Who has the legal responsibility for the day-to-day operation of a skilled nursing home?

The administrator holds the legal responsibility for the day-to-day operation of a skilled nursing home. This role encompasses overseeing all aspects of the facility's operation, ensuring compliance with health regulations, and managing staff and resources. The administrator is tasked with making critical decisions regarding patient care, staff management, financial oversight, and overall facility quality. This central role is crucial because it directly impacts the quality of care provided to residents and the facility’s adherence to state and federal regulations.

In contrast, while the director of nursing plays a vital role in managing the nursing staff and ensuring quality care, their responsibilities are primarily focused on clinical operations rather than the overarching administrative duties. The quality assurance committee focuses on monitoring and improving quality standards but does not have the legal responsibility for operations. The governing body's role typically involves high-level oversight and policy formation but does not extend to the daily management of the nursing home. Thus, the administrator is uniquely positioned with the comprehensive authority and accountability needed for effective operation management.