Pay Check.Contemporary's 1999 nursing and administrative salary survey Reduced reimbursement Reimbursement Payment made to someone for out-of-pocket expenses has incurred. coupled with increased regulatory scrutiny in the nursing home business. Greater competition in the assisted living as·sist·ed living n. A living arrangement in which people with special needs, especially older people with disabilities, reside in a facility that provides help with everyday tasks such as bathing, dressing, and taking medication. sector. These developments make one thing perfectly clear: Long term care employees, from administrators to nursing assistants, are under unprecedented pressure to perform. In a perfect world, compensation would rise with the challenges. But contemporary's 1999 administrative and nursing salary survey reveals only a slight increase in pay for management types like admins and DONs, and virtually no increase for direct-care employees. And industry representatives, consultants, recruiters, and others are not happy about it. Karen Karen Any member of a variety of tribal peoples of southern Myanmar (Burma). Constituting the second largest minority in Myanmar, the Karen are not a unitary group in any ethnic sense, as they differ among themselves linguistically, religiously, and economically. Tucker, president and CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. of the American College American College is the name of:
adj. 1. Affected by or full of woe; mournful. 2. Causing or involving woe. 3. Deplorably bad or wretched: inadequate given the "complexities of the role and the ever-increasing demands." Tucker also notes that salaries are significantly lower than that of hospital administrators "but the demands are greater and the job more complex given regulations and licensure licensure (lī´s  nsh requirements."But Ken Cohen cohen or kohen (Hebrew: “priest”) Jewish priest descended from Zadok (a descendant of Aaron), priest at the First Temple of Jerusalem. The biblical priesthood was hereditary and male. , president of Synergy The enhanced result of two or more people, groups or organizations working together. In other words, one and one equals three! It comes from the Greek "synergia," which means joint work and cooperative action. Organization, a Bensalem, Pennsylvania Pennsylvania (pĕnsəlvā`nyə), one of the Middle Atlantic states of the United States. It is bordered by New Jersey, across the Delaware River (E), Delaware (SE), Maryland (S), West Virginia (SW), Ohio (W), and Lake Erie and New York , executive search firm, sees things changing. "Organizations are becoming increasingly interested in hiring the right person and understand that it may cost them a little more, but that, ultimately, they'll save a lot of money. "It's becoming more of a seller's market for good admins because a good one is hard to find," continues Cohen. "A lot of organizations want someone who can raise quality of care, improve cost efficiencies, help to market services, and handle a lot of internal issues. They're raising the bar in terms of the standards they're setting, and you can't do that without raising the caliber of the people you bring in." DONs also are getting more respect. "An executive director told me the DON should get paid more than the administrator because she really controls the pulse of the organization--the quality of a facility is defined by its nursing care," says Cohen. DONs who have worked with prospective payment are commanding higher salaries. "Our clients want PPS (Packets Per Second) The measurement of activity in a local area network (LAN). In LANs such as Ethernet, Token Ring and FDDI, as well as the Internet, data is broken up and transmitted in packets (frames), each with a source and destination address. experience and are willing to pay more for it," says Steffani Lane, vice president of Management Recruiters of Scottsdale, Arizona Scottsdale (O'odham Vaṣai S-vaṣonĭ) is a city in Maricopa County, Arizona, United States, adjacent to Phoenix. Scottsdale has become internationally recognized as a premier and posh tourist destination, while maintaining its own identity and culture as " . Lane also notes that PPS-related pressures are making it more of a seller's market. "Turnover is at an all-time high. It's hard to get good people and money can be a motivating factor. Also, employees are offering to stay if they get more money." Susanne Matthiesen, program director for the Wertleib Educational Institute for Long Term Care Management at George Washington University George Washington University, at Washington, D.C.; coeducational; chartered 1821 as Columbian College (one of the first nonsectarian colleges), opened 1822, became a university in 1873, renamed 1904. , has also observed that "nurses who are more familiar with MDS MDS, n See temporomandibular pain-dysfunction syndrome. MDS 1 Maternal deprivation syndrome, see there 2 Myelodysplastic syndrome, see there have the upper hand in negotiating salary because they have a skill that's in demand." Matthiesen also notes that graduating students seem to be "making a little bit more in assisted living, in CCRCs, and in the northeast region. I've also heard that Alzheimer's facilities pay better." However, she adds, "We haven't noticed any major changes in the benefits area--we'd