Despite growing demand for long-term care, the industry struggles with labor shortages, and experts worry about whether there will be enough workers in the future to care for America’s aging population.
This week’s Insider Deals are so good you’ll want all of themCulix Wibonele poses for a portrait on Monday, April 29, 2024, in Lawrenceville, Ga. Wibonele is a certified nursing assistant working in long-term care. Originally from Kenya, Wibonele worked as a certified nursing assistant in Atlanta in 2014. She went to the homes of mostly older clients, helping them with everything from bathing to cooking. Wibonele worked alone and sometimes had to lift clients much bigger than her.
“It’s a national problem, and it’s everywhere,” said Dr. Stephen Crystal, director of the Rutgers Center for Health Services Research. “Almost everybody is understaffed.”The industry has dealt with labor shortages and high turnover for years, problems that were made more acute during the COVID-19 pandemic.
Noelle Kovaleski, administrator of the Carbondale Nursing and Rehabilitation Center in Pennsylvania, said the biggest challenge in hiring is the lack of candidates. One nurse supervisor position at her facility went unanswered after being posted on a leading job site for two years.Workers pass on these jobs for many reasons, including poor compensation and a competitive labor market. Nurses, for instance, can earn more working at hospitals than nursing homes, Bonner said.
"My circumstance right now, I have one caregiver. That’s a very fragile position to be in. I’m not alone in that,” Gardner said. Experts point to funding as a reason wages are low. Medicaid is the primary payer of long-term care services, but many stakeholders argue Medicaid reimbursement rates are insufficient to properly compensate workers.
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