The administrator must establish formal means of what?

The correct answer, accountability, is crucial in a nursing facility administration context because it establishes a framework within which all staff members understand their roles and responsibilities. An effective accountability system ensures that everyone is held responsible for their actions, decisions, and performance, which ultimately influences the quality of care provided to residents.

When administrators foster a culture of accountability, they promote transparency and encourage staff to perform their duties to the best of their abilities. This means that expectations are clearly communicated, and staff are aware of the ramifications of meeting or not meeting those expectations. Additionally, accountability helps in maintaining regulatory compliance and achieving quality improvement initiatives, which are vital in a healthcare setting.

While communication, delegation, and training are all important elements of effective management in a nursing facility, they are secondary to accountability. Without a structured accountability system, even the best communication, delegation strategies, and training programs may fail to result in high-quality care and effective operations.