For Skilled Nursing & Senior Care Operators

Turnover is costing you more
than you realize.
It is also measurable.

If you operate skilled nursing or senior care facilities, you already know turnover is a problem. Retention+ gives you the data to see it coming — and a dedicated team to act on it before positions go vacant.

Start the conversation Your data. Your baseline. Your numbers — not industry averages.
42.34%
CNA annual turnover rate — highest of any nursing home role
AHCA/NCAL 2025–26
$61,110
Average cost to replace one RN — range $49,500 to $72,700
NSI Health Care Retention Report · 2025
6–18 mo.
How far behind CMS data lags your actual staffing reality
CMS Five-Star Quality Rating System
$0
What most operators have invested in documented early warning
Industry observation

One departure triggers
three more.

The nursing home industry loses CNAs at a rate of 42.34% annually. RNs turn over at 36.5%. These are not anomalies — they are the baseline most operators are managing against every month.

What makes the problem compound is the cycle it creates: a vacancy filled by agency staff drives up cost, burns out remaining direct employees, and degrades the CMS staffing metrics that determine your Five-Star rating. Residents and families notice. Occupancy follows.

The harder problem is that most operators cannot see this coming. CMS data lags 6 to 18 months. There is no structured early warning. By the time the signal is visible, the departure has already happened.

1
Employee leaves
CNA or RN vacancy created — often without warning
2
Agency fills the gap
At 40–100% premium above direct hire rate
3
Remaining staff burn out
More departures follow — the cycle repeats
4
Five-Star rating drops
Agency use and turnover both scored by CMS since July 2022
5
Occupancy and revenue at risk
Residents and families choose based on star ratings

Service and software.
Built for skilled nursing.

Retention+ combines a managed engagement service with a retention intelligence platform — giving skilled nursing operators the data to see risk coming, and the service team to act on it.

01 — Managed Engagement Service

Your outsourced Director of Employee Engagement

Monthly engagement programs executed at every facility. Every interaction documented. Every administrator held to a structured monthly schedule — regardless of whether the numbers are moving.

  • Structured check-in calls and Zoom sessions with each administrator
  • Staff recognition and culture programs delivered monthly
  • Risk Intelligence interventions before positions go vacant
  • Full documentation of every communication — nothing lost
  • Monthly reports delivered every period — without exception
02 — Retention Intelligence Platform

Software your entire organization can access

Real-time retention data from your actual payroll — not CMS estimates from 18 months ago. Every role benchmarked. Every risk flagged. Every level of your organization with the view they need.

  • Compensation Intelligence — every role benchmarked vs. AHCA/NCAL market data
  • Risk Intelligence — tenure and compensation signals surfaced before positions go vacant
  • Agency Intelligence — monthly cost analysis of agency dependency
  • CMS Data Intelligence — Five-Star data alongside your real-time numbers
  • Role-based access: Owner, Regional Manager, Facility Admin, Financial Viewer, HR Viewer

From first conversation
to ongoing intelligence.

01

Start with a conversation

We learn about your facilities, your current challenges, and what you are managing against. No commitment, no obligation — just a focused conversation about your situation and whether Retention+ is the right fit.

02

We build your baseline

Using your workforce data, we establish a locked baseline specific to your facilities. Not industry averages applied to your situation — your actual numbers, your actual starting point, measured forward from day one.

03

Monthly intelligence and engagement begin

Your dedicated Retention+ team begins monthly engagement at every facility. The Intelligence Platform activates. Reports, alerts, benchmarks, and findings — every month, without exception.

What is included
every month.

Compensation Intelligence

Every role in every facility measured against AHCA/NCAL market data. Color-coded comp ratios. Band status. Trend over time. Updated each month so you always know where every role stands.

Risk Intelligence

Alerts surface when an employee approaches a tenure milestone while paid below market median. High severity when both signals are present simultaneously — identified before the position goes vacant.

Agency Intelligence

Blended staffing rate calculated monthly from your actual data. Direct vs. agency hours, role by role. The true cost of your agency dependency — made visible, documented, and tracked against your own baseline.

CMS Data Intelligence

Your CMS-reported turnover vs. your real-time Retention+ data — side by side. Five-Star staffing rating alongside your current actual numbers. Automatic alert when your public rating changes.

Monthly reports — every period

A structured monthly report delivered to every level of your organization — regardless of whether the numbers improved. AI-generated. Human-reviewed. Documented accountability every period.

Findings and recommendations

Every pattern worth acting on is documented as a formal finding with a specific recommended action. Status tracked through completion — Open, In Progress, Implemented. Evidence that work is being done.

Start the conversation.

Tell us about your organization and we will follow up within one business day. Our first conversation is focused and straightforward — we learn about your facilities and share honestly whether Retention+ is the right fit.

What to expect
A focused 30-minute conversation. No pitch, no pressure. We listen to your situation and show you what your numbers could look like — based on your own workforce data, not a generic industry estimate applied to your facilities.
Retention+ retention.plus
Email info@retention.plus
Phone 732-575-2870

We do not sell or share your information.

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