love to see more tuition For tuition fees in the United Kingdom, see . Tuition means instruction, teaching or a fee charged for educational instruction especially at a formal institution of learning or by a private tutor usually in the form of one-to-one tuition. benefits." Assisted living providers also pay for administrative experience, although their definition of experience ranges more widely. "Some people in assisted living will only look at someone with assisted living background," says Lane, "Others will consider someone with a nursing background, a hospitality background, or just someone with strong managerial skills who can deal with people." Experience with Alzheimer's care is also a good bargaining chip bar·gain·ing chip n. Something, especially an inducement or concession, used as leverage in negotiations: "A bargaining chip is ultimately worthless if you're not willing to bargain it away" , says Lane. "I have clients that focus on Alzheimer's and are looking for Looking for In the context of general equities, this describing a buy interest in which a dealer is asked to offer stock, often involving a capital commitment. Antithesis of in touch with. people with that expertise, and they're fewer and farther between than the run-of-the-mill admin." If so, front-line employees with Alzheimer's experience are not sharing in the bounty bounty, payment made by a government bounty, amount paid by a government for the achievement of certain economic or other goals. It often takes the form of a premium paid for the increased production or export of certain goods. . "We've done focus groups with CNAs and the low pay is and continues to be a concern" says Marlene Mahn, residential care specialist at the Alzheimer's Association The Alzheimer's Association, incorportated on April 10, 1980 as the Alzheimer’s Disease and Related Disorders Association, Inc., is a non-profit American voluntary health organization which focuses on care, support and research for Alzheimer's disease. . In the assisted living industry, increased competition, especially in smaller markets, could lead to escalation es·ca·late v. es·ca·lat·ed, es·ca·lat·ing, es·ca·lates v.tr. To increase, enlarge, or intensify: escalated the hostilities in the Persian Gulf. v.intr. in labor costs, notes Raymond James  This article or section is written like an .Please help [ rewrite this article] from a neutral point of view. Mark blatant advertising for , using . analyst James Kumpel. But only to a point. "Because the rural assisted living model is premised on low cost and low revenues per bed, if labor costs start spiraling out of control, effectively that model is shot." Some states have raised Medicaid Medicaid, national health insurance program in the United States for low-income persons; established in 1965 with passage of the Social Security Amendments and now run by the Centers for Medicare and Medicaid Services. rates in order to increase salaries. One is Minnesota. Darrell Shreve, director of research and regulations for Minnesota Health and Housing Alliance, the Minnesota affiliate of AAHSA AAHSA American Association of Homes and Services for the Aging (formerly American Association of Homes for the Aging, AAHA) , says last year 23 percent of its member facilities stopped admitting residents because they didn't have the staff to take care of . them--and they didn't have the staff because they couldn't keep them at the prevailing wages A prevailing wage is the median wage paid to workers in a specified locality. Scope Prevailing wage may include both wages and benefits. It incompasses the compensation for a worker given for performed labor. . Medicaid came through with an increase in rates, the lion's share of which will go to providing better wages and benefits to nursing staff, where the greatest shortages are, says Shreve. Methodology Survey forms were sent to a representative sample, drawn from Contemporary's readership read·er·ship n. 1. The readers of a publication considered as a group. 2. Chiefly British The office of a reader at a university. database, of 3,009 administrators at facilities that provide skilled nursing and/or assisted living care. It yielded a response rate of 13.4 percent. Of these 398 responses, 365 were usable USable is a special idea contest to transfer US American ideas into practice in Germany. USable is initiated by the German Körber-Stiftung (foundation Körber). It is doted with 150,000 Euro and awarded every two years. . Respondents In the context of marketing research, a representative sample drawn from a larger population of people from whom information is collected and used to develop or confirm marketing strategy. who listed themselves as either administrator or executive director were counted as administrators. Those whose facilities provide more than one type of care were grouped according to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. their primary responsibility. The salaries listed under "nursing" are for freestanding free·stand·ing adj. Standing or operating independently of anything else: a freestanding bell tower; a freestanding maternity clinic. nursing facilities only. Overall averages include respondents who work in hospital-based SNFs as well. The results were tabulated by Philadelphia-based Hamlyn Senior Marketing.
