Long Term Care Administration

The Profession

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Who They Are

Long term care administrators lead senior care communities such as nursing homes, assisted living facilities, and home care and hospice agencies.

What They Do

Long term care administrators serve as CEO of complex health care entities primarily serving older adults and people with disabilities. They lead interdisciplinary teams that oversee all aspects of facility operations including clinical care, social and mental health services, dietary, facilities management, and governance. Senior care communities operate across the spectrum including independent nonprofit organizations, large for-profit corporations, religious communities, and government entities.


Careers in health care, particularly senior care, are the fastest growing group of jobs. In 2022 there were over 26,000 job openings in senior care in the State of Minnesota. With over 350 nursing homes and 2,000 assisted living facilities in the state, the job prospects are good.


Nursing home administrators are required to have a 4-year degree as well as hold an active Licensed Nursing Home Administrator (LNHA) credential or Health Services Executive (HSE) license. Assisted living directors are required to have a minimum of a high school diploma as well as hold an active Licensed Assisted Living Director (LALD), Assisted Living Director in Residence (ALDIR), or HSE license. The licenses are issued by the Board of Examiners for Long Term Services and Supports (BELTSS).