Helpside handles payroll, benefits, and employment compliance for nursing homes and assisted living facilities so administrators can focus on residents, not paperwork.
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CNA turnover in nursing homes (2025)
Source: AHCA / Hospital & Healthcare Compensation Serviceof assisted living facilities report difficulty hiring
Source: The Senior List, 2026of assisted living facilities face a staff shortage
Source: The Senior List, 2026Most nursing homes and assisted living facilities do not have a dedicated HR department. That gap does not make the compliance obligations go away.
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.
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.
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.
“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
"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 PracticeAccurate payroll for CNAs, RNs, LPNs, medication aides, dining, housekeeping, and administrative staff across multiple shifts and pay structures.
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.
Employment law monitoring, handbook drafting and review, leave policy administration, and workers' comp support for care facility staff.
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.
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.
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.
of our nursing and assisted living clients renew every year
Among the highest retention of any industry we serve.
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.
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.
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.
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.
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.
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.
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.
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.
Get a free consultation. No obligation, no hard pitch. Just a clear picture of what Helpside would cost and what your facility would save.