Jan Piveral
Dynamic Executive Director Nursing Home Administrator-Interim and Permanent
Dallas-Fort Worth, TX
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Professional- Seasoned- Calm- Dependable- Executive Director, Nursing Home Administrator with extensive Skilled Nursing Facility, CCRC, SNF, ALF, Memory Care experience - road warrior with high energy and strong knowledge of skilled nursing. Over $60 Million budget and over 800 beds responsibility as RDO. Single administrator over up to 240 beds.
Dedicated, Reliable, experienced, ED, RDO and nursing home administrator. Recruited to provide expert regional and facility leadership to address and resolve Covid 19 mitigation, regulatory, staffing, survey compliance, POC, and census challenges, while ensuring highest quality senior living care, and memory care with passion, and compassion for residents, staff, and families. Focused on outcomes, relationships, communication, and accountability-based leadership. No personal F880 deficiencies- as regional cleared F880 DPOC's, NHSN 3rd level, QIPP/QAPI
Certified Dementia Practitioner who is passionate about the dignity and care of those with Alzheimer’s and memory diseases. Developed 5 memory care units” homes” in snf’s. Preceptor. LNFA #9348, CALM.
Organizational, Financial & Budget PPD Performance Goals.
Census Building, Medicare & Private Pay Revenue Mix
Recruitment and Retention of Healthcare Staff and Contract Partnerships
Lead and Manage Resident and Family, Employee and Community Relations
Quality Improvement, COVID-19 EXPERT, Regulatory Compliance, QAPI, Accreditation
Authorized to work in the US for any employer
Willing to relocate to Houston, TX, Texas or Galveston, TX
Work Experience
Interim Nursing Home Administrator
Cascades Healthcare – Coral Rehab – former Heritage Oaks Arlington
May 2022 to current 2022
Served as Interim Nursing Home Administrator after the facility had a year of absence of a permanent Administrator- RDO was also on leave of absence.
Hired a DON and ADON, Infection preventionist, HR, BOM and MDS. (facility had not had these positions for 6 months)
Connected with marketing contacts in Galveston to increase census and other staff contacts to fill staffing roles- successfully reduced agency from 100+ K month to 6K per month with strategy established to eliminate agency.
Increased Q Mix by 25% -
implemented COVID protocol and twice weekly testing
educated and worked with AIT to complete license.
Regional Director Operations/Executive Director/Nursing Home Administrator
HMP-Senior Solutions - Texas
June 2020 to April 2022
Completed assignment of Regional Director Operations oversight and leadership over 4 facilities under receivership - Waco, McGregor, Houston, Arlington, Total responsibility of 789 beds, over $60 million annually.
Hired to turn around facilities in receivership. Led Heritage Oaks Arlington including hiring new management team to a deficiency free Health Full book survey.
Promoted to Regional Director of Operations to oversee 4 nursing facilities – while serving as interim Administrator when needed, in any city.
Increased census and revenues by developing memory care units in 3 of the facilities opened in September 2021.
Responsible for all aspects of Regulatory, Financial, HR, Billing, Census growth, Operations, Marketing, and often times, Clinical- esp with Covid-19 issues
Hired to build strong team of department leaders-there were 9 dept head openings due to HMP taking over management – increased census and quality measures.
Successfully mitigated Covid-19 through a total of 4 outbreaks, no citations through 11 infection control surveys- Deficiency free full book Health survey
Implemented monoclonal antibody treatments –all who participated recovered and provide outstanding care to save lives of all- 102 year old too.
Implemented every regulation from CMS, CDC, HHSC, NHSN, QIPP and revised all policies as necessary – from lock-down to opening, including clinical policies and regulations.
Fully staffed throughout the past year.
One of First in state to provide Covid Vaccine 19 to staff, residents, and family members.
Covid testing continues – was up to 4 days per week to mitigate possible spread of virus.
