Failure to Maintain a Licensed Administrator for Facility Management
Penalty
Summary
The facility failed to ensure that its governing body appointed a state-licensed administrator who was responsible for managing the facility and accountable to the governing body. Record review showed that the former administrator was hired in early 2018 and terminated in mid-2025, and there was no administrator in place from that termination date through early 2026. The facility’s own policy, revised in March 2023, stated that a licensed administrator is responsible for the day-to-day function of the facility and that the governing body must appoint an administrator duly licensed in accordance with federal and state requirements, with a current license maintained on the premises. Interviews with the Administrator-in-Training (AIT) confirmed that she had completed administrator training and testing but did not pass the test on her first attempt and was planning to retest. She reported that the facility did not have a current administrator and had not had one since the former administrator left, and that the facility had advertised multiple times and was actively seeking a full-time or interim administrator, but had no qualified applicants and only one undecided interim candidate. The AIT, who had been the regional BOM since 2012 and intended to become the administrator upon passing her test, acknowledged that not having an administrator could result in the facility not following regulations and rules, residents not feeling safe, families not feeling comfortable, and potential bad outcomes with resident care.