The national average
Average wages for all administrative and nursing staff, irrespective of
facility type.
In thousands
Administrator $55,081
Assistant administrator $33,970
DON $46,387
Assistant DON $38,416
Dollars per hour
RN supervisor $17.36
Charge nurse $15.12
Case manager $17.03
LPN $12.70
Nursing assistant $7.51
The national average by sector Assisted living facilities pay administrators better than nursing facilities do, but salaries for nursing staff are less generous, reflecting their lesser responsibilities. When it comes to LPNs and nursing assistants, there's little difference in salary among the sectors.
Nursing Assisted living
In thousands
Administrator $59,031 $42,423
Assistant administrator $37,765 $25,964
DON $47,598 $37,040
Assistant DON $38,687 $33,345
Return of the raise In 1997, 21 percent of the admins and 24 percent of DONs who responded to our survey got no raises. In 1998, that number dropped to 17 percent for administrators and plummeted to 8 percent for DONs. 4-5% raise (27%) 1-3% raise (34%) No raise (17%) No response (7%) Over 10% raise (3%) 8-10% raise (5%) 6-7% raise (7%) 4-5% raise (28%) 1-3% raise (32%) No raise (8%) No response (20%) Over 8% raise (3%) 6-7% raise (5%) Bed counts count If you're an administrator or an assistant administrator, a DON or an Assistant DON, the more beds under your command, the more you are compensated. Facility size doesn't seem to be a factor for other nursing positions, however.
Nursing
Job title 1-49 50-99 100-199 200+
Administrator $43,167 $54,377 $61,443 $79,950
Asst. admin N/A $34,074 $36,464 $45,164
DON $39,770 $45,133 $49,036 $57,553
Asst. DON $32,841 $36,105 $39,569 $44,649
Case manager $15.00 $16.00 $18.00 $18.00
RN supervisor $16.00 $17.00 $17.00 $19.00
Charge nurse $16.00 $15.00 $15.00 $17.00
LPN $13.00 $12.00 $13.00 $14.00
Nursing assistant $7.00 $7.00 $8.00 $8.00
Assisted living
Job title 1-49 50-99 100-199 200+
Administrator $32,106 546,376 $54,400 $68,850
Asst. admin $18,434 $26,500 $30,483 $72,000
DON $28,075 $41,333 $37,278 $48,750
Asst. DON $22,720 $30,250 $34,288 $38,522
Case manager $12.00 $16.00 $16.00 $20.00
RN supervisor $15.00 $16.00 $16.00 $17.00
Charge nurse $12.00 $13.00 $15.00 $13.00
LPN $11.00 $14.00 $13.00 $13.00
Nursing assistant $7.00 $7.00 $7.00 $8.00
Benefits The chart shows the percentage of administrators who received each of the listed benefits in 1998. Five percent more had 401(k) plans or received bonuses for meeting annual budget goals than did in the prior year. But 5 percent fewer reported receiving pension plans in 1998 than in 1997. Health care insurance 86% 401(k) plan 55% Disability insurance 50% Bonus meeting annual budget 36% Pension plan 30% Life insurance 3% Dental insurance 2% 403B 2% Company car 2% Administrator experience On average, the upside Upside The potential dollar amount by which the market or a stock could rise. Notes: This is basically an educated guess on how high a stock could go in the near future. See also: Bull, Downside salary-wise is better in nursing than in assisted living when it comes to years of experience. Years of Assisted experience Nursing living 1-5 $49,383 $35,948 6-10 $60,576 $42,954 11-15 $58,093 $44,929 16-20 $58,427 $42,756 More than 20 $65,567 $48,581 Rupees by region West Coast numbers were higher than those from the Northeast in most job categories, and the South Atlantic was, again, one of the top three regions.
