Take a look at your online reviews.
Vet your prospective workers thoroughly.
Leadership team talks a good game but they need to actually lead and pitch in when employees are struggling on the floor.
Management has to get away from hiring people just to have a body count. They are not recruiting the best people for the important work of caring for the elderly.
Holiday Retirement has not kept up with raises, never mind bonuses, for lower echelons. For all the many hats an employee has to wear a starting salary of $15 an hour would be fair.