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Addressing the Healthcare Staffing Crisis: Insights from a Senior Living CHRO

Addressing the Healthcare Staffing Crisis: Insights from a Senior Living CHRO

Financial Wellness
Business
Human Resources

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In the ever-evolving landscape of healthcare, particularly in the senior living sector, one challenge stands out above all others: finding and retaining quality employees.

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This insight comes directly from a recent conversation with Tommy Comer, Chief Human Resources Officer (CHRO) of Commonwealth Senior Living, who shared valuable perspectives on the current state of staffing in the industry.

 You can watch the full webinar here!

The Number One Topic in Healthcare HR

Comer emphasized the ubiquity of hiring and retention amongst healthcare providers around the country.

 

"Any conference I go to now, the number one topic is how do you find and keep employees. And senior living, it's literally the biggest problem, even more so than finding and keeping residents." - Tommy Comer, CHRO at Commonwealth Senior Living

This statement underscores a subtle but important shift in priorities for healthcare organizations. While patient care and resident satisfaction have always been paramount, the ability to maintain a stable, qualified workforce has become the linchpin for success in the industry. Without it, quality care wouldn’t have the chance to occur.

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A Universal Challenge

 The staffing crisis isn't isolated to a few organizations or regions. As our CHRO noted:

"So it's a constant topic. And I think everyone in the HR space in health care is like, what are you doing? What are you doing? What are you doing? And bouncing ideas off each other [to try to solve this problem]." 

The industry’s collective brainstorm won’t solve the issue overnight, as evidenced by the still-constant volley of ideas across peers. But healthcare HR professionals are actively seeking innovative approaches to attract and retain talent, from “big ideas” like subsidized education pathways or “easy wins” like payroll benefits and EWA.

The Quest for Effective Solutions

 While there's no silver bullet for solving the staffing crisis, Comer emphasized the importance of exploring multiple strategies:

"Look, I don't want to sugarcoat it. I'm not going to say anything we talk about today is going to cut your turnover in half. But it might be a lever that helps a percentage. And that's important."

Addressing employee retention requires a multi-faceted strategy. But even small improvements, such as supplemental benefits like EWA, can have significant impacts when dealing with large-scale staffing challenges.‍

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The Impact of Small Improvements 

Incremental improvements in retention rates can have significant impacts:

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  1. Cost Savings: Reducing turnover, even by a small percentage, can lead to substantial savings in recruitment and training costs.
  2. Improved Care Quality: A more stable workforce often translates to better continuity of care for residents and patients.
  3. Enhanced Team Dynamics: Lower turnover rates can lead to stronger team cohesion and improved workplace culture.
  4. Increased Productivity: Experienced employees are typically more efficient, leading to overall productivity gains. 

Wrapping Up

The healthcare staffing crisis, particularly in senior living, presents a complex challenge with no easy solutions. However, as Comer's insights reveal, the industry is actively engaged in finding innovative ways to attract and retain talent.

 

By implementing a combination of strategies – from financial wellness programs like earned wage access to enhanced training and development opportunities – healthcare organizations can make incremental improvements in their retention rates. While these efforts may not solve the problem overnight,they represent important steps towards building a more stable, satisfied, and effective healthcare workforce.

 

As the industry continues to evolve, staying open to new ideas and consistently prioritizing employee needs will be crucial in addressing the ongoing staffing challenges in healthcare and senior living.

See how Tapcheck stacks up

Select a competitor. Tap any row to see the details.

Category
Tapcheck
DailyPay

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tapcheckTapcheck is payroll native. Advances settle as a line-item payroll deduction with automatic reconciliation built into the payroll run. It's visible on the pay stub and in the employer's payroll register. The paycheck is never intercepted or routed through a third party.
DailyPay DailyPay operates a payroll intercept model: before any paycheck reaches an employee, DailyPay takes control of the full payroll disbursement. They hold the employee's earned wages, distribute the advance amount they've already issued, and release the remainder to the employee.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck's real-time payroll integration allows us to calculate earned wages with precision, including tax withholdings and deductions, which is why we can confidently offer employees up to 70% of net pay.
DailyPay DailyPay can offer up to 70%, but because their system doesn't calculate withholdings with the same precision, they often configure employers at 50% to hedge against overpayment risk.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck has no limit on transfers per day or per pay period, so employees access their earned wages as many times as needed.
DailyPay DailyPay limits employees to 5 transfers per day. For employees with multiple smaller financial needs across a week, this daily cap can limit how they use the benefit.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck works with any bank account, debit card, or the Tapcheck Mastercard. No direct deposit requirement and no new account needed, including for unbanked workers.
DailyPay DailyPay requires employees to have direct deposit set up to enroll, per DailyPay's own FAQ. In hospitality and QSR, 15-25% of the workforce may not have direct deposit configured, creating a meaningful enrollment barrier for the employees EWA is designed to serve.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck is an ADP Marketplace Platinum Partner with 300+ payroll and timekeeping integrations, including particular depth in mid-market and healthcare systems (Viventium, Infor, Dayforce (Ceridian), iSolved, and Paycor) where DailyPay's coverage is thin or unconfirmed.
DailyPay DailyPay claims 180+ HCM, payroll, and time management integrations, but depth is thinner in the mid-market systems where Tapcheck is strongest.
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sources
  1. DailyPay — "How DailyPay Works" and FAQ (intercept model, direct deposit requirement). dailypay.com/faq‍
  2. DailyPay — Integration count (180+). dailypay.com/integrations
  3. DailyPay — Transfer limit (5 per day). DailyPay Manager's Guide
  4. Tapcheck — 300+ payroll integrations, ADP Marketplace Platinum Partner. tapcheck.com/marketplace
Category
Tapcheck
PayActiv

