What Does A Nursing Home Administrator Do (including Their Typical Day at Work)

Alyssa OmandacCareer, Overview

Salary, Job Description, How To Become One, and Quiz

Nursing Home Administrators

Nursing Home Administrators are responsible for the staff and operations at nursing homes and various types of assisted living facilities. They manage staff, personnel, budgets, supplies, and other tasks to ensure that the facility provides optimal care to residents.

Master's degree

Find a job you love and you will never work a day in your life.Confucius

Nursing Home Administrators are the upper-level managers of nursing homes. They are primarily focused on the administrative aspects of the facility, such as staffing and ensuring that the facility has the required resources.

Working as a Nursing Home Administrator is often stressful due to the demands of the job. They need to keep track of the day-to-day operations of various departments, such as medical personnel, housekeeping, and other staff. However, this job is also rewarding as Nursing Home Administrators help maintain or improve the level of care for residents during the later years of their lives.

What they do

Nursing Home Administrators are responsible for the staff and operations at nursing homes and various types of assisted living facilities. They manage staff, personnel, budgets, supplies, and other tasks to ensure that the facility provides optimal care to residents.

Direct the daily operations of the nursing home

The main job duty of the Nursing Home Administrator is to oversee the daily operations of the nursing home. They may coordinate with the supervisors of various teams, such as housekeeping and nurses, to ensure that the facility is properly staffed. Nursing Home Administrators direct the daily tasks of all staff, including clerical and medical staff. They also ensure that the staff follows all standards and complies with necessary state and federal regulations.

Supervise the hiring and training of new employees

Nursing Home Administrators are not always directly involved in the hiring and training of employees. For example, a Nursing Home Administrator may set the budget for hiring new staff. They may also sit in on interviews and provide their recommendations while leaving the decision to supervisors or managers.

Attend meetings with staff, patients, and families

Nursing Home Administrators attend a lot of meetings. They may meet with staff each day to receive a summary of any new developments or operational concerns. They may also meet with governing boards, stakeholders, or owners to ensure that they are meeting their objectives. Before meeting with a governing body or owner, the Nursing Home Administrator may need to compile reports or financial summaries.

Nursing Home Administrators also occasionally meet with families who are interested in having loved ones admitted to the facility. For example, a family may want to meet with the Administrator to ensure that the facility is the right fit for their loved one. Administrators also meet with healthcare providers such as Physicians, Nurses, and other medical professionals. This is often necessary when coordinating patient care with other facilities.

Monitor the budget and find ways to reduce costs

One of the primary responsibilities of the Nursing Home Administrator is to administer the budget. In some cases, the budget is established by a board of directors or the owner of the facility. It is the responsibility of the Nursing Home Administrator to ensure that spending does not exceed the budget.

Many nursing home facility owners and governing boards also expect Nursing Home Administrators to help maintain lower costs and increase profits without reducing the quality of care. This may involve freezing the hiring of new staff or negotiating with vendors.

Perform a wide range of administrative tasks

Nursing Home Administrators spend most of their day performing administrative tasks. They may need to review the budget, schedules, and incident reports. They may also coordinate with medical supply vendors and arrange the delivery of supplies. Other administrative tasks include filing paperwork with insurance companies, reviewing payroll data, and setting service rates.

Featured Schools

What is the job like


You get to help provide residents with optimal living conditions

As Nursing Home Administrators are responsible for the overall operations of nursing home facilities, you are also responsible for the quality of care and living conditions for residents. You get to help aging residents feel comfortable.

You get to tackle a variety of challenging problems

Nursing Home Administrators are often required to address challenges such as a limited budget or understaffing. Coming up with solutions to these problems is often a rewarding experience.

Working as a Nursing Home Administrator is rarely boring

Every day brings new tasks to complete, which helps keep the work more entertaining. You rarely do the same thing every day.

You get to meet interesting people

The residents who are admitted to your facility have lived for many years and have many stories to tell. Interacting with residents each day is one of the most rewarding parts of this job.


You may spend long hours at work

Nursing Home Administrators work long hours, which can be a little stressful. You are likely to work more than 40 hours and remain on-call during the night and holidays.

You may need to settle disputes

Nursing Home Administrators are often required to settle disputes between co-workers or staff and residents. This may also occasionally result in disciplinary action against one or more employees.

Where they work

Nursing Homes
Assisted Living Facilities
Senior Apartments
Continuing Care Retirement Communities (CCRCs)

Nursing Home Administrators work in nursing homes. They are often the top-level executive at the facility and responsible for supervising all clinical and administrative tasks. Nursing Home Administrators may also work at other healthcare facilities dedicated to supporting the elderly. Potential places of employment include assisted living facilities, holistic care programs, senior apartments, continuing care retirement communities (CCRCs).

How to become one

Step 1: Develop essential skills in high school

Nursing Home Administrators require strong critical thinking, organizational, and analytical skills. You can work on these skills in high school by taking math classes.

Step 2: Earn a Bachelor’s Degree

Aspiring Nursing Home Administrators typically start their formal education with a Bachelor’s degree in Health Administration or Healthcare Administration. Another option is to earn a Nursing degree and take courses in Business Administration and Accounting.

Step 3: Earn a Master’s Degree

While some small nursing homes may only require a Bachelor’s degree, most employers require candidates to have at least a Master’s degree in Health Administration. You do not need a Bachelor’s in Health Administration to enroll in a Master’s program. Many programs accept related fields of study, such as Nursing.

Step 4: Gain work experience

You will need experience before moving up to the Administrator role. Many Nursing Home Administrators gain work experience working in the clerical or administrative departments of nursing homes.

Step 5: Obtain a state license

Each state requires Nursing Home Administrators to obtain a license to practice. The requirements vary but you typically need to pass a licensing exam from the National Association of Long-Term Care Administrator Boards.

Should you become one

Best personality type for this career

The Leader

People with this personality likes to start and work on projects. They also like leading people and making many decisions.

You can read more about these career personality types here.

Nursing Home Administrators need compassion and empathy to understand the pain and emotions experienced by their patients. It is also important to have good communication skills as you frequently need to direct the work of others. Due to the variety of administrative tasks and responsibilities, Nursing Home Administrators also require strong organizational abilities.

Take this quiz to see if Nursing Home Administrator is the right career for you.

Take this quiz to see if this is the right career for you.


Don’t know which career to pursue?

Take the career quiz to find careers that match your personality type.

Take The Career Quiz