North South South
Job title Northeast West Central Central Atlantic
Nursing
Administrator $61,450 $65,046 $54,777 $60,153 $62,200
Asst. admin $40,064 $29,100 $39,067 $31,700 $42,800
DON $49,091 $54,449 $43,857 $46,469 $51,715
Asst. DON $42,356 $44,666 $36,102 $36,889 $41,129
Case manager $18.00 $19.00 $17.00 $15.00 $16.00
RN supervisor $18.00 $19.00 $16.00 $18.00 $18.00
Charge nurse $16.00 $17.00 $15.00 $13.00 $16.00
LPN $13.00 $14.00 $12.00 $11.00 $13.00
Nursing assistant $8.00 $8.00 $8.00 $7.00
Assisted living
Administrator $35,690 $43,087 $44,184 $35,871 $46,901
Asst. admin $30,837 $25,780 $13,500 $20,125 $27,464
DON $30,426 $35,250 $37,862 $23,750 $42,818
Asst. DON N/A $31,612 $38,840 $15,400 $35,522
Case manager $15.00 N/A $17.00 N/A N/A
RN supervisor $14.00 $16.00 $17.00 N/A $16.00
Charge nurse $15.00 $12.00 $12.00 N/A $14.00
LPN $12.00 $11.00 $12.00 $13.00 $13.00
Nursing assistant $7.00 $8.00 $7.00 $7.00 $7.00
Revenue roundup
Gross revenues are the best predictors of salary.
Under $599k - $2m -
Job title $500k $1.9M $3.9m $4m+
Administrator $36,780 $47,106 $55,682 $69,639
Asst. admin $23,013 $30,080 $40,968 $39,712
DON $40,071 $40,078 $46,151 $52,839
Asst. DON $33,751 $34,074 $38,128 $40,990
Case manager $16.00 $14.62 $17.04 $17.23
RN Supervisor $16.62 $16.09 $17.41 $17.76
Charge nurse $13.31 $13.96 $15.32 $15.55
LPN $12.18 $12.16 $12.57 $13.09
Nursing assistant $7.07 $7.18 $7.55 $7.78
Chain versus independent Assisted living chains pay their admins better than the mom-and-pops do. But in most cases, whether you work for a chain or an independent operator makes no difference.
Nursing Assisted living
Job title Chain Indie Chain Indie
Administrator $59,983 $58,684 $49,795 $40,140
Asst. admin $38,095 $37,618 $28,450 $25,379
DON $49,254 $46,651 $36,300 $39,225
Asst. DON $40,197 $37,210 $29,335 $36,018
Case mgr. $18.00 $16.00 $16.00 $16.00
RN supervisor $18.00 $17.00 $15.00 $16.00
Charge nurse $15.00 $15.00 $13.00 $14.00
LPN $13.00 $13.00 $12.00 $12.00
Nursing asst. $8.00 $8.00 $7.00 $7.00
Admin gender gap If you're an administrator, whether you work for a nursing facility or an assisted living community, you'll make between $15,000. and $20,00 more on average if you're a man.
Male admin Female admin
Standalone nursing $71,320 $53,852
Assisted living $57,625 $37,800
Lucre LUCRE. Gain, profit. Cl. des Lois Rom. h.t. by location It's pretty much of a horse race between urban and suburban locales when it comes to salary, but rural facilities pay considerably less until you hit nursing assistants. Nursing Job title Urban Suburban Rural Administrator $64,778 $65,343 $52,614 Asst. admin $37,250 $42,345 $34,241 DON $52,657 $52,779 $42,603 Asst. DON $43,027 $42,123 $34,429 Case manager $19.00 $19.00 $14.00 BN supervisor $19.00 $19.00 $16.00 Charge nurse $17.00 $17.00 $14.00 LPN $14.00 $14.00 $12.00 Nursing asst. $8.00 $8.00 $7.00 Assisted living Administrator $47,091 $43,211 $32,955 Asst. admin $27,793 $28,686 $20,350 DON $41,600 $34,765 $32,426 Asst. DON $43,667 $32,521 $8,000 Case manager $14.00 $14.00 $18.00 RN supervisor $16.00 $16.00 $15.00 Charge nurse $15.00 $13.00 $11.00 LPN $14.00 $12.00 $12.00 Nursing asst. $7.00 $7.00 $7.00 |
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