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck is payroll native. Advances settle as a line-item payroll deduction with automatic reconciliation built into the payroll run. It's visible on the pay stub and in the employer's payroll register. The paycheck is never intercepted or routed through a third party.
PayActivPayActiv also uses a payroll-deduction model. However, rather than using actual payroll withholdings data, PayActiv estimates net pay as 80-90% of gross depending on the employer configuration. This estimation approach introduces overpayment risk.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck calculates access against net pay, the employee's actual take-home after taxes, up to 70% per pay period.
PayActivPayActiv estimates the accessible balance as 50% of estimated net pay, where net is approximated as 80-90% of gross rather than calculated from actual payroll data. Using their own example: an employee with $500 in gross earned wages would have an accessible balance of $225. Because the net figure is an estimate, the advance may not reflect actual take-home pay.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck offers unlimited transfers within the pay period.
PayActivPayActiv caps total EWA transfers at $500 per pay period. A single unexpected car repair can easily exceed that ceiling, leaving employees unable to access any remaining earned wages for the rest of the pay period.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck is an ADP Marketplace Platinum Partner with approximately 300 integrations, including particular depth in Infor, Viventium, iSolved, Dayforce/Ceridian, and vertical-specific healthcare, staffing, and senior living systems where PayActiv's coverage is limited.
PayActivPayActiv is an ADP Marketplace Platinum Partner and integrates with Paychex, Paycor, UKG, and SAP SuccessFactors. Strong across major enterprise payroll platforms. Mid-market and vertical-specific system depth is less documented.
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sources
  1. PayActiv — Estimated net pay methodology (80–90% of gross). payactiv.com/trust-center/compliance-handbook
  2. PayActiv — Access calculation (50% of estimated net). payactiv.com/get-started
  3. PayActiv — Transfer cap ($500 per pay period). payactiv.com/blog
  4. Tapcheck — 300+ payroll integrations, ADP Marketplace Platinum Partner. tapcheck.com/marketplace
  5. PayActiv — Integrations (ADP Marketplace Platinum Partner). payactiv.com/partnerships
Category
Tapcheck
Rain

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck is payroll native. Advances settle as a line-item payroll deduction with automatic reconciliation built into the payroll run. It's visible on the pay stub and in the employer's payroll register. The paycheck is never intercepted or routed through a third party.
RainRain uses a payroll-deduction model and fronts funds from its balance sheet, repaid at the end of the pay period. Rain calculates access on gross pay, before taxes and withholdings, which creates overpayment exposure when hours or deductions change. Employers are responsible for reconciling differences manually.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck calculates access against net pay, the employee's actual take-home after taxes, up to 70% per pay period.
RainRain calculates access against gross earned wages, before taxes and withholdings are applied. This creates real overpayment risk: when hours change, deductions vary, or an employee is terminated mid-period, the amount advanced can exceed what's actually owed on a net basis.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck is an ADP Marketplace Platinum Partner with approximately 300 integrations, including Infor, Viventium, iSolved, Dayforce/Ceridian, and vertical-specific healthcare and staffing systems where Rain's depth is thinner in mid-market.
RainRain integrates with Workday (Built on Workday, July 2025), Paylocity, ADP, UKG, Paychex, Fourth, Deputy, and Harri. Strong major-enterprise coverage, but less comprehensive in mid-market and vertical-specific systems.
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sources
  1. Rain — 50% of gross pay calculation. rainapp.com/ewa-provider-guide
  2. Tapcheck — 300+ payroll integrations, ADP Marketplace Platinum Partner. tapcheck.com/marketplace
  3. Rain — Payroll integrations. rainapp.com/integrations
Category
Tapcheck
ZayZoon

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck is payroll native. Advances settle as a line-item payroll deduction with automatic reconciliation built into the payroll run. It's visible on the pay stub and in the employer's payroll register. The paycheck is never intercepted or routed through a third party.
ZayZoon ZayZoon uses a payroll-deduction model, fronts funds from its balance sheet, and calculates access against net earned wages. However, access is capped at $1,000 per pay period regardless of what an employee has earned.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck calculates access against net pay, the employee's actual take-home after taxes, up to 70% per pay period.
ZayZoon ZayZoon calculates access at 50% of net earned wages, but applies a hard cap of $1,000 per pay period. For most full-time employees, the dollar cap is hit before the 50% ceiling.

Zero IT required. We configure everything from your existing data feeds — you enable data sharing through your platform settings and that's it. Most partners launch this way, in days, with no engineering resources.

tapcheckTapcheck is an ADP Marketplace Platinum Partner with approximately 300 direct API integrations across major enterprise payroll and HCM systems including ADP, Workday, UKG, Infor, Viventium, iSolved, and Dayforce, plus vertical-specific systems in healthcare and staffing.
ZayZoon ZayZoon has 160+ integrations, primarily through SMB payroll bureaus, PEOs, and platforms like Swipeclock and Payentry. Effective for SMB distribution, but less relevant for enterprise buyers needing direct API connections with major HCM platforms.
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sources
  1. ZayZoon — 50% of net pay, $1,000/period cap, integration count. zayzoon.com/go/paytime_payroll
  2. Tapcheck — 300+ payroll integrations, ADP Marketplace Platinum Partner. tapcheck.com/marketplace
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