What Does a Nursing Home Administrator Do? Meet a Critical Need in Long-term Care Facilities

Nursing home administrator jobs are crucial for long-term care facilities to operate efficiently and ethically while emphasizing resident well-being. These professionals stand at the crossroads of healthcare delivery and organizational leadership, managing day-to-day operations while fostering a culture of compassionate care.  

With the aging population growing rapidly, the demand for skilled administrators in long-term and long-term acute care facilities is rising, making this a high-impact and rewarding career path. Individuals interested in pursuing this path can build a strong foundation with the online Master of Long-Term Care Administration (MLTCA) program at Texas State University. 

What Is a Nursing Home Administrator? 

According to ZipRecruiter, a nursing home administrator is a “healthcare management professional overseeing the operation of a nursing home facility. Their duties include ensuring patients are cared for well and kept safe, all paperwork is in compliance and up to date, employees are trained and monitored well, and that the facility on the whole functions smoothly.” In essence, nursing home administrators are the backbone of long-term care facilities. Their responsibilities include the following: 

  • Supervising clinical and administrative staff 
  • Managing budgets and financial planning 
  • Ensuring compliance with state and federal regulations 
  • Implementing quality assurance programs 
  • Overseeing resident admissions and discharges 
  • Addressing family concerns and coordinating patient care plans 

Administrators must also be adept at crisis management, particularly when public health concerns or regulatory audits arise. These functions are crucial for ensuring operational efficiency and effective care.  

Supporting Operations and Enhancing Outcomes 

A well-run nursing home depends on effective leadership. Nursing home administrators play a pivotal role in supporting nursing staff, streamlining operations and maintaining high standards of care. Their leadership has a direct influence on patient outcomes and family satisfaction. 

In long-term care facilities, quality control is essential. From infection prevention to medication management, administrators set the tone for continuous improvement. They create environments where residents feel respected and cared for while also ensuring staff members have the tools and training they need to excel. 

Essential Skills for Nursing Home Administrators 

Success in this role requires a diverse skill set that blends healthcare knowledge with business acumen and interpersonal finesse. Key competencies include: 

  • Leadership and team management. Administrators must lead multidisciplinary teams and resolve conflicts efficiently. 
  • Communication. Strong verbal and written communication skills help foster trust with residents, families and staff. 
  • Regulatory knowledge. A thorough understanding of healthcare laws, such as HIPAA and Medicare/Medicaid regulations, is vital. 
  • Financial literacy. Budgeting, staffing allocations and operational cost management are crucial to facility success. 
  • Analytical thinking. Evaluating care outcomes, incident reports and performance metrics to guide decision-making. 

How to Become a Nursing Home Administrator 

Those interested in becoming a nursing home administrator must consider the degree and certification requirements for the role. This career path typically involves the following steps: 

  • Earning a bachelor’s degree in healthcare administration, nursing, public health or a related field 
  • Pursuing a master’s degree to develop expertise in long-term care management 
  • Passing the national and state licensure exams, as required by the National Association of Long Term Care Administrator Boards (NAB) 

Education That Supports Long-term Success: The Long-term Care Administration Program 

Texas State University’s MLTCA online program offers a streamlined and flexible route for aspiring nursing home administrators. Designed for professionals seeking to elevate their careers in healthcare leadership, the program provides both the theoretical foundation and practical knowledge to manage today’s long-term care facilities effectively. Resident Care Management in Long Term Care and other courses explore critical topics such as: 

  • Legislative and regulatory compliance 
  • Quality control procedures 
  • Health and safety standards 
  • Ethical issues in elder care 

This program prepares graduates not only for licensure but also for confident, compassionate leadership in nursing homes and other long-term care settings. These roles often offer significant compensation that reflects the level of responsibility and insights required.  

How Much Does a Nursing Home Administrator Make? Salary and Career Outlook 

So, how much does a nursing home administrator make? According to Indeed, the average annual salary for a nursing home administrator is $118,382 as of May 2025, with top earners receiving over $167,000 annually. Salary ranges depend on geographic location, facility size and experience level. 

The job outlook remains strong due to the rising demand for long-term care services. As the baby boomer population ages, nursing home administrator jobs are expected to grow steadily, offering a stable and fulfilling career trajectory. 

Why Nursing Home Administration Matters 

Nursing home administrators are more than managers; they are advocates for some of the most vulnerable members of our society. Their ability to balance compassion with compliance and people management with operational efficiency makes them indispensable in the modern healthcare landscape. 

Texas State University’s online MLTCA program offers career advancement opportunities for those already working in healthcare or considering a transition into leadership. Completing this program is an ideal first step toward transforming lives, one facility at a time.  

Learn more about Texas State University’s online Master of Long-Term Care Administration program 

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