2025 Senior Living 100 - People Playbook

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People The Playbook

is your guide to thinking creatively about your workforce and occupancy challenges – featuring eight unique solutions, their obstacles and challenges, KPIs and results, and action steps to implement them yourself.

Playbook

Removing Obstacles for Talent Retention Ohio

Ohio Living (11 communities – LPCs, home health, and hospice) unleashed greater staff commitment, well-being, and retention by creating on-site workforce solutions and resources to reduce and manage external personal employee barriers.

Implementation Challenges

› Creating an employee questionnaire to identify external obstacles while respecting personal boundaries.

› Developing a sustainable model that maximizes ease of intake/access and enables quick resource distribution for staff.

› Understanding and leveraging local, state, and federal support resources.

› Ensuring compliance with regulations for awarding tax-free gifts.

› Managing additional workload without overwhelming existing staff.

KPIs & Results

› Support and retain valuable staff by reducing turnover and absenteeism.

› Increase productivity, satisfaction, and engagement.

› Strengthen donor support and grant opportunities.

How to Replicate

› Track data on top three reasons for call-offs and “personal” resignations.

› Survey team members to understand barriers.

› Connect with broader community resources.

› Establish a connector, navigator, or champion role.

› Build flexible resources to address individual needs.

Notes & Takeaways

Playbook Hiring for Fit

Masonicare (CT, 10 communities) has expanded their hiring pool and accelerated staff performance across all service lines by doubling down on the idea of hiring for personality – not just for skills.

Implementation Challenges

› Bias Risk Hiring for "fit" may reduce diversity.

KPIs & Results

› 12% increase in retention

› FY 2023: 68%

› FY 2024: 76%

How to Replicate

› Culture Clarity Vague values hinder assessment.

› 31% increase in rehires

› FY 2023: 61

› FY 2024: 80

1. Define Culture & Values

› Clearly articulate mission & behaviors.

› Identify success competencies.

› Learn from top performers.

2. Embed Culture in Hiring

› Job Descriptions: Highlight values.

› Early Screening: Use assessments.

› Structured Interviews: Culture-focused questions.

› Behavioral Assessments: Real-world scenarios.

› Team-Based Hiring: Involve key employees.

› Fit vs. Skills Overemphasizing fit limits skills & innovation.

› 96.4% decrease in agency usage

› FY 2023: 28%

› FY 2024: 26%

› YTD 2025: 1%

3. Standardize Onboarding

› Reinforce values from day one.

› Assign culture mentors.

› Conduct 30/60/90-day check-ins.

4. Align Leadership and Reinforce Culture

› Train managers on cultural fit.

› Recognize culture-driven employees.

› Integrate values into reviews.

5. Measure & Improve

› Track retention, engagement and cultural turnover.

› Gather feedback & refine hiring.

› Adapt as company evolves.

Notes & Takeaways

Sourcing Talent from Abroad

Presbyterian Homes and Services (MN, 63 communities) successfully sourced 25% of its RNs from the Philippines and is expanding its program to nursing assistants and more countries.

Implementation Challenges

› U.S. immigration is often unpredictable for international RNs and other workers.

› Global competition for foreign-born employees is increasing.

› Engaging work environments help reduce contract breakage; specialists are essential at any scale.

› Affordable housing for contract holders is critical.

› Rural placements present unique challenges.

KPIs & Results

› Over 30% of RN hours come from the International Nurse Program.

› At least 80% of RNs complete their three-year contract.

› International employees are as engaged in our Ministry as other employees.

How to Replicate

› Direct and intentional effort to connect, celebrate, and engage first generation employees.

› Find a willing partner in the international nurse area.

› Partner with other organizations considering working in this area.

› Find an Immigration expert and help legally.

Notes & Takeaways

Priority Life Care's for:

Playbook

Prioritizing Skillset, Toolset, Mindset

› Enoch Paul, Sr. Director of Organizational Learning & Development epaul@prioritylc.com

Priority Life Care (IN, 64 communities) is driving sustainable productivity and fostering well-being with PLC University; a comprehensive program of pathways to leadership advancement tailored to meet the personal and professional needs across a large and diverse workforce.

Implementation Challenges

› Evaluating the need for a 360° leadership growth pathway.

› Gaining buy-in from leadership, department heads, and teams.

› Determining investment, timeline, and ideal methodology.

› Differentiating coaching, mentoring, and consulting in growth.

KPIs & Results

› 44% increase in training compliance rates.

› 78% training completion rates.

› Achieved at least +70 NPS Score for in-person training.

› 84% success rate in employees achieving personal & professional goals.

How to Replicate

› Foster a growth-focused culture for buy-in.

› Identify learning environment needs.

› Develop a structured learning plan from onboarding to leadership.

› Identify high-potential candidates aligned with business needs.

› Assign training and mentorship pathways.

› Evaluate knowledge retention and performance.

› Measure program impact on business success.

Notes & Takeaways

Playbook

Developing a HighPerformance Mindset

Beztak (MI, 7 communities) converted more leads into new residents through a rigorous data analysis of both their highest performing sales staff and marketing channels.

Implementation Challenges

› Identifying behaviors that impact sales effectiveness.