Interim Nursing Home Administrator- Executive Director
The Resort at Texas City and Daybreak Venture-SCC-Paradigm
February 2017 to June 2020
First nursing home administrator to test all staff and all residents for
Covid-19 and utilized Gov. Abbott and UTMB to deliver cutting edge medication to heal the residents of Covid and all recovered. ( went through without a DON)
Brought in Laser Robots used in Operating rooms to disinfect the nursing home to mitigate Covid 19 from returning
Developed 28 bed memory care unit- Bluebonnet Trails
No deficiencies ever cited in daily and weekly infection control surveys
Strategic expert in testing, infection control, post-covid strategies
Competent in Phase 2 and Phase 3, PDPM and QAPI, QIPP.
Associate Professor and Masters in Human Resources Admissions and Advisor
University of Texas at Arlington - Arlington, TX
July 2015 to March 2017
Recruited to be a change agent to revive and regenerate MSHRM program
Taught Junior level university classes, in HR Management,
Organization Behavior, Internships, and career development. over 400 students- taught 6 days a week
Led students to achieve the prestigious award of “outstanding student organization” through SHRM.
Planned and Implemented and was speaker at First Annual UTA Human Resources
Symposium- NextGen HR of the Future with Fort Worth and Dallas HR Associations attending as well as Dallas Fort Worth professionals. over 200 attended
Executive Director
Huguley Nursing and Rehabilitation - Dallas-Fort Worth, TX
August 2014 to July 2015
Recruited to lead a large 180 bed nursing facility.
Restored relationships with the case managers at Huguley hospital, increased census, streamlined admissions process from days to 2 hours, responsible for staffing and HR, payroll, very large team of department heads, implemented teambuilding through integrity, transparency, fair dealing and prayer.
Executive Director- CCRC
Executive Director The Village at Gleannloch Farms, CCRC - Houston, TX
June 2013 to June 2014
Independent Living, Assisted Living and Memory Care-85, Skilled-35, and HH Administrator- Lutheran Social Services Not-for-profit
Recruited as Interim Executive of community, Home Care Admin, and NHA skilled, to develop, lead, and implement operational changes, processes, and staffing adjustments to maximize revenues and perform annual surveys.
Tasked to reduce annual expenses by $800K, while ensuring highest quality of patient care.
First time in 6 yrs, under my leadership, met covenants, earned profit
Achieved 100% census and 50% Medicare admissions in skilled.
400 units, 3- 5 star dining rooms.
VP Human Resources
Paramount Healthcare
November 2012 to May 2013
Conducted Homeland Security audits, I-9 audits, HR policy audits and HR policy development, Affirmative Action plans, OFCCP audits, EEOC compliance, hiring administrators, DON’s, and union avoidance strategies.
Director of Human Resources
County of Galveston - Galveston, TX
July 2011 to October 2012
Charged to redesign HR and align with Commissioner’s Court objectives within available tax resources. Provided hands-on HR management and advising for County
Sheriff, County Correctional, Health District, working synergistically with 64 elected and appointed officials.
Reviewed cases concerning nursing home litigation for DA’s office to recommend referral grand jury.
Vice President of Human Resources
Voyager Healthcare
August 2008 to December 2010
A large Hospice and Home Health Healthcare provider with 82 locations employing
1600
Nursing Home Administrator
+ September 2004 to August 2008
Recruited to lead during major organizational challenges, changes in
Administrator, change of ownership, and IJ’s to improve survey results, census, quality assurance, extensive marketing, and processes. My facility was presented in Jumpstart Texas Person Centered Care
Education
BBA in Accounting and Management double major
University of Texas - Arlington, TX
Master of Science in Human Resource Management
The University of Texas at Arlington - Arlington, TX
Associate in Arts (AA) in Long term care
Tarrant County College
Associate in Arts (AA) in Engineering and Accounting
Galveston College - Galveston, TX
Licensed Nursing Home Administrator in Long term care
Tarrant County College