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Case study · Senior Care

Solving a 60% turnover crisis

High staff turnover was leading to reliance on expensive agency staffing, crushing margins and quality of care.

Senior Living Community6 months

Retention-focused engagement over 6 months

30–50%

Turnover Reduction Target

Reduced

Agency Staffing Costs

Measurable

Quality Improvement

0mo

Time to Results

Act 1

The challenge

High staff turnover was leading to reliance on expensive agency staffing, crushing margins and quality of care.

  • Annual staff turnover rate exceeding 60%
  • Agency staffing costs over $200K annually
  • Inconsistent care quality affecting resident satisfaction
  • Exhausted management team constantly firefighting
  • New hires leaving within 90 days of onboarding

Act 2

Our approach

We redesigned the onboarding experience, adjusted compensation models to reward tenure, and installed a new shift-scheduling app.

  • Implemented structured 90-day onboarding program with mentorship
  • Created tenure-based compensation tiers with clear advancement paths
  • Deployed mobile-first shift scheduling with staff preference integration
  • Established peer recognition program tied to performance metrics
  • Standardized training protocols across all departments
Operations OptimizationHR & Talent StrategySystems & Technology

Act 3

The outcome

Retention-focused engagement over 6 months

30–50%

Turnover Reduction Target

Reduced

Agency Staffing Costs

Measurable

Quality Improvement

0mo

Time to Results

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Licensed

LNHA · MA · NH · NC

Insured

E&O coverage

Based in

Ludlow, MA