Assistant Executive Director - LNFA (23631)

Cantex Continuing Care Network · Usps Official, TX Full Time
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Job Description

Description Location: 7210 Northline Drive, Houston, TX 77076-1517 Schedule: Full‑time, exempt role Reports to: Executive Director What We Offer You • Competitive pay • Performance‑based bonus opportunities • Comprehensive health, dental, and vision insurance • Additional supplemental benefits (life insurance, disability, accident, etc.) • 401(k) with company match • Generous paid time off (PTO/Sick) • Clear career growth and advancement opportunities • A supportive and vibrant company culture • Many more employee perks and benefits Job Summary The Assistant Executive Director supports the Executive Director in the overall leadership and daily operations of the Skilled Nursing Facility (SNF). This role helps ensure regulatory compliance, strong financial performance, high‑quality resident care, and effective departmental coordination. The Assistant Executive Director plays a key role in census development, staff leadership, survey readiness, and maintaining a safe, efficient, and resident‑centered environment. This position is ideal for a licensed Nursing Home Administrator seeking growth into a full Executive Director role. Qualifications Qualifications Current and valid state Licensed Nursing Home Administrator (LNHA/NHA) license Minimum of one year of supervisory experience in a long‑term care setting Strong knowledge of state and federal long‑term care regulations BS/BA degree in healthcare administration or related field preferred (or equivalent experience) Demonstrated leadership skills with the ability to communicate, direct, and delegate effectively Excellent organizational, interpersonal, and critical‑thinking skills Ability to read, write, and speak the English language Essential Functions Regulatory Compliance & Survey Readiness Assure facility compliance with all applicable federal, state, and local regulations Direct and ensure implementation of written policies and procedures, including Cantex Policies, RCMS, and FMS Maintain survey readiness and support the Executive Director during regulatory visits Ensure compliance with the Patients’ Bill of Rights Operational Leadership & Facility Oversight Make routine rounds to ensure high‑quality resident care, safe and sanitary conditions, and effective departmental operations Oversee recruitment, selection, and training of department supervisors and ancillary staff Conduct daily stand‑up meetings and weekly department supervisor meetings Authorize purchases of equipment and supplies in accordance with company procedures Ensure physical assets, equipment, and supply inventories are maintained appropriately Financial & Census Management Assist in preparation of the annual operating budget Support achievement of budgeted earnings expectations Maintain accurate financial records and ensure timely submission of required reports Develop, establish, and maintain patient census at optimal levels Resident Services & Program Oversight Ensure implementation of therapeutic, recreational, and rehabilitative programs Ensure nutritional needs and ancillary services are appropriately provided Maintain timely and accurate documentation for Medicaid/Title XIX/Medicare and other reimbursement programs Community Relations & External Partnerships Represent the facility in dealings with governmental agencies, vendors, and community partners Maintain an effective community relations program that supports facility visibility and reputation Quality Assurance & Committee Participation Ensure RCMS and FMS Quality Assurance Committee meetings are held monthly Support ongoing quality improvement initiatives across all departments We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package. Corp

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.

What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the Houston market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.

Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the Houston metro area earn a median wage of $59.81/hr ($124,405/yr). The typical range is $45.69 – $78.44/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
Houston Median $124,405/yr
Experienced (90th) $206,565/yr
vs. National Median +0.4%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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