William Himes
REGIONAL VICE PRESIDENT OF OPERATIONS | SOUTH TEXAS SKILLED NURSING
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About
Skilled nursing and senior living operations executive with 28+ years of facility, regional, and enterprise leadership. Combines current Texas LNHA credentials with prior COO oversight of 19 communities in four states, approximately 2,000 employees, and $275 million in annual revenue. A hands-on field operator who coaches administrators, diagnoses performance gaps, and aligns census, labor, quality, regulatory readiness, financial performance, and culture around clear accountability.
Experience
Executive Director Specialist at Brookdale Meridian Englewood (2025-01 – Present)
Lead all functions of a continuing care retirement community offering independent living, assisted living, and skilled nursing, with accountability for P&L, clinical quality, compliance, workforce strategy, sales alignment, resident experience, and capital execution.
- Delivered deficiency-free state surveys for both skilled nursing and assisted living through disciplined preparation, interdisciplinary accountability, clinical systems review, staff education, and visible executive leadership.
- Grew skilled nursing census from 32 to 61 (+90.6%), reached 100% assisted living occupancy, increased total community census 7.4%, and delivered year-to-date revenue at 101% of budget.
- Eliminated agency staffing (100% reduction) through disciplined scheduling, daily labor review, leadership accountability, and workforce stabilization.
- Use operating, census, labor, quality, and financial indicators to set priorities, remove barriers, and hold leaders accountable for follow-through.
Turnaround Specialist and Healthcare Operations Consultant at Apex Management Group (2014-01 – Present)
Provide executive and interim leadership to senior living and long-term care organizations requiring operational stabilization, financial improvement, regulatory recovery, or leadership redevelopment.
- Design QAPI systems, survey-readiness processes, root-cause analysis, performance improvement plans, staffing strategies, and executive accountability structures.
- Lead QAPI, root-cause analysis, survey recovery, staffing strategy, and performance improvement for organizations requiring rapid stabilization.
Chief Operating Officer at Invigorate Healthcare (2018-01 – 2020-12)
Held executive responsibility for 19 communities in four states, encompassing approximately 2,000 employees and $275 million in annual revenue.
- Directed multi-site operational performance, financial discipline, clinical accountability, regulatory compliance, quality improvement, workforce strategy, and growth priorities.
- Developed regional and facility leaders while standardizing performance expectations across clinical, financial, workforce, and regulatory priorities.
- Partnered with executive stakeholders to stabilize underperforming operations, standardize operating systems, and align local execution with enterprise objectives.
Owner and Executive Director at Continuing Care Retirement Community
Owned and operated a 97-acre continuing care retirement campus with 400 apartments, 45 homes, a 30-bed skilled nursing facility, a 30-bed assisted living community, and a 30-bed memory care program.
- Maintained full accountability for operations, finance, marketing, hospitality, regulatory compliance, staffing, admissions, resident services, capital planning, and emergency response across the continuum of care.
- Managed the mixed-service campus at approximately 87% census while balancing resident experience, clinical outcomes, regulatory requirements, physical plant, and financial stewardship.
- Built interdisciplinary leadership systems supporting service consistency, survey readiness, workforce engagement, and transparent communication with residents and families.
Education
Bachelor of Science in Biology and Chemistry – Arizona State University
Doctor of Philosophy (PhD) in Healthcare Administration


