Great Benefits Are Becoming a Recruiting Strategy

In a labor market this tight, candidates are comparing benefits packages the same way they compare wages. For senior care employers, that shift changes what "competitive" means.

The New Hiring Calculus

Retention Is a Staffing Strategy, Not Just an HR Metric

CNA turnover sits at 42.34% (2025) — down slightly from 44.16% in 2024, but still the highest of any nursing-home role. The connection between work environment and burnout is well documented: nursing-home RNs in facilities with a "poor" work environment reported burnout at 55.4%, compared with just 14.7% in facilities with a "good" one — staff in well-resourced facilities were roughly 85% less likely to report burnout at all.

Sources: NSI Nursing Solutions, National Health Care Retention & RN Staffing Report (2025); White, Aiken, Sloane & McHugh, Geriatric Nursing (2019).

The cost of that turnover shows up directly on the staffing line: 46% of nursing homes limited new admissions in 2024 because they couldn't staff the beds they had. That's not an abstract HR problem — it's lost revenue.

Source: AHCA/NCAL State of the Sector Report, March 2024 (survey of 441 providers).

42.34%
CNA turnover in nursing homes, 2025
46%
of nursing homes limited admissions in 2024 due to labor shortages
85%
less likely to report burnout in well-resourced facilities vs. poorly resourced ones

What Candidates Are Comparing

Benefits Have Quietly Become Part of the Wage Conversation

Ask candidates today why they took one caregiving job over another, and the answer increasingly includes more than the hourly rate. Health insurance quality, mental health support, family-friendly benefits, prescription affordability, telehealth access, and women's health benefits all factor into the decision — especially in a workforce that is disproportionately women balancing their own caregiving responsibilities at home. See Industry Trends for the broader data behind these shifts.

Illustrative Example — Not a Real Case Study. The scenario below is a simplified, hypothetical illustration meant to show a general pattern discussed in workforce research. It does not represent an actual employer, a real data set, or a guaranteed outcome.

Employer A: Wage Increase Only

Raises hourly pay to stay competitive but leaves benefits unchanged. Job offers get accepted a little faster, but staff who feel unsupported day-to-day — especially around stress, scheduling, and family needs — continue to leave at a similar pace once hired elsewhere for comparable pay.

Employer B: Modest Wage Increase + Strengthened Benefits

Pairs a smaller wage increase with improved mental health support, clearer benefits communication, and family-friendly options. New hires accept offers at a similar rate to Employer A, but more of them stay past the critical first-year mark because the job feels sustainable, not just better-paid.

This illustrates a pattern consistently described in workforce and burnout research — that work environment and support resources correlate with retention independent of wages — not a specific measured result from any single employer.