Nursing Home Administrator

What does a Nursing Home Administrator do?

Nursing home administrators plan, organize and direct the operations of nursing homes or other long-term care facilities.

What might a Nursing Home Administrator do in a workday?

Nursing home administrators:

  • direct medical, nursing and technical personnel and fiscal management activities.
  • maintain and develop standards, policies, programs and operating procedures.
  • direct fiscal operations, such as budgeting and accounting, and establish rates for services.
  • direct employee hiring and training.
  • compile, analyze and prepare reports.
  • speak at community gatherings and conduct public relations and marketing activities.
  • meet with families of individuals seeking admittance to a nursing home.

Developing a Career as a Nursing Home Administrator

Most nursing home administrators work in a nursing home; others may work in the business offices of a large nursing home corporation that manages several facilities. They are accountable to a proprietor or governing board. Some administrators may also be involved in teaching, research or other professional activities.

How much salary do Nursing Home Administrator's make?

Annual Mean Wage
$90,970 (national mean wage)

How do I become a Nursing Home Administrator?

Students intending to pursue a career as a nursing home administrator should prepare by taking the most challenging high school courses available in science, math, business and English.

In Virginia, licensed nursing home administrators must hold a bachelor’s degree or higher in nursing home administration or in a health administration field. They also must have completed a 400-hour program in nursing home administration and a national exam. Some nursing home administrators also are trained as physicians, registered or licensed practical nurses or allied health professionals.

Nursing home administrators also can qualify by successfully completing an Administrator-n-Training (AlT) program as specified by the certifying board. The 2,000 hour program must be completed in 24 months and a national examination must be completed successfully.

Where else can I learn about becoming a Nursing Home Administrator?

Professional Associations:

Virginia Health Care Association
2112 W. Laburnum Avenue
Suite 206
Richmond, VA 23227
(804) 353-9101

Virginia Association of Nonprofit Homes for the Aging
4201 Dominion Boulevard
Suite 100
Glen Allen, VA 23060
(804) 965-5500

American Health Care Association
1201 L Street, N.W.
Washington, DC 20005
(202) 842-4444

Virginia Association of Area Agencies on Aging
24 E. Cary Street
Suite 100
Richmond, VA 23219
(804) 644-2804

State License Requirements for Nursing Home Administrators

A license is required to practice as a Nursing Home Administrator in the state of Virginia. For more information on licensure, applications and forms, visit

Virginia Board of Long-Term Care Administrators
Perimeter Center
9960 Mayland Drive
Suite 300
Henrico, VA 23223
Phone: (804) 367-4595

Find Local Support

Blue Ridge Region AHEC – Shenandoah Valley

Capital Region AHEC – Richmond Metro and surrounding areas

Eastern Virginia Region AHEC – Southeast Virginia and Peninsula

Northern Virginia Region AHEC – Northern Virginia

Rappahannock Region AHEC – Northern Neck, Fredericksburg, and Middle Peninsula

South Central Region AHEC – Lynchburg, Danville, and surrounding area

Southside Region AHEC – South of Richmond

Southwest Virginia Region AHEC – Roanoke Valley and West