The Challenges You're Facing
Common problems that cost your facility time, money, and quality of care.
In most nursing homes, HR falls on the administrator, DON, or office manager — professionals already stretched thin with clinical and operational responsibilities. The result is reactive people management, not strategic HR leadership.
Employment law, OSHA, wage and hour regulations, I-9 compliance, and state-specific healthcare worker requirements create a minefield. Without HR expertise, facilities operate with unenforceable handbooks, missing documentation, and policies that haven't been updated in years.
Without a strategic HR function, every personnel issue becomes a fire drill. Disciplinary actions lack documentation, performance problems fester until termination, and employee complaints escalate to lawsuits because no one addressed them early.
Favoritism, inconsistent policy enforcement, unresolved conflicts, and lack of clear expectations erode trust and morale. In a 24/7 care environment, cultural dysfunction directly impacts resident outcomes and regulatory compliance.
How We Help
Proven approaches tailored to the unique needs of nursing home hr.
Get experienced healthcare HR leadership on a part-time basis — strategic guidance, on-call availability, and hands-on support without the full-time salary.
- Dedicated HR director assigned to your facility
- Weekly on-site presence with remote availability between visits
- Direct access for administrators and managers on personnel issues
- Representation at leadership meetings and strategic planning
We build the foundational HR systems that most nursing homes are missing — from scratch if needed.
- Employee handbook development compliant with federal and state law
- Job descriptions for every role with ADA-compliant essential functions
- Personnel file organization and audit-readiness protocols
- HRIS selection, setup, and workflow configuration
We implement proactive compliance systems that protect your facility from regulatory risk and legal liability.
- Wage and hour audit with overtime and meal break compliance
- I-9 and work authorization verification programs
- OSHA compliance and workplace safety programs
- Annual compliance training calendar and tracking
We build structured performance management that drives accountability and professional growth.
- Annual review process with role-specific evaluation criteria
- Progressive discipline framework with documentation templates
- Performance improvement plan (PIP) protocols
- Manager training on documentation, feedback, and difficult conversations
How It Works
A structured, proven process that delivers results.
HR Audit
We conduct a comprehensive review of your current HR practices, policies, documentation, and compliance posture — identifying gaps, risks, and opportunities across every HR function.
Compliance Review & Risk Assessment
We assess your facility against federal, state, and healthcare-specific employment requirements, prioritizing the highest-risk areas for immediate remediation.
Infrastructure Build
We develop or overhaul your employee handbook, job descriptions, personnel file systems, and core HR policies — creating the foundation for professional HR operations.
Manager Training & Rollout
We train your leadership team on new policies, documentation requirements, performance management, and employee relations best practices so they can execute consistently.
Ongoing Fractional HR Support
We provide ongoing HR leadership through regular on-site visits, remote support between visits, and strategic guidance on workforce planning, compensation, and culture development.
Results You Can Expect
Real outcomes from facilities we've worked with.
Nursing Home HR FAQs
Common questions about our nursing home hr services
Learn More
Dive deeper with our latest insights on nursing home hr.