Join a GREAT team! The Buckingham is the premier not for profit, Life Care retirement community in the greater Houston region. Our mission is to enrich each resident’s life through exceptional experiences provided within an environment of comfort, elegance, exceptional hospitality and compassionate care. We offer a competitive salary and benefits including medical, dental and vision coverage, 401k with match, PTO, tuition reimbursement and meal programs. We are seeking an experienced professional with the skills, dedication and compassion to join our team and help achieve the mission and vision of The Buckingham POSITION SUMMARY Plan, organize and direct the overall operation of nursing services in accordance with applicable regulations, policies, and guidelines to foster the highest degree of quality care. ESSENTIAL DUTIES AND RESPONSIBILITIES Develop, review, and revise standards, guidelines, forms ands. Provide and/or promote staff educational programs, monitor attendance and compliance with mandatory training as required. Participate in regularly scheduled management meetings. Coordinate the completion of the admission, discharge, and evaluation materials and process for all residents. Ensure appropriate documentation including functional assessments. Ensure that all resident rights and responsibilities are protected and enforced. Establish and maintain a close liaison with residents and families. Promote an environment that allows residents to function as independently as possible. Collaborate with the Medical Director and other professional service providers. Coordinate with appropriate department directors and supervisors for services provided to the residents. Maintain all documentation required by state agencies. Organize and promote educational opportunities for residents and families. Participate in the level of care committee for the continuing care retirement community. Comply with state and federal requirements and regulations. Maintain current knowledge for scope of practice for self and support staff. See opportunities for personal and professional growth, related to clinical standards of practice, gerontology, rehabilitation, organization, management, regulatory agencies, infection control, and interpersonal skills. Monitor usage of supplies and equipment and plan for long-range equipment replacement. Prepare preliminary departmental Operating Budget. Review, investigate and resolve customer grievances in cooperation with the Nursing Home Administrator. Develop and coordinate the QAA process. Participate in presentations to appropriate community organizations and individuals to meet community established occupancy goals. Promote a positive image. Maintain and dispose of discontinued controlled substances per state pharmacy regulations. Other duties as assigned by the Supervisor. SUPERVISORY RESPONSIBILITIES Manages subordinate supervisors who supervise additional employees in the Health Center. Is responsible for the overall direction, coordination, and evaluation of these units. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. QUALIFICATIONS Educational Requirements and Experience : Bachelor’s degree in Nursing. Registered Nurse with a current license in good standing. Five to seven years experience in long-term care. Five years previous management experience. Knowledgeable of standards of care and practices applicable to the delivery of geriatric services, complex medical conditions, multiple medical diagnoses, including preventive measures, rehabilitation, and promoting independence. The Buckingham is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, The Buckingham will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with The Buckingham.
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
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
$57.69/hr ($119,995/yr).
The typical range is $45.94 – $73.58/hr
(25th–75th percentile).
Entry Level (10th)$72,987/yr
Houston Median$119,995/yr
Experienced (90th)$205,400/yr
vs. National Median+1.7%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area).
Salary data provided by Houston Senior Living Guide.