› Selecting an assessment tool for relevant traits.

› Gaining team buy-in for honest participation.

› Analyzing results to improve current performance or refine hiring criteria.

KPIs & Results

› Over the past three years, we've achieved an average 25% decrease in the sales cycle (“gestation period”), reducing the time from inquiry to move-in across all levels of living (IL, AL, MC).

› Improvements in lead-to-tour and tour-to-move in.

› Shortened our sales cycle during the time that we implemented the assessment, began providing training on “mindset”.

› Attempted to hire sales team members that had a “Motivator” selling style.

How to Replicate

› Launch the assessment tool without consequences, explaining the "why" and sharing outcomes.

› Coach on sales effectiveness—awareness alone improved performance.

› Continuously measure, train, coach, and give feedback through real interactions.

› Hands-on learning through practice and demonstration is more effective than lectures.

Notes & Takeaways

Playbook

Fostering an Inclusive Intergenerational Community Lasell Village's for:

› Zehra Abid-Wood, President zabid-wood@lasell.edu

Lasell Village (MA, 1 community) is leading the charge on diversity and inclusion by taking an inside-out approach where residents and staff collaborate to ensure their community reflects the diversity of the world around them.

Implementation Challenges

› Balancing Governance and Multiple Voices: Quick, effective decisions with broad participation need structured facilitation and clear accountability.

› Cultural Shift Requires Time & Buy-In: Overcoming legacy mindsets requires education, engagement, and shared values, while momentum depends on champions and accountability systems.

› Balancing Structure with Adaptability: Strong governance ensures alignment while adapting to resident and staff needs.

KPIs & Results

› Resident-Led Engagement: 50% rise in resident-led cultural inclusion programs.

› Cross-Generational Connection: 30% more resident participation in intergenerational initiatives, 300% rise in joint resident-team activities.

› Community Impact: Four new partnerships expand engagement: two affinity groups, a community center, a service opportunity, plus a cross-campus food pantry and meal donation program.

› Longer-term Quantifiable Measures: Resident Satisfaction, Employee Engagement and Retention, Productivity Measures.

How to Replicate

› Listen First: Assess your starting point by gathering voices in multiple ways: focus groups, surveys, and 1:1 conversations.

› Start Small, Stay Focused: Choose one area to start, whether it’s a resident initiative or a team member policy. Start small but make it impactful.

› Adopt a Co-Creation Model: Shift from top-down inclusion to resident-team collaboration in shaping culture and well-being.

› Build Governance Early to Manage Many Voices: Define roles clearly and build feedback loops. Ensure leadership buy-in and accountability.

› Tie Inclusion to Measurable Business Goals: Make inclusion tangible with goals that enhance satisfaction, engagement, and growth.

Notes & Takeaways

Aspenwood's for:

Playbook

Hyper-Personalizing Your Offerings

› Heather Tussing, President htussing@theaspenwoodcompany.com

Aspenwood (TX, 20 communities) extended length of stay for its high acuity residents with “Soar,” a unique memory care program that caters activities to residents’ hobbies and pastimes.

Implementation Challenges

› Continuous research and innovation in memory loss treatment in collaboration with universities and aging institutions like Rice University’s Memory, Mood, and Aging Lab.

› Gathering necessary info to create a personalized Alzheimer's kit before move-in.

› Gaining buy-in from team members to change.

› Ensuring consistent training to create “stickiness” with team members.

KPIs & Results

› 35% longer stays in memory care.

› Lower hospitalization and nursing home placement rates.

› Improved quality of life – with higher engagement in structured activities, reduced depression, and better medication adherence.

› Reduced psychotropic medication use.

› Positive family and resident feedback on personalized care.

How to Replicate

› Collaborate with all departments to create a Memory Care Program, honoring residents’ hobbies, traditions, and socialization preferences.

› Develop a monthly programming calendar with wellness categories: social, physical, intellectual, spiritual, emotional, and sensory.

› Introduce Signature Programs, which include purpose, positivity, continued learning, physical activity, relaxation, and the opportunity for spontaneity.

› Create meaningful Purpose Points for your residents, such as a nursery, garden, workshop/tool station, laundry, and sports-themed areas, to evoke memories and give residents a sense of purpose.

› Conduct new associate and monthly associate training focused on principles of your memory care program and meaningful engagement.

Notes & Takeaways

Starling's for:

Playbook

Supercharging Resident Growth

Starling (FL, 7 communities) is skyrocketing its conversion rates by leveraging video and content marketing – resulting in 94% occupancy across its locations.

› Defining the Experience

› Right People, Right Seat!

› Getting Buy-In

› Identifying Focus Sources

KPIs & Results

› 38 move-ins from friends and family in 2023 (18% conversion)

› 73 move-ins from friends and family in 2024 (26% conversion)

› 11 move-ins YTD (65% conversion)

› 14 move-ins from our website in 2023 (8% conversion)

› 81 move-ins from our website in 2024 (29% conversion)

› 37 move-ins from our website YTD (42% conversion)

How to Replicate

› Focus on the experience

› Make it fun!

› Plan in advance

› Ask for the engagement – review, like on social, etc.

› Remember your WHY Implementation Challenges

Notes & Takeaways

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