S&D Workforce Solutions

What we hear most

The challenges specific to this industry.

These are the people and leadership problems operators tell us about most often.

Caregiver turnover costs

Each caregiver lost costs thousands in onboarding, overtime, and agency premiums — and hurts resident outcomes.

Executive Director burnout

EDs end up doing HR, scheduling, sales, and operations. Support structures are often missing.

Family-facing incidents

Every employee relations issue can escalate into a family complaint or regulatory issue.

Multi-community inconsistency

Each community develops its own culture — and its own problems.

How we help

Concrete solutions — not generic HR advice.

Retention & culture audit

Turnover pattern analysis, leadership risk review, and a prioritized retention action plan.

ED and DON coaching

Monthly coaching for executive directors and directors of nursing on accountability, feedback, and team leadership.

Standardized documentation

Consistent write-ups, coaching forms, and performance plans across communities.

Fractional HR Partner retainer

Ongoing partner for multi-community operators navigating leadership turnover and staffing pressure.

Case study

Senior living group · three-community leadership alignment

A senior living group with three communities saw inconsistent culture and leadership drift across sites. A Fractional HR Partner retainer brought the leaders back into alignment.

  • Monthly structured leadership training across all three communities
  • Standardized performance plan and documentation templates
  • Caregiver voluntary turnover dropped 22% in 8 months