Communication without accusation would be a good start.

The person I met was affable, easy to engage. It really wasn't challenging, I came away with the sense they would hire anyone.

There have been decreases in Medicare and Medicaid reimbursements but each owner of these franchises wants to maintain their current profit. As a result staff is paid less and receives less perquisites.

Value the employees. Not with gift cards but with actual cash. Do something for your field employees just not office staff at the holidays. Stop asking your employees to use personal resources to promote company profit.

Everything, I would have no idea of who any people in leadership are if I had not done my own research. No one has ever bothered to introduce themselves to staff. Nor has anyone ever called to see if anything was needed. Absolutely zero support.

There is a shortage of aides and nurses. It is difficult to find and retain quality staff. Paid time off would be a start. Make salaries competitive with long term care facilities. Offer insurance that actually provides coverage without staff having to take out a loan to pay for coverage.