Skilled Nursing Facilities

Reduce agency dependence and improve staffing ratios and stability without increasing recruitment spend.

Most skilled nursing facilities do not have a hiring problem. They have predictable, measurable leakage points between a posted position and a retained employee, and each one carries a labor cost. The Workforce Leakage Index benchmarks where your building is losing that spend.

Agency cost → Overtime → Burnout → Turnover → Survey risk → Family complaints → Reduced census → Financial pressure
The Workforce Leakage™ Pipeline

Every stage is a measurable loss point, not a task.

Eight stages between a posted position and a retained employee. Leakage at any of them shows up as agency usage, overtime, and repeated hiring for the same position.

01

Attraction Leakage

Not attracting enough qualified attention. Job post visibility and click-through.

02

Application Leakage

Losing people before they complete an application. Length, mobile friction, ATS drop-off.

03

Response Leakage

Losing people after they have expressed interest. Speed-to-contact and missed follow-up.

04

Conversation Leakage

Failing to convert interest into scheduled interviews. Screening structure and scripting.

05

Interview Leakage

Losing people during the process itself. No-shows, delays, gaps between steps.

06

Offer Leakage

Losing people at the final decision point. Offer speed and follow-up.

07

Onboarding Leakage

Hiring people who never fully integrate. Orientation completion and first-week attendance.

08

Retention Leakage

Paying to hire the same positions repeatedly. Zero to ninety day turnover.

Hiring is the symptom. The condition is the inability to keep enough staff to run the building.
Operating approach

A workforce performance partner, not a recruiter.

The Unified Hiring System connects job marketing, applicant conversion, analytics, and recruitment cost control into one continuous process, so the building is not managing disconnected vendors.

Workforce stability

A stronger hiring system that reduces reliance on crisis staffing.

Financial stewardship

Lower recruitment costs while improving hiring outcomes.

Vendor accountability

Measure the ROI of every recruitment dollar instead of guessing.

Average monthly improvements

What the average skilled nursing facility sees.

+115additional applicants per building, per month
−$67.61reduction in cost per applicant (CPA)
−$2,665reduction in monthly Indeed spend

Reflects average results delivered across skilled nursing clients. Individual results vary by building and market.

Leigh Davis, Lab Founder
Your Recruitment Lab founder

Leigh Davis

The World's Leading Expert on Senior Care Hiring & Retention

A 30-year behavioral science expert specializing in recruitment, hiring and retention.

Using science, research as well as the latest trends and hiring data, he and his team continuously develop new tactics and methods that help senior care providers attract better candidates, increase quality hires and reduce turnover — in an ever-changing health care landscape.

2M+Job ads run on Indeed alone
10M+Applicants generated for clients
$10M+Saved for clients, and counting
8Books authored on recruiting & retention
Workforce Leakage Index™

Estimate your building's WLI score.

Eight questions, one per leakage point. Your report shows a stage-by-stage leak risk breakdown and where exposure is greatest.

Confidential. No obligation.

See where your building is losing candidates.

A Workforce Leakage Review walks through your process stage by stage, shows where you're losing candidates, and identifies what to fix first.

Request a Workforce Leakage Review