While DON salary increases saw a notable uptick (4.07% in 2025 compared to 3.53% in 2024), other key nursing roles experienced moderate increases when compared to the previous year. Registered Nurse (RN) rates increased by 3.59% in 2025, a decrease from the 5.28% increase observed in 2024. Similarly, Certified Nurse Aides (CNAs) received an average hourly increase of 3.96%, down from a 5.03% increase last year.

Sign-on bonuses continue to be used to attract new staff, with 55.70% of respondents reporting they currently offer sign-on bonuses, though the average dollar amounts are slowly decreasing. The average sign-on bonus for DONs decreased from $7,886 in 2024 to $7,164 in 2025; RN sign-on bonuses decreased from $5,134 in 2024 to $4,933 in 2025; and CNAs dropped slightly to $2,053 from $2,107 last year.

528 CCRCs participated and provided compensation data on more than 90,170 employees, covering 47 management and 55 nonmanagement positions. 80.11% of study participants were not-for-profit facilities; 63.12% of not-for-profit respondents were religiously affiliated. The effective date of study data is March 1, 2025. Findings are reported according to revenue size, total unit size, region, state, and CBSA. The Report also includes 19 fringe benefits, turnover rates by department, shift differentials, and projected salary increases by department for 2025 to 2026.

The latest CCRC Report is available at a discounted rate of $325 for LeadingAge members ($400 for non-members).

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