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Positive Outcomes of Culture Change


Early to Mid-Implementation Signs of Organizational Impact: Increased levels of occupancy; Increased percentage of private pay census; Reduction in the use of agency staff; increases to operating margins; Waitlists for residents; Reduction in turnover of leadership team; Reduction in turnover of front-line staff; Strengthening of outside community support and volunteers.

Adopter homes have a statistically significant higher occupancy rate (longitudinally – suggesting consistency) than the national average.

  • The red line represents that early adopters (sustained for 9 years or more) maintain, on average, occupancy rates 9 points higher than the national average. With a 100 bed assumption and private pay rates, 9 occupancy points equates to $719,415 in potential additional revenue (based on the 2009 MetLife Nursing Home Survey equating private pay rates to $79,935 a year). 

  • The green line represents mid stage adopters implementing for 5 years or less. Occupancy has consistently been rising for this group post-implementation.  An increase of occupancy by 3 points (with the 100 bed private pay assumption) equates to an additional $239,805 in potential yearly revenue for this group of homes.

Case studies confirm these findings:


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