HR for Nursing Homes & Assisted Living

Regulated workforce. No HR staff. We were built for you.

Helpside handles payroll, benefits, and employment compliance for nursing homes and assisted living facilities so administrators can focus on residents, not paperwork.

75–86%Retention in this industry
35+Years serving care facilities
ESACAccredited & Certified
Free • No Obligation

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ESAC AccreditedPEO Industry Standard
Certified PEOIRS Certification
35+ YearsServing Small Business
Named HR PartnerReal person. Direct line.
42%

CNA turnover in nursing homes (2025)

Source: AHCA / Hospital & Healthcare Compensation Service
87%

of assisted living facilities report difficulty hiring

Source: The Senior List, 2026
63%

of assisted living facilities face a staff shortage

Source: The Senior List, 2026
Why Care Facilities Choose Helpside

Running a care facility is hard enough. HR administration should not add to it.

Most nursing homes and assisted living facilities do not have a dedicated HR department. That gap does not make the compliance obligations go away.

Caregiver turnover is your biggest cost

CNA and direct care staff turnover exceeds 40% annually in nursing homes. Competitive benefits are one of the most effective tools to retain the people who provide care every day.

Shift-based payroll and compliance are not simple

Multiple shifts, varying pay rates across staff classifications, state wage requirements, and CMS reporting obligations create payroll complexity that most small facilities were never built to manage internally.

The administrator is also the HR department

In most facilities with 10 to 75 employees, HR administration lands on whoever has time for it. Benefits enrollment, workers' comp claims, leave requests, and onboarding paperwork all compete with the actual job of running the facility.

Client Testimonial
“We're not experts in HR benefit packages. It's the last thing we need to be worried about. We need to be focused on our core business. They're on it.”
Kami HowardZyto Corp — Wellness Technology
Mountain Springs Family Practice

"I have used Helpside for years for my payroll needs, but they have helped in so many other ways. From questions about HR issues, to drug testing, to help with gathering information for PPP loans and ERC credit, they have been so easy to work with. They do so much more than payroll."

Dr. Robert Durrans — Mountain Springs Family Practice
What Helpside Handles for Care Facilities

Everything your facility needs. Nothing you have to manage.

01

Payroll: every shift, every classification

Accurate payroll for CNAs, RNs, LPNs, medication aides, dining, housekeeping, and administrative staff across multiple shifts and pay structures.

  • Shift differentials and overtime handled correctly
  • Tax filings across all applicable states
  • Same-day issue resolution with a real person
02

Benefits: competitive enough to retain caregivers

Access group health, dental, vision, and 401(k) plan options at rates that reflect a pooled group far larger than any single facility could negotiate alone.

  • Medical, dental, vision through national carriers
  • Exclusive plan options not available through brokers
  • Annual benefits audit to confirm you are not overpaying
03

HR Compliance: regulated workforce covered

Employment law monitoring, handbook drafting and review, leave policy administration, and workers' comp support for care facility staff.

  • State-specific wage and hour compliance
  • I-9, notice, and poster compliance for all staff
  • Accommodation and leave interaction guidance
04

HR Support: a real person, not a ticket queue

Every Helpside client has a named HR partner. When a compliance question comes up at 4pm on a Friday, you call your person. They answer.

  • Dedicated HR rep who knows your facility
  • Termination, discipline, and leave guidance
  • Onboarding support for every new hire
No Obligation

See if Helpside is the right fit for your facility

A 20-minute discovery call covers your current payroll and benefits setup, where the compliance gaps typically are for facilities your size, and what partnering with Helpside would cost.

  • Payroll and benefits review
  • Compliance gap assessment
  • Clear cost breakdown
  • No obligation to proceed
See Helpside in Action

What HR support actually looks like for a care facility

Nursing homes and assisted living facilities operate under some of the most complex workforce requirements of any small business. Helpside was built for exactly this situation: a regulated workforce, no dedicated HR staff, and an administrator who needs an expert on call.

75–86%Client retention in this industry
35+Years serving care facilities
Why Care Facilities Stay with Helpside

Numbers that matter to a facility administrator

75–86%

of our nursing and assisted living clients renew every year

Among the highest retention of any industry we serve.

A real person answers every call

Every Helpside client has a named HR partner. Not a support queue. Not a chatbot. When an employee relations issue comes up mid-shift, you call your person.

35+ years means fewer surprises

We have seen the employment issues that blindside smaller care facilities. Institutional knowledge is a real advantage when a compliance question needs an answer before the next inspection.

Common Questions

Questions administrators ask before making a change

Does a nursing home or assisted living facility need a PEO?

Yes. Care facilities often have complex payroll requirements across multiple shifts and staff classifications, high caregiver turnover, and no dedicated HR department. A PEO like Helpside handles payroll, benefits, and HR compliance so facility administrators can focus on resident care rather than employment administration.

How does a PEO help with caregiver retention?

A PEO provides access to competitive group health, dental, vision, and retirement benefits at rates a standalone facility could not typically negotiate independently. Because Helpside pools employees across all client businesses, even a 20-person assisted living facility can offer the same caliber of benefits as a much larger organization. Competitive benefits are one of the most effective tools for retaining CNAs, RNs, and direct care staff in a high-turnover industry.

Can a PEO handle shift-based payroll for nursing staff?

Yes. Helpside handles payroll for CNAs, RNs, LPNs, medication aides, dining, housekeeping, and administrative staff across multiple shifts, pay rates, and staff classifications. Shift differentials and overtime are calculated correctly, and all tax filings are handled on time.

What HR compliance issues are specific to nursing homes and assisted living facilities?

Care facilities face state-specific wage and hour requirements, mandatory notice and poster obligations, leave policy administration for a large frontline workforce, and workers compensation for caregiving roles. A PEO monitors these compliance requirements and updates policies as regulations change, so administrators are not tracking every change independently.

How is a PEO different from a staffing agency?

A staffing agency places temporary or contract workers. A PEO manages HR administration for a facility's existing employees under a co-employment structure. Helpside does not place staff. It handles payroll, benefits, HR compliance, and workers compensation for the people the facility has already hired.

Can a small assisted living facility use a PEO?

Yes. Facilities with 10 to 100 employees typically benefit most from a PEO relationship. Smaller facilities gain access to group health plan pricing and HR compliance support that would otherwise require significant internal infrastructure to build independently.

Ready to get HR off your plate?

Get a free consultation. No obligation, no hard pitch. Just a clear picture of what Helpside would cost and what your facility would save.