Licensed Nursing Home Administrator

About Us

Nestled in San Francisco's Excelsior neighborhood on a nine-acre campus, the San Francisco Campus for Jewish Living (SFCJL) is a leading senior services organization in Northern California, providing older adults with comprehensive and innovative care that fosters purpose, dignity, and joy. The campus houses Frank Residences, assisted living and memory care, the Jewish Home and Rehabilitation Center, an acute geriatric psychiatric unit, and the Jewish Home and Senior Living Foundation.

Position Overview

Reporting to the SFCJL Chief Operating Officer, the Licensed Nursing Home Administrator is responsible for the day-to-day operations, financial viability and quality of care for the Jewish Home & Rehab Center (JHRC) which includes Post-Acute and Long-Term Skilled Nursing Care and an Acute Psychiatric Unit. Responsibilities include, but are not limited to, clinical and non-clinical operations, quality, safety and patient experience, regulatory and corporate compliance, creation and maintenance of policies and procedures, and monitoring, adapting and improving operational systems. The Administrator is part of the senior executive leadership team of the SFCJL. The Administrator represents the organization and partners in various capacities with board members, residents, patients, family members, regulatory agencies, and community partners.

Essential Job Functions 

Compliance and Operational Oversight: 

• Leads and oversees day-to-day operations of the JHRC, including skilled nursing facility, Acute Psychiatric Unit and Clinics.  

• Responsible for the administration and oversight of the JHRC in compliance with federal, state and local regulations and industry best practices.  

• Remains current on regulations and reporting requirements relevant to both the acute psychiatric unit and skilled nursing.  

• Establishes and maintains departmental and organization-wide policies and procedures that are in conformance with all applicable regulations and current best standards of practice. 

• Proactively identifies areas in need of improvement, implements action plans and monitors outcomes. 

• Responsible for ensuring that the JHRC and the functions of the following departments are in conformance with all applicable regulations, facility policies, and best standards of practice: 

• Nursing, including Nursing Units (skilled nursing and APU), MDS, Case Management and Utilization Management 

• Rehabilitation Services (contracted) 

• Nutritional Services (contracted) 

• Social Services 

• Admissions 

• Medical Records 

• Life Enrichment  

• Volunteer Services 

• Resident/Patient Billing 

• Facilities 

• Environmental Services 

• Infection Prevention 

• Laboratory Services (contracted) 

• Pharmacy Services (contracted)  

• Develops, implements, and monitors budget, staffing plans and systems to ensure effective and efficient use of financial and human resources. Plans and monitors the total operating budget for applicable departments.  

• Assures adequate 24/7/365 staffing for the entirety of JHRC. 

• In collaboration with the Chief Nursing Officer, assures proactive survey readiness and leads the organization during State and Federal survey activities. 

• Provides timely response to all regulatory inquiries, 2567s, and other requirements (e.g. CHNA).  Assures rigorous tracking and systematic follow-up. 

• Oversees and maintains the complaints and grievance program for JHRC.  Reviews resident, patient, family member, and staff complaints and grievances.  Assures timely and systematic follow-up with documentation of actions taken. 

• Streamlines processes to drive efficiency and efficacy, explores technological solutions that enable both efficiency and highest quality of care for residents/patients, and collaborates with IT to implement appropriate technology.  

• Leads and/or participates in Board-related committee meetings (e.g. Board Quality Committee) 

• Ensures exceptional patient, resident, and staff experience.  Communicates with key stakeholders that include but are not limited to residents, patients, family members, and staff regularly; assists with problem resolution and service recovery. 

• Supports and maintains positive and functional union relations. 

• Maintains strong relationships with payer partners. 

• Conducts outreach and maintains strong relationships with referring hospitals and other referral sources. 

• Establishes and maintains strong working relationships with physicians and advanced practice providers.  

• Interfaces with leaders across the Campus to assure alignment of goals and to create efficiencies where a campus-wide approach would be appropriate. 

