BSBCRT611

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

facing significant workforce crisis

September 2021

1

2

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

1% 4%

10%

29%

57%

Much better Somewhat better

Stayed the same

Somewhat worse

Much worse

NURSING HOMES

1% 6%

15%

29%

48%

Much better Somewhat better

Stayed the same

Somewhat worse

Much worse

ASSISTED LIVING

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

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

3

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

1% 10%

30%

59%

Full staffed Low level staffing shortages

Moderate level staffing

shortages

High level staffing

shortages

NURSING HOMES

4%

14%

52%

30%

Full staffed Low level staffing shortages

Moderate level staffing

shortages

High level staffing

shortages

ASSISTED LIVING

Q: What is your current staffing situation?

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

4

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.

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

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

99%

69% 58%

Asked current staff to work overtime/extra

shifts

Hired temporary agency staff

Limited new admissions

NURSING HOMES

100%

38% 28%

Asked current staff to work overtime/extra

shifts

Hired temporary agency staff

Limited new admissions

ASSISTED LIVING

5

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.

69%

28%

2% 1%

Very difficult Somewhat difficult

Somewhat easy

Very easy

NURSING HOMES

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

66%

34%

0% 0%

Very difficult Somewhat difficult

Somewhat easy

Very easy

ASSISTED LIVING

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

6

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.

40%

76% 71%

19%

45%

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)

NURSING HOMES

34%

71% 72%

9%

40%

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)

ASSISTED LIVING

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

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

7

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).

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

35%

43%

13% 8%

Very concerned

Somewhat concerned

Not at all concerned

Do not know

NURSING HOMES

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

19%

42%

28%

11%

Very concerned

Somewhat concerned

Not at all concerned

Do not know

ASSISTED LIVING