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Nursing Home Administrator

Waynesville, NC

Full Spectrum Search Group is a full-service healthcare recruiting agency specializing in post-acute leadership and healthcare administration. We are seeking an experienced Nursing Home Administrator for a skilled nursing facility in the Waynesville, North Carolina market.

This is an opportunity for a strong, visible operator to take ownership of a nearly full facility and lead its next phase of improvement. The building has solid census, a complete department head team, stable licensed nursing coverage, and strong operational flow. The organization is seeking a mature, hands-on leader who can strengthen culture, improve survey performance, and create greater accountability throughout the facility.

Why This Opportunity?

• 100-bed SNF operating at approximately 93% census

• Opportunity to lead a highly visible clinical and cultural turnaround

• Full department head team in place, including strong HR, admissions, and unit management support

• Newer, well-maintained facility with attractive grounds and a responsive maintenance team

• Flexible compensation for the right candidate, plus performance-based bonus opportunity

Position Summary

The Nursing Home Administrator will oversee the clinical, operational, financial, and cultural performance of the facility. This leader will be expected to maintain the building's strong census while improving employee engagement, leadership visibility, regulatory performance, and the overall resident and family experience.

The ideal candidate is comfortable stepping into a challenging environment, establishing expectations, and working closely with the DON and department heads to create a more accountable and resident-focused culture. This is not a passive administrative role. The successful candidate must be visible throughout the building and actively engaged with staff, residents, and families.

Key Responsibilities

• Provide overall leadership and operational oversight of the 100-bed skilled nursing facility

• Build a positive, accountable culture through consistent visibility and staff engagement

• Partner closely with the DON to strengthen clinical leadership and increase presence throughout the building

• Maintain strong census performance while monitoring skilled mix, admissions, and discharges

• Lead survey readiness, regulatory compliance, and performance improvement efforts

• Support department heads and establish clear expectations for communication, follow-through, and resident service

• Monitor staffing levels and help reduce reliance on agency CNAs

• Maintain open communication with residents, families, employees, and regional leadership

• Oversee financial performance, labor management, budgeting, and operational outcomes

• Ensure the facility consistently delivers high-quality, resident-centered care

Qualifications

• Active North Carolina Nursing Home Administrator license required

• Prior experience leading a skilled nursing facility strongly preferred

• Demonstrated success improving facility culture, regulatory performance, or operational outcomes

• Strong understanding of state and federal SNF regulations and survey requirements

• Ability to lead and develop department heads, including clinical leadership

• Mature, hands-on leadership style with strong visibility throughout the facility

• Excellent communication, organization, and problem-solving skills

• Ability to work effectively in a rural market and maintain strong community relationships

Compensation

• Base salary is negotiable based on experience

• Performance-based bonus program

• Comprehensive benefits package

Ready to learn more?

Text or call: (214) 884-7484

Email: jobs@fullspecstaff.com

About Full Spectrum Search Group

Full Spectrum Search Group is a full-service healthcare recruiting agency specializing in post-acute leadership and healthcare administration. At Full Spectrum, our team of healthcare recruiters is dedicated to bringing exceptional operators and candidates together.

With over 29 years of collective experience, Full Spectrum has built management and leadership teams for some of the most prominent operators in the country. As part of the Sanford Rose Associates Network of offices, our clients receive the personalized attention of a boutique search firm supported by the resources of one of the nation's largest executive search networks.

Full Spectrum is an equal opportunity search firm. We recruit candidates without regard to race, color, religion, sex, pregnancy, gender identity or expression, sexual orientation, national origin, age, disability, genetic information, medical condition, marital status, veteran status, or any other protected characteristic under local, state or federal law.
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