Administrator & Quality Lead, Full-Time, Greenwood Court

Position Summary

The Administrator & Quality Lead is responsible for the overall leadership management and regulatory compliance of the Long-Term Care Home in accordance with the Fixing Long-Term Care Act 2021 (FLTCA) and all applicable Ontario legislation.

This non-union leadership role provides both operational oversight and quality leadership ensuring resident-centred care a strong culture of safety and continuous quality improvement across all departments. The Administrator & Quality Lead reports to the Regional Director.

Key Responsibilities

Administrator / Executive Director Accountabilities

• Operational Leadership

• Provide day-to-day leadership and oversight of all Home operations.

• Ensure full compliance with the Fixing Long-Term Care Act 2021 regulations and Ministry of Long-Term Care (MLTC) directives.

• Act as the designated Administrator and primary contact for MLTC inspections and compliance matters.

• Implement corporate initiatives and directives as assigned by the Regional Director.

• Financial & Resource Management

• Operate within approved budgets and financial controls.

• Monitor expenditures and staffing to ensure sustainability while maintaining quality and compliance.

• Collaborate with the Regional Director on forecasting capital planning and operational priorities.

• People Leadership (Non-Union Environment)

• Lead coach and develop the Homes leadership team.

• Oversee recruitment performance management discipline and succession planning for management and staff.

• Ensure staffing levels skill mix and scheduling meet legislative requirements and operational needs.

• Ensure compliance with professional college standards and scope of practice.

• Stakeholder Relations

• Serve as the senior on-site leader for residents families staff regulators and external partners.

• Address resident and family concerns complaints and escalations in a timely and respectful manner.

• Represent the Home professionally within the community and health system.

Quality Lead Accountabilities

• Quality Improvement & Patient Safety

• Lead the development implementation and monitoring of the Homes Quality Improvement Program including facilitating the CQI meetings and overseeing the creation and successful implementation of the Quality Improvement Plan (QIP).

• Oversee quality indicators and facilitate improvement initiatives

• Use data analysis audits and trend monitoring to identify risks and drive improvement.

• Regulatory Compliance & Inspections

• Lead preparation for response to and follow-up from MLTC inspections.

• Ensure timely completion of corrective action plans and sustained compliance.

• Monitor ongoing compliance with FLTCA regulations Ministry directives and internal policies.

• Incident Management & Risk Oversight

• Ensure appropriate reporting investigation and follow-up of:

• Critical incidents

• Complaints

• Adverse events and near misses

• Oversee Root Cause Analysis (RCA) and ensure corrective actions are implemented and evaluated.

• Policy Education & Continuous Improvement

• Ensure policies and procedures are current evidence-informed and compliant.

• Collaborate with clinical leadership to support quality-related education and competency development.

• Promote a culture of accountability continuous improvement and psychological safety.

Qualifications & Experience

• Eligibility to be designated as an Administrator under the Fixing Long-Term Care Act 2021

• Minimum 35 years of leadership experience in Long-Term Care or a regulated healthcare environment

• Demonstrated experience with MLTC inspections and regulatory compliance

• Strong leadership communication and decision-making skills

• Experience leading Quality Improvement Program (QIPs)

• Post-secondary education in Health Administration Nursing Business or related field

• Accreditation Canada experience considered an asset

Core Competencies

• Regulatory and legislative expertise

• Quality improvement and risk management

• Operational leadership in a non-union environment

• Change management

• Data-driven decision-making

• Relationship management and communication

Working Conditions

• Full-time on-site leadership role

• On-call availability as required for operational or regulatory matters

• Occasional after-hours work to support inspections critical incidents or emergencies

Due to the blended nature of this role responsibilities may shift based on operational quality or regulatory priorities. The Administrator & Quality Lead is expected to exercise sound professional judgment to balance these responsibilities in support of resident safety and compliance.

Tri-County Mennonite Homes does not require COVID-19 vaccination as a part of the onboarding process however TCMH continues to strongly recommend up-to-date COVID-19 vaccinations.

Tri-County Mennonite Homes is a leader in providing services to seniors and adults with developmental disabilities. With dedicated staff and volunteers we operate three divisions: Greenwood Court in Stratford Nithview Community in New Hamburg and Aldaview Services in New Hamburg. Our mission is Making Every Day Matter.

Tri-County Mennonite Homes is pleased to accommodate individual needs in accordance with the Accessibility of Ontarians with Disabilities Act 2005 (AODA) within our recruitment process. If you require accommodation at any time throughout the recruitment process please speak with our Human Resources Consultant.