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Problems arise, such as resident illness, staff absences, and budget concerns. Additionally, administrators must be able to work with a variety of people, including doctors, residents, families, therapists, and community leaders. Most often, administrators work in their offices but they may be needed to assist caregivers in a resident's room or in dining or activity spaces. Reporting Responsibility Depending upon the administrative structure of the facility, the administrator may report to an executive director, regional manager or board of directors. Some administrators may be managed directly by the owner of the facility. Training and Qualifications Requirements for long-term care administrators vary based upon the type of facility. For example, nursing homes have stricter regulations and require an administrator to be licensed by the state. Assisted living and adult day care programs may hire candidates with only a bachelor's degree in health-care administration, business, or a related field.