State of the Long TermCare Industry

State of the Long Term Care Industry: Survey of nursing home and assisted living providers show industry facing significant workforce crisis

September 2021

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86% of nursing homes and 77% of assisted living providers said their workforce situation has gotten worse over the last three months.

Q: Since June 2021, would you say your organization's overall workforce situation has generally gotten better or worse?

NURSING HOMES

57%

ASSISTED LIVING

48%

29%

29%

15%

10% 4% 1%

6% 1%

Much better Somewhat better

Stayed the same

Somewhat Much worse worse

Much better

Somewhat better

Stayed the same

Somewhat worse

Much worse

2 Source: American Health Care Association & National Center for Assisted Living Survey of 1,183 Nursing Home and Assisted Living Providers, September 2021

Nearly every nursing home (99%) and assisted living community (96%) in the U.S. is facing a staffing shortage.

Q: What is your current staffing situation?

NURSING HOMES

59%

ASSISTED LIVING

52%

30%

30%

1%

Full staffed

10%

Low level staffing Moderate level

shortages

staffing

shortages

High level staffing

shortages

14% 4%

Full staffed

Low level staffing Moderate level

shortages

staffing

shortages

High level staffing

shortages

Source: American Health Care Association & National Center for Assisted Living Survey of 1,183 Nursing Home and Assisted Living Providers, September 2021

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Nearly every nursing home and assisted living community is asking staff to work overtime or extra shifts.

58% of nursing homes are limiting new admissions due to staffing shortages.

Q. What adjustments have you made due to staffing shortages?

NURSING HOMES

99%

100%

ASSISTED LIVING

69%

58%

38%

28%

Asked current staff to work overtime/extra

shifts

Hired temporary agency staff

Limited new admissions

Asked current staff to work overtime/extra

shifts

Hired temporary agency staff

Limited new admissions

4 Source: American Health Care Association & National Center for Assisted Living Survey of 1,183 Nursing Home and Assisted Living Providers, September 2021

Nearly every nursing home and assisted living provider is having a difficult time hiring new staff with nearly 7 out of 10 saying they are having a very difficult time.

Q. How would you rate your ability to hire new staff?

NURSING HOMES

69%

ASSISTED LIVING

66%

28%

34%

2%

1%

0%

0%

Very difficult Somewhat Somewhat Very easy

Very difficult Somewhat Somewhat Very easy

difficult

easy

difficult

easy

Source: American Health Care Association & National Center for Assisted Living Survey of 1,183 Nursing Home and Assisted Living Providers, September 2021

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More than 7 out of 10 long term care facilities said a lack of qualified candidates and unemployment benefits have been the biggest obstacles in hiring new staff.

Q. What has been the biggest obstacle in hiring new staff?

NURSING HOMES

76%

71%

ASSISTED LIVING

71%

72%

40%

19%

45%

34%

40% 9%

Current financial situation/lack of funding to offer competitive wage

Lack of interested or

qualified candidates

Unemployment benefits

discouraging people

Fear of contracting

COVID

Vaccination requirement (by

employer or state)

Current

Lack of

financial

interested or

situation/lack of qualified

funding to offer candidates

competitive

wage

Unemployment benefits

discouraging people

Fear of contracting

COVID

Vaccination requirement (by

employer or state)

6 Source: American Health Care Association & National Center for Assisted Living Survey of 1,183 Nursing Home and Assisted Living Providers, September 2021

78% of nursing homes and 61% of assisted living communities are concerned workforce challenges might force them to close. More than one-third of nursing homes are very concerned about having to shut down their facility(ies).

Q. How concerned are you that if your workforce challenges persist that you may have to close your facility(ies)?

NURSING HOMES

ASSISTED LIVING

35%

43%

13% 8%

42%

19%

28% 11%

Very

Somewhat

Not at all Do not know

Very

Somewhat

Not at all Do not know

concerned concerned concerned

concerned concerned concerned

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Source: American Health Care Association & National Center for Assisted Living Survey of 1,183 Nursing Home and Assisted Living Providers, September 2021

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