Services
Executive director, director of nursing, business development, maintenance, business office, dietary, activities, regional — when a leadership seat is empty the building cannot wait for the search. We place experienced, state-licensed leaders on an interim basis: during a search, a transition, or through a turnaround.
When communities call us
What the work includes
Seats we fill
Licensed NHA or AL administrator. Runs the building, the survey and the P&L.
Clinical leadership, survey readiness, staffing and acuity.
Admissions, referral sources, census and the inquiry-to-move-in funnel.
Life-safety systems, physical plant, capital projects, survey tags that live in the building.
Billing, collections, payroll, resident trust funds, month-end.
Food service compliance, cost per resident day, satisfaction.
Programming that families notice and surveyors look for.
Multi-site oversight when the regional seat is empty or the portfolio is in trouble.
Our interims have run buildings through state surveys and census recoveries, and they arrive with Mainspring behind them — playbooks, reporting cadence, and a network of nurse consultants when the building needs clinical depth. Placements are matched to your state's administrator licensure requirements.
Get started
One conversation: what we see, how we would approach it, and exactly what it would involve. Survey and leadership situations receive a same-day response.