Administrator – Long-Term Care Facility

Full-Time | Monday–Friday (with on-call responsibility as needed)
Location: Flandreau – Tribal Long-Term Care Center

Position Summary

The Administrator is responsible for the overall leadership, direction, and day-to-day operations of the long-term care facility. This role ensures compliance with all applicable federal, state, tribal, and local regulations while fostering a culture of high-quality resident care, operational excellence, and respectful collaboration among staff, residents, families, and community partners.

The Administrator serves as the facility’s senior leader and primary liaison to governing bodies, regulatory agencies, and external partners, ensuring the highest standards of care, safety, and organizational integrity.

Key Responsibilities

Facility Leadership & Operations

• Direct and oversee all daily operations of the long-term care facility.
• Develop, implement, and maintain facility policies, procedures, and programs in compliance with regulatory requirements.
• Ensure a resident-centered environment that promotes dignity, safety, and quality of life.
• Conduct routine facility inspections to ensure compliance and operational effectiveness.

Regulatory Compliance & Quality Assurance

• Maintain compliance with CMS, state, tribal, and federal long-term care regulations.
• Lead survey preparedness efforts and develop Plans of Correction following inspections.
• Serve on and support Quality Assurance & Performance Improvement (QAPI) and Infection Control committees.
• Ensure resident rights, confidentiality, and grievance processes are upheld.

Staff Leadership & Development

• Recruit, hire, and retain qualified department leaders and staff.
• Provide coaching, performance management, and corrective action as needed.
• Support staff education, training, and professional development.
• Foster a collaborative, respectful, and accountable workplace culture.

Financial & Strategic Oversight

• Prepare and manage the annual operating budget.
• Review monthly financial statements and report to governing bodies.
• Monitor operational costs and ensure responsible fiscal stewardship.
• Authorize major purchases in accordance with facility policies.

Community & Stakeholder Relations

• Serve as the facility’s representative with governing boards, families, residents, and external agencies.
• Maintain strong relationships with healthcare providers, community organizations, and regulatory bodies.
• Promote positive public relations and community engagement initiatives.

Required Qualifications

• Bachelor’s degree required (Public Health Administration, Business Administration, or a health-related field preferred).
• Minimum of two (2) years of supervisory experience in a hospital or long-term care setting.
• Current, unencumbered Nursing Home Administrator (NHA) license or ability to meet state licensure requirements.
• Strong knowledge of long-term care regulations, reimbursement systems, and healthcare operations.
• Ability to lead diverse teams and make independent decisions in complex environments.
• Excellent communication, organizational, and interpersonal skills.
• Ability to pass required background investigation and pre-employment drug and alcohol screening.

Working Conditions

• Office-based with frequent presence throughout the facility.
• May require evenings, weekends, or holidays based on operational needs.
• Regular interaction with residents, families, staff, and regulatory agencies.
• Exposure to healthcare environments, including infectious conditions.

Why Join Us

• Mission-driven work serving elders and community members.
• Opportunity to lead and shape high-quality long-term care services.
• Collaborative environment with strong community and cultural values.
• Competitive compensation and benefits package (details provided during recruitment process).