Directs the activities of a large staff through lower-level supervisors, including reviewing performance evaluations, evaluating the performance of immediate subordinates, and reviewing and determining a variety of actions, policies, and procedures recommended by subordinates. Plans, implements, directs, and monitors programs and services provided for nursing home residents by developing internal policies and procedures to ensure compliance with state and federal laws and regulations. Develops short and long-term strategic plans and goals and coordinates with Director to ensure agency mission is met; evaluates staff and facility services and conditions and assesses needs related to training, services, physical conditions and equipment to ensure staff, resident and facility compliance with regulatory requirements. Develops and submits the nursing homes biennial budget requests, monitors expenditures, and makes budgetary adjustments, as deemed necessary. Investigates and resolves complaints regarding staff, residents, and programs and develops and revises disciplinary rules and standard operating procedures for the facility. Oversees fiscal programs and maintains control over patient accounts, reimbursements, accounting, and disbursements. Reviews and approves purchase requisitions submitted by staff. Directs tours of facility, answers questions, and responds to regulatory agency reports and recommendations. Performs extensive public relations in order to attract new residents to the home to ensure financial viability. Performs other duties as assigned.