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What is a nursing home administrator and how to become one

Updated January 8, 2025
5 min read
Quoted expert
Bill McGinley
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A nursing home administrator manages the daily operations of a nursing home or long-term care facility. They oversee staff, manage budgets, ensure compliance, and maintain quality of care. A nursing home administrator also serves as a liaison between the facility and residents' families, ensuring that the needs of both parties are addressed. They also hire staff, manage finances, and maintain a safe environment. Overall, a nursing home administrator provides quality care in a long-term care facility.

What general advice would you give to a nursing home administrator?

Bill McGinleyBill McGinley LinkedIn profile

President & CEO, American College of Health Care Administrators

LTC administrators should have at least a bachelor's degree in business or a healthcare-related field. A well-rounded internship that exposes the future administrator to all aspects of the operation is essential. Needed skills include business, marketing, finance, operations, management and leadership.
Post pandemic opportunities will be nationwide in this field with a greater need in rural areas.
Technology will continue to play a big role in the field. Computerized medical records, census management, and all clinical areas will continue to dominate. Online meetings are liable to continue as well, as employers realize that there is a savings to be gained by not having people travel to meetings and conferences.
ScoreNursing Home AdministratorUS Average
Salary
6.3

Avg. Salary $80,880

Avg. Salary $59,228

Stability level
7.1

Growth rate 28%

Growth rate 0.3%

Diversity
3.6
Race

American Indian and Alaska Native 0.73%

Asian 7.55%

Black or African American 10.86%

Hispanic or Latino 14.87%

Unknown 4.28%

White 61.70%

Gender

female 60.88%

male 39.12%

Age - 47
Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 47
Stress level
7.1

Stress level is high

7.1 - high

Complexity level
8.8

Complexity level is advanced

7 - challenging

Work life balance
4.9

Work life balance is fair

6.4 - fair

What are the pros and cons of being a nursing home administrator?

Pros

  • Competitive salary and benefits packages

  • Job stability and security in a growing industry

  • Ability to work with a diverse group of people, including healthcare professionals, families, and community members

  • Satisfaction of leading a team and managing operations of a facility

  • Ability to work in a challenging and rewarding environment

Cons

  • High levels of responsibility and accountability

  • Long working hours and demanding workload

  • High risk of burnout due to stress and responsibilities

  • Exposure to liability risks and legal issues

  • Difficulty in balancing administrative tasks with direct care responsibilities

Nursing home administrator career paths

Key steps to become a nursing home administrator

  1. Explore nursing home administrator education requirements

    Most common nursing home administrator degrees

    Bachelor's

    59.6 %

    Master's

    18.8 %

    Associate

    14.3 %
  2. Start to develop specific nursing home administrator skills

    SkillsPercentages
    Nursing Home14.10%
    Long-Term Care8.39%
    Healthcare8.10%
    Patients7.32%
    NHA7.27%
  3. Complete relevant nursing home administrator training and internships

    Accountants spend an average of 6-12 months on post-employment, on-the-job training. New nursing home administrators learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a nursing home administrator based on U.S. Bureau of Labor Statistics data and data from real nursing home administrator resumes.
  4. Obtain the necessary licensing

    Becoming a licensed nursing home administrator usually require a college degree. However, you need to pass an exam to become a licensed nursing home administrator in most of states. 43 states require nursing home administrators to have license for their work. You can see the list of states below.
    StateEducationExamLicense url
    MarylandDegree requiredThird-party exam requiredNURSING HOME ADMINISTRATOR
    AlabamaDegree requiredState exam requiredLicensed Nursing Home Administrator
    AlaskaDegree requiredThird-party exam requiredNursing Home Administrator
    ArkansasSpecific course requiredBoth state and third-party exams requiredNursing Home Administrator
    CaliforniaDegree requiredBoth state and third-party exams requiredNursing Home Administrator
  5. Gain additional nursing home administrator certifications

    Nursing home administrator certifications can show employers you have a baseline of knowledge expected for the position. Certifications can also make you a more competitive candidate. Even if employers don't require a specific nursing home administrator certification, having one may help you stand out relative to other applicants.

    The most common certifications for nursing home administrators include Certified Clinical Medical Assistant (NHA) and Long-Term Care Certification (CLTC).

    More About Certifications
  6. Research nursing home administrator duties and responsibilities

    • Manage the day to day operations of a LTC facility.
    • Achieve and maintain a 5 star quality facility as per CMS guidelines.
    • Lead a team in developing and implementing a new EMR system for patient registration.
    • Lead quality improvement initiatives and practices in change concepts and measurement strategies for improve health outcomes for long term care patients
  7. Prepare your nursing home administrator resume

    When your background is strong enough, you can start writing your nursing home administrator resume.

    You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a nursing home administrator resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

    Choose from 10+ customizable nursing home administrator resume templates

    Build a professional nursing home administrator resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your nursing home administrator resume.
    Nursing Home Administrator Resume
    Nursing Home Administrator Resume
    Nursing Home Administrator Resume
    Nursing Home Administrator Resume
    Nursing Home Administrator Resume
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    Nursing Home Administrator Resume
  8. Apply for nursing home administrator jobs

    Now it's time to start searching for a nursing home administrator job. Consider the tips below for a successful job search:

    1. Browse job boards for relevant postings
    2. Consult your professional network
    3. Reach out to companies you're interested in working for directly
    4. Watch out for job scams

How did you land your first nursing home administrator job

Kodee Buck

Nursing Home Administrator

Kodee graduated from The University of Denver School of Social Work in 2008 with Masters degree in Social Work. Kodee started her healthcare career as a hospital social worker at The Medical Center of Aurora, CO. In 2011 Kodee and her husband moved to a small mountain community outside of Denver where Kodee worked for Park County Department of Human Services for 7.5 years as a Lead Social Caseworker. During this time, Kodee obtained her LCSW (in 2012) and has supervised other LCSW and LPC candidates. In August of 2018 Kodee, her husband and their two boys (born in 2012 and 2017) moved to Pagosa Springs for her husband’s job. Their family enjoys all SW Colorado has to offer…beautiful mountains, snowboarding, hiking and camping. Initially, Kodee worked for Archuleta County Department of Human Services in child welfare and adult protection. She was very excited to follow her passion of working with older adults full time when the Social Services Director position opened at Pine Ridge in April 2019. As a natural leader, Kodee moved into the Administrator position in 2020 during the COVID-19 pandemic. Kodee has simultaneously held the Social Services Consultant role, supervising social services directors in 8 buildings in Southwest Colorado. Kodee gave up the Administrator role in April 2023 but continued in the Social Services Consultant role for Centennial Healthcare.

Average nursing home administrator salary

The average nursing home administrator salary in the United States is $80,880 per year or $39 per hour. Nursing home administrator salaries range between $56,000 and $116,000 per year.

Average nursing home administrator salary
$80,880 Yearly
$38.88 hourly

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Nursing home administrator reviews

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A zippia user wrote a review on May 2020
Pros

Seeing and facilitating the growth of the staff and department


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Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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