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The role of a Nursing Home Administrator is vital in managing the operations of nursing facilities, ensuring quality care for residents. As of October 2025, the average salary for nursing home administrators is approximately $80,880 per year, translating to about $39 per hour. Salaries can fluctuate significantly based on various factors, including geographic location, experience, and the specific facility type.
Some states offer higher average salaries for nursing home administrators. For instance, California, New York, and Texas frequently rank among the highest paying locations. In these states, administrators can expect salaries exceeding $90,000.
Career advancement in this field often leads to higher salaries. Positions such as regional administrator or executive director typically command higher wages, reflecting increased responsibility. Moreover, gaining additional certifications can enhance earning potential significantly.
To find the best opportunities, consider factors such as facility size, location, and the specific population served, as these can impact salary ranges.
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The highest-paying states for nursing home administrators are Oregon, Connecticut, and New Jersey. The lowest average nursing home administrator salary states are Montana, North Carolina, and Florida.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Connecticut | $97,764 | $47.00 |
| 2 | Oregon | $97,868 | $47.05 |
| 3 | New Jersey | $97,729 | $46.99 |
| 4 | Massachusetts | $96,980 | $46.63 |
| 5 | Nevada | $95,513 | $45.92 |
| 6 | California | $97,059 | $46.66 |
| 7 | Idaho | $84,721 | $40.73 |
| 8 | Delaware | $97,067 | $46.67 |
| 9 | West Virginia | $91,547 | $44.01 |
| 10 | Oklahoma | $85,304 | $41.01 |
| 11 | Wyoming | $86,036 | $41.36 |
| 12 | Nebraska | $84,630 | $40.69 |
| 13 | Maine | $90,256 | $43.39 |
| 14 | Arizona | $83,571 | $40.18 |
| 15 | Colorado | $83,141 | $39.97 |
| 16 | Rhode Island | $89,653 | $43.10 |
| 17 | Texas | $84,993 | $40.86 |
| 18 | New Mexico | $79,783 | $38.36 |
| 19 | Michigan | $77,721 | $37.37 |
| 20 | New York | $81,982 | $39.41 |
| 21 | Indiana | $80,968 | $38.93 |
| 22 | South Dakota | $80,212 | $38.56 |
| 23 | Wisconsin | $82,301 | $39.57 |
| 24 | District of Columbia | $95,690 | $46.00 |
| 25 | Louisiana | $77,494 | $37.26 |
| 26 | Mississippi | $77,485 | $37.25 |
| 27 | Tennessee | $73,902 | $35.53 |
| 28 | Kansas | $74,361 | $35.75 |
| 29 | Illinois | $76,956 | $37.00 |
| 30 | New Hampshire | $81,145 | $39.01 |
| 31 | Ohio | $76,135 | $36.60 |
| 32 | Minnesota | $78,547 | $37.76 |
| 33 | Alabama | $72,554 | $34.88 |
| 34 | Vermont | $79,110 | $38.03 |
| 35 | South Carolina | $77,152 | $37.09 |
| 36 | Missouri | $73,093 | $35.14 |
| 37 | Arkansas | $73,296 | $35.24 |
| 38 | Alaska | $75,269 | $36.19 |
| 39 | North Dakota | $76,474 | $36.77 |
| 40 | Washington | $78,740 | $37.86 |
| 41 | Kentucky | $70,715 | $34.00 |
| 42 | Maryland | $75,453 | $36.28 |
| 43 | Montana | $68,489 | $32.93 |
| 44 | Iowa | $64,166 | $30.85 |
| 45 | Utah | $71,538 | $34.39 |
| 46 | Pennsylvania | $72,884 | $35.04 |
| 47 | Georgia | $60,483 | $29.08 |
| 48 | Florida | $68,093 | $32.74 |
| 49 | Hawaii | $60,577 | $29.12 |
| 50 | North Carolina | $68,274 | $32.82 |
| 51 | Virginia | $71,031 | $34.15 |
The highest-paying cities for nursing home administrators are Wilmington, DE, Los Angeles, CA, and Omaha, NE.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Wilmington, DE | $97,179 | $46.72 |
| 2 | Los Angeles, CA | $96,259 | $46.28 |
| 3 | Omaha, NE | $84,754 | $40.75 |
| 4 | Englewood, CO | $83,138 | $39.97 |
| 5 | Milwaukee, WI | $82,513 | $39.67 |
| 6 | New York, NY | $82,076 | $39.46 |
| 7 | Federal Way, WA | $79,222 | $38.09 |
| 8 | Coon Rapids, MN | $78,735 | $37.85 |
| 9 | Columbia, SC | $77,488 | $37.25 |
| 10 | Chicago, IL | $77,376 | $37.20 |
| 11 | Jackson, MI | $77,275 | $37.15 |
| 12 | Towson, MD | $75,745 | $36.42 |
| 13 | Hamilton, OH | $73,494 | $35.33 |
| 14 | Philadelphia, PA | $73,325 | $35.25 |
| 15 | Orlando, FL | $68,831 | $33.09 |
| 16 | Salisbury, NC | $67,764 | $32.58 |
| 17 | Des Moines, IA | $63,566 | $30.56 |
| 18 | Macon, GA | $60,251 | $28.97 |
A nursing home administrator's salary ranges from $56,000 a year at the 10th percentile to $116,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $116,000 | $9,667 | $56 |
| 75th Percentile | $98,000 | $8,167 | $47 |
| Average | $80,880 | $6,740 | $39 |
| 25th Percentile | $66,000 | $5,500 | $32 |
| 10th Percentile | $56,000 | $4,667 | $27 |
The highest paying types of nursing home administrators are medical director, service director, and practice manager.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Medical Officer | $90,615 | $7,551 | $43.56 | 103,222 |
| Clinical Manager | $84,066 | $7,005 | $40.42 | 81,863 |
| Patient Care Manager | $65,369 | $5,447 | $31.43 | 123,652 |
| Medical Director | $230,317 | $19,193 | $110.73 | 75,810 |
| Medical Office Manager | $46,435 | $3,870 | $22.32 | 100,339 |
| Pharmacist Manager | $93,996 | $7,833 | $45.19 | 61,178 |
How would you rate the starting salaries for nursing home administrators, as well as the prospects for salary advancement?
