Web Content Viewer
Actions
2019 Member Survey Results
A group of staff at a long-term care facility are having a meeting in a conference room. It is a mix of administrators and medical staff.

Survey highlights:

In 2019, the BELTSS Board conducted a survey of Ohio licensed nursing home administrators to obtain demographic information as well as information about job satisfaction, challenges, projected years to retirement, and recent job changes.  The results of that survey, including open-ended questions about challenges and needs, are found here.  BELTSS plans to do a survey every few years to monitor the changing needs and demographics of the profession.

To see the analysis of the open-ended questions on the survey, click here.  To see the rest of the analysis, select from the topics below.

Survey findings

Responses

  • 700 of 1904 for 36.8% response rate!  
  • Open for 3 weeks
  • Not designed by researcher
  • Intentionally asked 3 open ended questions that require further analysis

Gender

  • 38% female
  • 61.1% male
  • 0% fluid, non-binary
  • 0.9% prefer not to answer

Age

  • 6.7% under 30
  • 19% age 30-39
  • 22.3% age 40-49
  • 30.9% age 50-59
  • 30.1% age 60+
  • 1% prefer not to answer

Race

  • 3.6% African-American
  • 0.4% Asian
  • 1% Hispanic or Latino
  • 90.7% Caucasian
  • 0.3% American Indian
  • 0.3% Other
  • 3.7% prefer not to answer

Disability

  • 95.3% report no disability
  • 2.3% prefer not to answer
  • 2.0% have a disability and manage without accommodations
  • Less than 1% have disability accommodated by employer

Path to licensure

  • 72.3% completed AIT
  • 21.5% graduated from accredited university
  • 6.1% transferred from another state

Current job

  • 62.9% are currently in a job that requires their license
  • 5.5% unable to find job
  • 11% changed jobs within LTC
  • 4.7% not working in LTC
  • 15.4% other – AL, retired, etc.

Current role/title

  • 42.9% Administrator
  • 3.1% Assistant Admininstrator
  • 19.5% Executive Director
  • 1.2% Owner
  • 3.5% Owner/Operator
  • 2.5% Operator
  • 27.4% Other

Tenure

  • 5% Under 1 year
  • 18.5% 1-5 years
  • 17.9% 6-10 years
  • 13.1% 11-15 years
  • 14.3% 16-20 years
  • 31.3% More than 20 years

Current employment

  • 26.35% Under 1 year
  • 41% 1-5 years
  • 12.4% 6-10 years
  • 7.3% 11-15 years
  • 4.8% 16-20 years
  • 8.3% More than 20 years

LNHA of record

  • 56% of respondents are listed as administrator of record at one facility
  • 4.2% are administrator of record at 2 facilities
  • 40% chose “other” – primarily not working at LNHA or not listed as LNHA of record at any facility

Hours

  • 6% Under 30 hours
  • 10.5% 30-40 hours
  • 51.2% 41-50 hours
  • 24.9% 51-60 hours
  • 7.4% Over 60 hours

Job satisfaction

  • 40.2% Very satisfied
  • 35.1% Somewhat satisfied
  • 12.3% Neutral
  • 8.1% Somewhat dissatisfied
  • 4.4% Very dissatisfied

Job satisfaction last 12 months

  • 23.8% increased
  • 42.4% stayed the same
  • 30.3% decreased

Involuntary unemployment

  • 12.7% experienced involuntary unemployment in last two years
    • 4% ownership changes
    • 7.7% “other” – census, bad mgt, ownership change, unknown

Staying in NH administration

  • 18% Not applicable - I'm not...
  • 41.9% Yes
  • 29.7% No
  • 10.5% Not sure

Retirement

  • 20.1% 1-5 years
  • 16.7% 6-10 years
  • 18% 11-5 years
  • 16.3% 16-20 years
  • 28.9% More than 20 years

Greatest challenges

Most significant and difficult to manage

  1. Recruiting and retaining quality staff (76%)
  2. Regulatory compliance
  3. Meeting performance expectations
  4. Reimbursement rates

Routine but significant challenge

  1. Survey process
  2. Family satisfaction
  3. Consumer satisfaction
  4. Fiscal management

Routine & not particularly difficult

  1. Compensation
  2. Negative stigma of nursing homes
  3. Fiscal management
  4. Liability or risk of litigation

Easier aspects of the job

  1. Lack of adequate support from employer
  2. Compensation
  3. Consumer satisfaction
  4. Negative stigma of nursing homes

Why do you work as an LNHA?

  • Approximately 43% responded with an answer that put consumers first – making a difference, impacting lives of seniors in need, providing quality of care/life, etc.

If you could change one thing...

  • Staff – quantity, quality, wages
  • Regulation – too much oversight
  • Survey process - punitive

How to better train and support

  • Make my life easier
  • All geared toward reducing expectations of the job
  • Regulations
  • Pressure
  • Financial goals
  • Too many responsibilities

Summary

  • Profession of white men age 40-59 licensed through AIT, 62% in job that requires license
  • Majority licensed more than 16 years but in current job 1-5 years
  • Satisfaction is steady
  • 42% intend to remain in the field