Executive Director

Job Title: Executive Director

Department: Administration Services

Reports To: Owner

FLSA Status: Exempt

Prepared Date: January 2026

Position Summary: 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 a medical facility or facility for the dependent to assure that the highest degree of quality care and customer service can be provided to our residents.

Delegation of Authority: As the Executive Director, 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:

• Manages, supervises and is in general administrative charge of a residential facility for groups

• Shall ensure that the facility complies with all applicable requirements of NRS Chapter 449 and NAC Chapter 449

• Responsible for the oversight and direction of the members of the staff of the facility as necessary to ensure that the residents of the facility receive needed services and protective supervision

• Prepare for and coordinate state inspections and surveys

• Implement corrective action plans as needed to address any deficiencies

• Ensure all required documentation, records, and reports are accurate and current

• Maintain current Nevada Residential Facility Administrator license

• Recruit, hire, train, and supervise facility staff including caregivers, medication technicians, and support personnel

• Conduct regular staff meetings and provide ongoing education on memory care best practices

• Develop staff schedules ensuring appropriate coverage and staff-to-resident ratios

• Conduct performance evaluations and provide coaching and mentorship

• Foster a positive work culture that values teamwork and resident-centered care

• Ensure individualized care plans are developed and implemented for each resident

• Monitor quality of care delivery and intervene when standards are not met

• Coordinate with healthcare providers, families, and staff regarding resident needs

• Address resident and family concerns promptly and professionally

• Oversee medication management protocols and procedures

• Serve as primary point of contact for residents' families and responsible parties

• Facilitate family meetings and provide regular updates on resident well-being

• Handle inquiries from prospective residents and their families

• Build relationships with community healthcare providers and referral sources

• Oversee all aspects of facility operations, ensuring efficient day-to-day functioning and adherence to established policies and procedures

• Develop and implement operational strategies that enhance quality of care and resident satisfaction

• Manage facility budget, including revenue projections, expense control, and financial reporting

• Review and interpret monthly financial statements and provide such information to the executive management

• Ensure facility maintains optimal occupancy levels through effective marketing and community outreach

• Develop and maintain written policies and procedures that govern the operation of the facility in accordance with Corporate practices and procedures

• Produce and publish monthly newsletter

• Assist staff 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 teamwork

• Review the facility’s policies and procedures periodically, at least annually, and recommend changes as necessary to ensure continued compliance with current regulations (e.g., ADA, ergonomics, air quality, etc.)

• Delegate administrative authority, responsibility, and accountability to other staff personnel as deemed necessary to perform their assigned duties

• Consult with department managers and 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

• Review and check competence of workforce 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 Facility HR Designee or Corporate HR

• Serve as liaison to the governing board, medical staff, and other professional and supervisory staff

• Maintain an excellent working relationship with the medical professionals and other health related facilities and organizations through formal working and transfer agreement

• Assist department managers and 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

• 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 in-service training programs for hazard communication, TB management, and bloodborne pathogens standard (Annual Mandatory Review)

• Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the facility

• Demonstrate and promote behaviors dedicated to achieving quality results and excellent customer service

• 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 with resident and family as appropriate

• Ensure that policies governing a timely notice for resident discharges and room or roommate changes are strictly followed by all personnel

• 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 services to attain and maintain the highest possible mental and physical functional status, as defined by the comprehensive assessment and care plan

• Participate in review of Employee Satisfaction surveys and prepare action plans as needed to address employee needs or concerns

• Ensure that the facility remains survey ready and compliant with company policy and governmental regulations, prepare and present plan of correction to state or federal agencies post surveys

• Ensure that the facility is compliant and knowledgeable of Emergency Operating Procedures and prepared to take immediate action as needs occur. Ensure that employees are educated regularly on the facility emergency procedures

• Ensure Corporate Compliance standards, including but not limited to the following are adhered to:

• • Responsiveness to CCO and Legal on compliance issues

  • Timely, organized recordkeeping (including uploading documents into appropriate electronic compliance folders)

  • Ensure recommended corrective action is timely completed and providing CCO confirmation of same

  • Ensure recommended education is timely completed and providing CCO confirmation of same

  • Ensure that there is no scheduling of personnel with lapsed licenses

  • Providing CCO status reports regarding pending issues

  • Proactive in identifying compliance issues and bringing them to the attention of the CCO

• Monitor admission process from referral tracking, acceptance, financial eligibility, discharge potential, admission, paperwork completion and greeting process

• Direct marketing activities at the facility level, conduct weekly review meetings to discuss marketing for upcoming week

• Complete administrative reports as requested

• Will work long hours including those needed during urgent situations that may include weather emergencies or annual survey

• Other duties as assigned

Management Responsibilities:

• This position must exhibit strong leadership skills. This includes:

• • Exhibiting confidence in self.

