Ensure the development, review, update, implementation and submission of the Facility Emergency Management Plan.
• Ensure facility personnel follow established policies governing the use/disposal of personal protective equipment and disposal of infectious waste.
• Other functions/duties that may become necessary/appropriate to assure that the facility is maintained in a clean, safe, and sanitary manner.

1. Equipment and Supplies:

• Authorize the purchase of major equipment/supplies in accordance with established purchasing policies and procedures.
• Ensure 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 adequate supplies and equipment are on hand to meet the day-to-day operational needs of the facility and residents.

1. Resident Rights

• Maintain confidentiality of all resident information.
• Ensure 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/concerns and grievances and document action taken. Discuss the results with the resident, resident representative, guardian, or family as appropriate.
• Assist in the establishment and maintenance of a Resident Council.
• Ensure that all staff strictly adhere to the Facility abuse policies and procedures.
• Ensure that all staff adhere to HIPAA/HITECH, and confidentially regulations.
• Ensure all staff comply with policies/regulations governing timely notices for discharge and room or roommate changes.
• Ensure that funds maintained by the facility are managed in accordance with current federal and state regulations and that appropriate accounting records are maintained.

1. Educational Requirements:

• A Bachelor’s Degree is required preferably in Public Health Administration, Business Administration, or health related field.
• A Master’s degree in the above is preferred. 

1. Experience and Additional Requirements:

• Must have a minimum of five (5) years experience in a long term care facility or a supervisory capacity in a hospital setting with a focus on rehabilitation.
• Seven (7) to (10) years experience preferred in a long term care facility with skilled beds.
• Must possess, at all time, a current, unencumbered State of Florida Nursing Home Administrator’s license or meet the licensure requirements of this state.
• Must not be excluded from participation in Medicare or Medicaid programs.
• Must successfully complete a Level II Background screening.

1. Position KSAs

• Ability to read, write, speak, and understand the English language.
• Ability to make independent decisions when circumstances warrant such action.
• Ability to deal tactfully with personnel, residents, family member/representatives, visitors, government agencies/personnel, and the general public.
• Possess advanced knowledge in hospital or long term care administration.
• Knowledge of reimbursement regulations and nursing practices and procedures, as well, as laws, rules, regulations, and guidelines pertaining to Long Term Care Facilities and Administration.
• Ability to work harmoniously with and supervise other personnel.
• Ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., necessary for providing quality care.
• Advanced knowledge of laws, regulations, and guidelines governing personnel administration.
• Possess the skills and ability to handle residents, family members/representatives, and visitors with patience and tact based on whatever maturity level at which they are currently functioning.
• Ability to seek out new methods and principles and be willing to incorporate them into existing practices.
• Ability to maintain good personnel relations and employee morale.
• Possess effective skills in use of computer systems, applications and other office equipment.
• Ability to effectively communicate policies, procedures, regulations, reports, etc., to personnel, residents, family member/representatives, visitors, and government agencies/personnel.
• Must not pose a direct threat to the health, safety, or well- being of individuals in the workplace.

1. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):

• Must be able to move intermittently throughout the workday.
• Must be able to cope with 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 be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times, hostile people both internally and externally.
• Must be free of communicable diseases as outlined in facility Infection Control Policies.
• Must be able to assist in the evacuation of residents or to shelter in place during emergency situations.