• Responsible and accountable for the entire PBJ process. Collaborates with Staffing Coordinator, Human Resources, Payroll Specialist, and Business Office Manager to ensure a reliable system is in place for accurate and timely submission. Responsible for reviewing the final reports, validating their accuracy, and answering to regulatory bodies for any discrepancies or penalties. 

• Periodically reviews the submitted data and reports related to PBJ to verify accuracy and identify  potential issues or discrepancies that need to be corrected prior to next submission. 

• Ensures adherence with facility protocols in collaboration with Director of Facilities. Ensures that the facility is maintained and operated in full compliance with the current edition of the NFPA 101, Life Safety Code.  

• Acts as the primary point of contact during annual life safety surveys and any complaint investigations related to life safety. This includes preparing and presenting all required documentation. 

• Develops, implements, and monitors an effective Plan of Correction for any life safety deficiencies (K-Tags) cited during a survey. 

• Oversees the development, annual review, and regular updating of the facility’s comprehensive emergency preparedness plan in collaboration with Facilities and Security leadership. Ensures that plan covers fires, natural disasters, active shooter events, and other potential emergencies. 

• Ensures that fire and disaster drills are conducted and documented as required by regulation (e.g., quarterly for each shift) to test the plan's effectiveness and staff competency. 
• Designated as facility’s Abuse Coordinator. Establishes and enforces a zero-tolerance policy for all forms of resident abuse (e.g., physical, verbal, sexual, mental, financial exploitation) and neglect. This includes overseeing thorough pre-employment background checks, ensuring all staff are trained on identification and mandatory reporting procedures, and guaranteeing that every allegation is immediately and thoroughly investigated and reported to all required state agencies. 

Quality Assurance and Performance Improvement (QAPI): 

• Chairs the JHRC QAPI committee. 

• Assures highest level of quality, safety and patient/resident experience for the JHRC. 

• Responsible for establishing, leading, updating, monitoring, and evaluating the QAPI program that proactively identifies systemic issues, implements effective and sustainable solutions, tracks key performance indicators, uses objective data to drive decision making, and involves stakeholders at all levels. 

• Maintains strong understanding of key quality metrics related to skilled nursing.  Proficient in data collection and analysis and improvement methodologies to assure successful implementation and sustainability of improvement work. 

• Stays up to date with changing industry standards and practices to ensure that services comply with and are consistent with the highest standards of practice and all regulatory requirements. 

• Leads and participates in all relevant committees and task forces necessary to achieve organizational goals and compliance. 

Qualifications 

• Minimum of 5 years of administrative experience in the skilled nursing/post-acute skilled nursing or rehabilitation environment. 

• Relevant clinical experience preferred.  

• Valid Nursing Home Administrator License 

• Master's degree in business, public health, or other applicable area, preferred. 

• Nursing Home Administrator Preceptor Certification preferred. 

• Strong current knowledge of federal, state and local regulations related to all levels of skilled nursing healthcare required.  Up to date with current trends in skilled nursing and healthcare administration. 

• Demonstrates exceptional content expertise in all aspects of the field of skilled nursing with proven track record of leadership as evidenced by quality outcomes.  

• Exceptional communication skills with ability to engage front line staff and the board. 

• Proven track record of ability to teach, mentor, and motivate others 

• Skilled at setting and articulating high expectations, holding self and others accountable, and effectively evaluating performance. 

• Skilled in negotiating, mediating, and resolving conflicts constructively. 

• Strategic thinker with ability to develop and implement annual plans that integrate knowledge of finances, organizational and industry priorities. 
• Ability to manage multiple projects simultaneously, to deliver in a timely manner and to effectively prioritize.  

Compensation & Benefits

• Annual salary: $210,000 - $230,000 with flexibility for the right candidate based on experience and qualifications.
• Comprehensive health, dental, and vision insurance
• Retirement plan with employer contributions
• Paid time off and holidays