Plainview Healthcare Center fired its administrator on July 16, 2025, and has not replaced him with a licensed professional. The Administrator in Training took the state licensing exam and failed, with no clear timeline for when she might retake it.
Federal inspectors found the facility in violation of basic oversight requirements during a November inspection. The former administrator had worked at the facility since February 2018 before his termination in mid-July.
The Administrator in Training told inspectors during a 6:48 AM interview that she had failed the exam and that corporate wanted her to take the administrator position once she passed. She confirmed the facility currently had no licensed administrator.
The Interim Director of Nursing, interviewed at 5:31 AM, said she "could not think of a negative outcome for not having a licensed administrator because the situation was working and there had been no negative impacts." She was unsure when the Administrator in Training would retake the exam.
But the Human Resources Director, who has worked at the facility for 11 years, acknowledged potential problems. During a 7:35 AM interview, she said "a possible negative outcome for not having a licensed administrator could be that they would get a tag from state."
The Corporate Regional Care Director provided more detail about the situation during an 8:49 AM interview. She had previously served as the facility's Director of Nursing for four years before moving into her corporate role six years ago. She confirmed the administrator "was fired in July, 2025" and said corporate was "actively looking" for a replacement.
She wanted to offer the position to the current Administrator in Training once she passed her licensing exam. In the meantime, corporate planned to hire an interim administrator so the unlicensed staff member could have time to study.
The Corporate Regional Care Director recognized more serious risks than other staff members. She told inspectors that without a licensed administrator, "staff may not follow facility policies/rules because there was not a licensed administrator which could affect resident care."
Federal regulations require nursing homes to have a governing body that appoints a properly licensed administrator responsible for managing the facility. The administrator must be licensed by the state and report to the governing body.
Plainview Healthcare Center's own policy, revised in March 2021, states that "a licensed Administrator is responsible for the day-to-day functions of the facility." The policy requires the governing board to appoint "an Administrator who is duly licensed in accordance with current federal and state requirements."
The policy also mandates that the administrator maintain current licensing status "as required by law" and keep "a copy of such license or registration on premises."
Inspectors found the facility had violated these requirements for months. The unlicensed Administrator in Training has been acting in the administrator role without proper credentials since July.
The inspection report notes this deficient practice "could place residents at risk of decreased quality of life and quality of care due to lack of staff oversight and monitoring of care for all 50 residents at the facility."
Federal inspectors classified the violation as causing "minimal harm or potential for actual harm" but affecting "many" residents. The designation reflects that while no immediate injuries occurred, the lack of licensed oversight created systemic risks for the entire facility population.
The four-month gap in licensed administration represents a significant breakdown in the facility's governance structure. State licensing requirements exist to ensure nursing home administrators have demonstrated competency in managing complex healthcare operations, understanding regulations, and overseeing resident care.
Without a licensed administrator, the facility has operated in a regulatory gray area where the person responsible for daily operations lacks the credentials required by state and federal law. The Corporate Regional Care Director's acknowledgment that staff might not follow policies without licensed oversight suggests the violation could have cascading effects on resident care quality.
The facility's corporate structure appears to have contributed to the delay in finding a replacement. Rather than immediately hiring a licensed interim administrator after the July termination, corporate chose to allow an unlicensed employee to fill the role while attempting to obtain licensing.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Plainview Healthcare Center from 2025-11-20 including all violations, facility responses, and corrective action plans.