  • Taking control of a situation when necessary.

  • Reacting well under pressure and maintaining a calm atmosphere.

  • Showing initiative.

  • Motivating others to perform well.

  • Always displaying a positive attitude.

• This position must exhibit strong judgment skills. This includes:

• • Displaying willingness to make decisions.

  • Exhibiting sound and accurate judgment.

  • Supporting and explaining reasoning for decisions.

  • Including appropriate people in the decision making process.

  • Making timely decisions.

• This position must exhibit strong innovation skills. This includes:

• • Displaying original thinking and creativity.

  • Meeting challenges with resourcefulness.

  • Generating suggestions for improving work.

• This position must exhibit strong planning and organizational skills. This includes:

• • Prioritizing and planning work activities.

  • Using time efficiently.

  • Planning for additional resources.

  • Integrating changes smoothly.

  • Setting goals and objectives.

• This position must exhibit strong adaptability skills. This includes:

• • Adapting to changes in the work environment.

  • Managing competing demands.

  • Accepting criticism and feedback.

  • Changing approach or method to best fit the situation.

  • Accepting additional responsibility/workload willingly.

  • Finding solutions, not obstacles, to workplace demands.

Working Conditions

• Works in office area(s) as well as throughout the nursing service area (i.e. drug rooms, nurses’ stations, resident’s rooms, etc.)

• Sit, stands, bends, lift, and moves intermittently during working hours

• Subject to frequent interruptions

• Involved with residents, personnel, visitors, government agencies/ personnel, etc., under all conditions and circumstances

• Subject to hostile and emotionally upset residents, family members and visitors.

• Communicates with the medical staff, nursing personnel and other department personnel

• Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary

• Subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.)

• Attends and participates in continuing education programs

• Subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants and other air contaminants

• Subject to exposure to infectious waste, disease, conditions, etc., including TB, AIDS and Hepatitis B viruses

• Subject to the handling of and exposure to hazardous chemicals

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 stand, walk, use hands or fingers, reach with hand and arms, frequently throughout the workday

• Must be able to twist/bend/sit, kneel, squat/crouch occasionally throughout the workday

• Must be able to speak and write the English language in an understandable manner

• Must be able to use a computer

• Must be able to cope with the mental and emotional stress of the position

• Must possess the ability to handle difficult/negative situations/people

• Must be able to work long hours

• Must possess the ability to make independent decisions when circumstances warrant

• Must not pose a direct threat to the health and safety of others in the workplace

• Must possess the ability to seek out new methods/principles and incorporate into existing nursing practices

• Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met

• Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, visitors, vendors and support agencies

• Must meet the general health requirements set forth by the policies of this facility, which may include a medical and physical examination

• Must be able to relate to and work with the ill, disabled, elderly and emotionally upset

• Must be able to push, pull move, and/or lift a minimum of 25 lbs. to a minimum of 3 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 5 feet

Skills and Competencies

• Strong leadership and team-building abilities

• Excellent communication and interpersonal skills

• Thorough understanding of Nevada state regulations for residential facilities

• Proficiency in budget management and financial reporting

• Problem-solving skills and sound decision-making abilities

• Compassionate approach to working with individuals with memory impairments

• Computer proficiency including electronic health records and facility management software

• Crisis management and conflict resolution skills

NOTE: This job description is not intended to be all-inclusive. Employees may perform other related duties as negotiated to meet the ongoing needs of the organization.

Disclaimer: Although the Company has attempted to accurately and thoroughly describe this position, the Company reserves the right to change the same, including to change, add to or subtract from the duties outlined, within the sole discretion of the Company, at any time, with or without advance notice.

Qualifications

• Bachelor's Degree required

• Nevada Residential Facility Administrator (RFA) license required

• Minimum 2-3 years of experience in assisted living or long-term care management

• Experience with memory care populations strongly preferred

• Demonstrated knowledge of dementia care principles and person-centered care approaches

• Previous supervisory or management experience required