February 07, 2024

Hourly Rates for ALF Nursing/Personal Care Staff Increased 5-6% in 2023

BY Josh Moore

Assisted living health care workers saw another year of healthy rate increases, albeit at a lesser degree than the near double-digit increases seen in 2021/2022. CNA hourly rates increased by 7.64% in 2021, 9.79% in 2022, and 5.69% in 2023. Turnover rates declined for the second year in a row, after peaking in 2021. CNA turnover was 46.27% in 2021; 43.84% in 2022; and 41.88% in 2023.

The national 50th percentile for CNAs was $17.94 in 2023. In a comparison of rates by state, CNAs in New Jersey received $19.73/hour; CNAs in Connecticut received $19.77/hour; and Washington CNAs ranked the highest in pay at $19.99/hour. On the lower spectrum, CNAs in South Carolina received $15.36/hour, while CNAs in Georgia received $15.00/hour. (Data reported are the national 50th percentile.) 

56.99% of participants indicated they offered sign-on bonuses to attract new employees. The average sign-on bonus for RNs was $4,454; LPNs received $3,460 on average; the average sign-on bonus for Certified Nurse Aides (CNAs) was $2,218.

The Assisted Living Salary & Benefits Report covers 20 management and 30 non-management positions. 961 assisted living communities participated in the study and provided data for over 63,400 employees. The report includes data from ALFs, PCFs, and RCFs. Data are reported according to for-profit and nonprofit status, revenue size, unit-size, state, CBSA, and geographic region. Also covered are 19 fringe benefits and projected salary increases for 2024. Data are effective as of October 2023.

The latest Assisted Living Report is available at a discounted rate of $300 for LeadingAge members ($375 for non-members).

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Visit the HCS website at www.hhcsinc.com or call (201) 405-0075.