Director of Home Care

James L. West Center for Dementia Care · FORT WORTH, TX Full Time
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Job Description

Description Responsibility for implementing and supervising the administrative policies and operations of the agency and for administratively supervising the provision of all services to agency clients on a day-to-day basis. These responsibilities include, but are not limited to the following: Ensure that all actions and decisions align with HIPAA guidelines, HHS regulations and other privacy regulations and maintain the highest ethical standards in client care and documentation. Manage the daily operations of the agency. Organize and direct the agency’s ongoing functions. Administratively supervise the provision of quality care to agency clients. Supervise to ensure implementation of agency policy and procedures. Ensure that the documentation of services provided is accurate and timely. Employ or contract with qualified personnel. Work with Human Resources to ensure adequate staff training and evaluations. Work with Human Resources to create ongoing professional development programs. Work with Human Resources to implement staff recognition programs. Manage turnover and ensure a positive work environment that promotes teamwork, accountability, and a client-centered approach. Encourage and support staff in obtaining certification and continuing education that enhance their professional growth and contribute to the success of the agency. Ensure the accuracy of public information materials and activities. Work with the Accounting Team to implement an effective budgeting and accounting system that promotes the health and safety of the agency's clients. Supervise and evaluate client satisfaction survey reports on all clients. Ensure availability to agency personnel, in person or by phone, during the agency's operating hours. Designate, in writing, an agency employee to provide HHSC surveyors entry to the agency if the administrator and alternate administrator are not available. Planning and coordination of infection control, emergency management preparation, and quality assurance and performance improvement efforts. Participate in the creation and implementation of strategic planning, action plans, quality improvement and performance improvement efforts. Research, update, and implement local, state, and federal requirements, including policies, procedures, forms, and ensure implementation by all personnel. Implement governing body directives and programs. Work with Human Resources to recruit, hire, and onboard personnel while maintaining personnel records, processes and requirements. Work with Human Resources to provide initial orientation, annual continuing education, and proper documentation of both processes for each employee. Ensure effective communication among all people on the organizational chart. Build and maintain strong communications with clients. Establish and maintain positive liaison relationships with the community and outside organizations relevant to the agency operations. Ensuring the agency’s readiness for state inspections and/or accreditations. Perform regular audits of services and documentation. Demonstrates cultural competency and sensitivity to the needs of diverse clients

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.

What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the DFW market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.

Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.

About This Employer

James L. West Center for Dementia Care is a Nursing — SNF located in FORT WORTH, TX at 1111 SUMMIT AVE.

View Full James L. West Center for Dementia Care Profile → See all openings at James L. West Center for Dementia Care →

Employer profile provided by DFW Senior Living Guide

DFW Area Salary Data

According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the DFW metroplex area earn a median wage of $58.48/hr ($121,638/yr). The typical range is $44.34 – $75.25/hr (25th–75th percentile).

Entry Level (10th) $65,520/yr
DFW Median $121,638/yr
Experienced (90th) $204,838/yr
vs. National Median -1.8%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

Facility Snapshot

Facility Type Nursing — SNF

1111 SUMMIT AVE, FORT WORTH, TX 76102

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