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This is professional nursing home administration work directing all programs, functions and operations of the County inpatient nursing facility. The position in this class plans, directs and controls the organization and management of administrative, patient care, ancillary and service functions, and ensures the facility's compliance with State, Federal and other regulations governing facility licensing, reimbursement and other issues. Work includes representing the facility to other County, State and Federal agencies and authorities, and to community and public interest organizations and groups. This class is differentiated from related classes by the level of accountability for the facility, the impact of decisions made, and the specialization in the nursing home administration field.