Nursing Home Administrator
Job Description
Lead Operational Turnaround and Culture Transformation in a High-End Senior Living Community
Nursing Home Administrator – Skilled Nursing & Assisted Living Campus
Omaha, Nebraska Area
A Rare Opportunity: Lead a Large Senior Living Campus Through Its Next Phase of Growth
Most Nursing Home Administrator opportunities involve either maintaining stable operations or stepping into struggling facilities with little support. This opportunity offers something more complex and rewarding.
A respected senior living community in the Omaha area is seeking a Nursing Home Administrator to lead a large, multi-building campus that provides skilled nursing, assisted living, memory care, and rehabilitation services. The campus serves a high-end private-pay population while maintaining strong clinical partnerships and referral sources.
This leadership role requires an administrator who can strengthen operational performance, improve regulatory outcomes, and rebuild a healthy team culture across a diverse campus environment.
If you are an experienced administrator who thrives in visible leadership roles, understands census strategy and staffing management, and can build a positive workplace culture, this opportunity deserves your attention.
What Makes This Opportunity Different
Large Multi-Building Campus Environment
This community operates across eight separate buildings, creating a unique leadership environment that requires mobility and presence throughout the campus. The Administrator will maintain active visibility across multiple care settings including skilled nursing, assisted living, memory care, and rehabilitation services.
Upscale Private-Pay Community
The campus serves a high-end market with private-pay monthly rates ranging from approximately $15,000 to $18,000, creating a strong opportunity to build census and enhance resident experience in a premium senior living environment.
Strong Referral Pipeline
The community maintains an active rehabilitation program and strong referral relationships with regional healthcare partners, generating approximately 100 admissions per month across service lines.
Opportunity to Improve Quality Metrics
While the community has a strong reputation locally, CMS quality metrics and survey performance present opportunities for improvement. The next Administrator will play a key role in strengthening compliance systems and improving survey outcomes.
Experienced Leadership Support
The campus includes a Director of Nursing currently in place along with an established sales and marketing director supporting census development.
What You’ll Lead
Campus Operations & Strategic Leadership
Provide executive leadership across the entire senior living campus
Oversee operations across skilled nursing, assisted living, memory care, and rehabilitation programs
Ensure alignment between clinical operations, financial performance, and resident experience
Maintain consistent leadership presence across all campus buildings
Census Development & Market Positioning
Develop strategies to increase occupancy across licensed beds
Collaborate with the sales and marketing team to strengthen referral relationships
Ensure strong coordination between admissions, clinical teams, and marketing initiatives
Staffing Stability & Workforce Management
Implement strategies to reduce agency reliance for RN shifts and medication aides
Strengthen recruitment, retention, and scheduling processes
Create accountability structures that address call-offs and staffing reliability
Promote a positive and supportive workplace culture
Regulatory Compliance & Survey Readiness
Maintain compliance with state and federal regulatory standards
Ensure strong preparation for upcoming CMS surveys
Implement corrective actions following mock survey findings and plans of correction
Improve regulatory outcomes and strengthen quality systems
Culture Transformation & Team Engagement
Address existing cultural challenges and eliminate unhealthy workplace dynamics
Promote transparency, accountability, and respectful collaboration among staff
Encourage leadership presence and open communication across departments
Who the Organization Is Seeking
You Must Bring
✓ Administrator License – Active Nursing Home Administrator license (or eligibility to obtain in Nebraska)
✓ Senior Living Leadership Experience – Proven leadership within skilled nursing or multi-service senior living environments
✓ Operational Leadership – Experience overseeing large teams and complex campus environments
✓ Regulatory Knowledge – Strong understanding of SNF compliance, CMS survey processes, and regulatory standards
✓ Culture Leadership – Ability to rebuild trust and strengthen workplace culture
What Sets You Apart
Experience managing multi-building senior living campuses
Background working in upscale or private-pay senior living environments
Strong census development and referral relationship management skills
Experience reducing agency staffing and strengthening workforce stability
Familiarity with PointClickCare (PCC) or similar EMR systems
What This Role Demands
Visible Leadership
This campus requires an administrator who is highly visible and actively present across multiple buildings. The role does not operate from a traditional office environment.
Culture Rebuilding
A key priority will be eliminating unhealthy workplace dynamics and establishing a culture built on trust, transparency, and accountability.
Operational Discipline
Improving occupancy, staffing reliability, and regulatory performance will require strong operational systems and leadership consistency.
Regulatory Focus
With survey activity expected in the near future, the Administrator must ensure the facility remains prepared and compliant.
What We Offer in Return
Competitive Compensation
Base salary up to $135,000 depending on experience
Annual bonus potential of approximately $20,000 based on performance metrics
Temporary Housing Support
Up to two months of temporary housing available within the community’s independent living residences
Leadership Opportunity in a Prominent Regional Organization
Work within a respected senior living organization with a strong presence in the Omaha metropolitan market
Employee Engagement Programs
Department-level recognition program supporting weekly employee appreciation
Participation in company-wide engagement initiatives and events
Community Culture
Annual company-wide celebration bringing together employees from all locations
Family-friendly events including live entertainment, raffles, and community gatherings
The Ideal Candidate
This role is ideal for:
Experienced Nursing Home Administrators comfortable leading large, complex campuses
Leaders who value visible leadership and strong team relationships
Administrators focused on improving culture, staffing stability, and operational performance
Professionals experienced in both skilled nursing and broader senior living services
This role may not be ideal for:
Leaders who prefer single-building facilities with limited operational complexity
Administrators who prefer office-based leadership rather than active campus engagement
Candidates uninterested in culture transformation and team development
Ready to Lead a Community Through Its Next Chapter?
This opportunity offers the chance to lead a large and visible senior living campus with strong market positioning and meaningful potential for operational improvement.
You will guide culture transformation, strengthen regulatory performance, and help position the community for long-term success while working alongside an engaged leadership team.
If you are a Nursing Home Administrator ready to lead with visibility, integrity, and operational discipline, this role offers the opportunity to make a lasting impact.