Nursing Facility Administrator of the Year Award Nomination

Name: Virginia Health Care Association
Address: 2112 W. Laburnum Ave, Ste. 206, Richmond, VA, 23227
Telephone: (804) 353-9101

The Nursing Facility Administrator of the Year Award recognizes a nursing center administrator for outstanding statewide leadership who has been active as an administrator in the association for at least four years, by a current VHCA-VCAL member center.

2024 Nursing Facility Administrator of the Year Award Nomination Form

Nominee Information
Nominee’s Name:*
Nominee’s Center/Company:*
Nominee's Address:*
Street Address City State ZIP Code
Nominee Phone:*
Administrator License #:*
Date of Issuance*
Nominator Information
Nominator's Name:*
Nominator's Center/Company:*
Nominator's Address:*
Street Address City State ZIP Code
Nominator's Phone:*
Nominator's E-mail:*
About the Nominee
Length of Time at Present Center:*
Length of time as an administrator:*
LTC Employment History (Choose preferred submittal method)*
- Enter Resume in text field
- Upload Resume
LTC Employment History:*
CV/Resume upload:*
Accepted file types: txt, doc, docx, pdf, Max. file size: 5 MB.
VHCA-VCAL Involvement (with dates):*
Community or Civic Involvement:*
Selection Criteria
The nominee must be a licensed administrator of record in a VHCA member nursing center who:
1. Has been active in VHCA-VCAL for a minimum of 4 years.
2. Has current, direct supervisory responsibility.
3. Has demonstrated outstanding leadership ability.
4. Has contributed significantly to the profession of long term care (LTC) administration.
In a typed narrative, please explain why your nominee should be selected for this honor. Please include specific evidence of the following:
1. Personal leadership and dedication to residents and staff.
2. Exceptional efforts to increase the quality of life in their center.
3. Cooperative and collaborative relationships with others to support the profession as a whole.
4. Ability to identify needs and develop creative solutions to routine as well as unique problems.
5. Competence in maximizing funds, people, goods and services.
6. Efficiency in planning and organization.
7. Participation in grassroots initiatives to inform legislators and other state officials with the important issues facing LTC (e.g., responds to calls to action, submits written comments, hosts facility tour, etc.).
8. Commitment to earn and extend respect to residents and colleagues.
Narrative:*
Upload additional narrative material: (e.g., news articles, letters from residents and family members)
Drop files here or

Accepted file types: txt, doc, docx, pdf, Max. file size: 5 MB, Max. files: 5.
Image Upload:*
Drop files here or

Accepted file types: jpg, Max. file size: 3 MB, Max. files: 3.
High-resolution digital headshot of the nominee.
Please submit high resolution image files (minimum of 1200 pixels wide)
Max Size per Image: 3MB; Max # of Images: 3
Additional nominee images (at least 5 recommended):*
Drop files here or

Accepted file types: jpg, Max. file size: 5 MB, Max. files: 7.
Letters of Recommendation:*
Drop files here or

Accepted file types: txt, doc, docx, pdf, Max. file size: 5 MB, Max. files: 5.
At least three (3) letters of recommendation that support your nomination. Criteria for letters:
1) Letters may not exceed one page.
2) Letters must be printed on official letterhead
and signed.

Nursing Facility Administrator of the Year Award Nomination

2024 Nursing Facility Administrator of the Year Award Nomination Form

Nominee Information

Nominator Information

About the Nominee

Selection Criteria