Chief Operating Officer Skilled Nursing

Position Overview

COO Opportunity In Skilled Nursing Organization. This opportunity sits within a large and well-established skilled nursing organization that has built a strong reputation for stability, operational maturity, and consistent performance across a broad regional footprint. The company manages a substantial portfolio of facilities supported by seasoned regional directors, well-aligned VPs, and a leadership culture that emphasizes accountability, collaboration, and long-term sustainability. The organization is not in fix-it mode – it is strong as-is and the next phase of leadership is about refinement, measured growth, and shaping the future identity of the company. The incoming COO will play a central and highly-visible role, leading the day-to-day operational strategy, elevating performance across multiple markets, and serving as the executive counterpart to regional and facility leadership teams. This position carries a clear, intentional path to transition into the CEO role, and therefore calls for someone who demonstrates both operational rigor and strategic perspective: someone who is as comfortable being present in facilities and coaching leaders as they are setting high-level direction and shaping organizational priorities. The role requires frequent travel throughout the operating region, as well as monthly corporate leadership meetings in Florida.

Key Responsibilities

• Provide executive oversight across a multi-state skilled nursing portfolio, ensuring strong operational stability, consistent quality outcomes, financial strength, and sustained census development.
• Work in close partnership with VP-level and regional teams to align priorities, strengthen accountability structures, and reinforce high-performing leadership behaviors throughout the organization.
• Shape and evolve operating systems, performance frameworks, and cultural expectations in a way that supports growth while maintaining the organization's long-standing identity, values, and stability.
• Maintain a strong and consistent presence in the field, spending meaningful time in facilities to observe operations directly, support local leaders, and ensure clarity and alignment on initiatives and expectations.
• Lead strategic projects, organizational enhancements, and major initiatives tied to both immediate performance and long-term positioning, serving as a central voice in executive decision-making.
• Exhibit the leadership presence, judgment, communication style, and executive maturity required to transition naturally and credibly into the CEO role over time.

Required Qualifications

• Skilled nursing facility operational leadership experience is required, with a strong preference for those who have led large, multi-facility portfolios.
• Currently serving as a COO or CEO within the skilled nursing sector, or a senior Director of Operations with extensive multi-region oversight and a documented history of elevating performance at scale.
• Deep knowledge of the operational, clinical, financial, and regulatory dynamics that shape success in skilled nursing environments, with a strong grasp on census strategy, survey management, and workforce leadership.
• Demonstrated ability to lead through influence rather than pressure, building trust with facility leaders while still maintaining clear expectations, accountability, and performance standards.
• Comfortable with high travel frequency, committed to real in-person leadership, and able to balance strategic direction-setting with hands-on operational engagement.

Compensation

• Compensation: $200,000 - $350,000 annually, dependent on experience and organizational fit.
• Performance-based incentive structure included.
• This role is intentionally structured with a defined succession pathway into the CEO position for the right leader who demonstrates readiness, stability, and long-term alignment.