Dr. Richard Huff Ph.D.
Assistant professor, assistant chair, Virginia Commonwealth University
Top companies hiring nursing home administrators now:
Nursing home administrator salaries at Senior Living Properties and Mission Health Services are the highest-paying according to our most recent salary estimates. In addition, the average nursing home administrator salary at companies like Mercy Health and Henry Ford Health System are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Senior Living Properties | $118,774 | $57.10 |
| 2 | Mission Health Services | $114,637 | $55.11 |
| 3 | Mercy Health | $111,060 | $53.39 |
| 4 | Henry Ford Health System | $107,421 | $51.64 |
| 5 | Miriam Hospital | $103,792 | $49.90 |
| 6 | Signature Healthcare | $102,425 | $49.24 |
| 7 | Susquehanna Health | $101,229 | $48.67 |
| 8 | U.S. Renal Care | $100,617 | $48.37 |
| 9 | Dialysis Clinic | $97,481 | $46.87 |
| 10 | PeaceHealth | $96,978 | $46.62 |
| 11 | Satellite Healthcare | $96,435 | $46.36 |
| 12 | Fresenius Medical Care North America Holdings Limited Partnership | $96,067 | $46.19 |
| 13 | McLaren Health Care | $95,736 | $46.03 |
| 14 | Careerstaff Unlimited - A Genesis Healthcare Company | $95,271 | $45.80 |
| 15 | Beacon Health Options | $94,830 | $45.59 |
| 16 | Providence Health & Services | $94,772 | $45.56 |
| 17 | ProMedica Toledo Hospital | $93,896 | $45.14 |
| 18 | Legacy Health | $93,171 | $44.79 |
| 19 | Methodist Le Bonheur Healthcare | $93,057 | $44.74 |
| 20 | Queens Health Systems | $92,149 | $44.30 |
The average nursing home administrator salary has risen by $13,868 over the last ten years. In 2014, the average nursing home administrator earned $67,012 annually, but today, they earn $80,880 a year. That works out to a 8% change in pay for nursing home administrators over the last decade.
Compare nursing home administrator salaries for cities or states with the national average over time.
Compare nursing home administrator salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $80,900 | $38.88 | +3.2% |
| 2024 | $78,300 | $37.65 | +1.2% |
| 2023 | $77,400 | $37.19 | +1.4% |
| 2022 | $76,300 | $36.67 | +1.8% |
| 2021 | $74,900 | $36.00 | +2.1% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Christian Living Communities | Nursing Home Administrator | Denver, CO | 06/29/2025 | $108,600 |
| Sanford Health | Nursing Home Administrator-Long Term Care | Austin, MN | 06/28/2025 | $85,567 |
| Clermont Park | Nursing Home Administrator | Denver, CO | 06/28/2025 | $108,600 |
| Option Care | Home Infusion Nurse-Per Diem-New River Valley | Roanoke, VA | 06/28/2025 | $79,473 |
| Good Samaritan | Nursing Home Administrator-Long Term Care | Austin, MN | 06/27/2025 | $85,567 |
| Bridge View Nursing Home | Licensed Nursing Home Administrator (Lnha) | New York, NY | 06/27/2025 | $125,000 |
| Option Care Enterprises | PRN Home Infusion Nurse-West Palm Beach-Fort | Tallahassee, FL | 06/26/2025 | $79,473 |
| Genesis Healthcare LLC | Licensed Nursing Home Administrator, Lnha | Lebanon, PA | 06/25/2025 | $130,000 |
| Lindengrove Communities | Executive Director-Licensed Nursing Home Administrator-The Marquardt | Watertown, WI | 06/24/2025 | $100,000 |
| North Shore Healthcare Support Center | Executive Director-Licensed Nursing Home Administrator-1St. Shift | Plymouth, WI | 06/24/2025 | $95,000 |
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