My biggest issue in the way of retainment is Temp Agencies!
I cannot compete with what they pay. Although, they do not provide the stability that a facility does.
We have just implemented a corportate policy that any staff that leave us for the agency are not allowed to work at the facility in the capacity of agency staff. That has helped a bit. The staff were thinking that they would get done, take a job for more money and then sign up to work at the facility, where they already know the routine, etc. When they find out that this is not going to happen, it does make them think.
We pay one of the highest rates in the area for LTC... both CNA and licensed staff, yet we still rely quite a bit on agency use. It is such a major expense. We are looking at somehow starting our own agency within our company... not quite sure how it will work, but it may provide us some way of capping the rates that the agency charges us. Who knows?? Will keep you updated.
We have a great "Service Excellence" program in place, as well. That makes a difference. Each department has established a set of values and standards, which are reviewed frequently and give some guidelines as to expectations. It also provides a way for staff to "thank" each other for what is done. They make out "Service Excellence" cards... they are posted for all to see in the hallway coming into the facility. At the end of each month we tally the cards and give away a gift certificate to the one with the most or the most impressive recognition. I also review attendance before every monthly staff meeting. Those who have not missed any time, get placed into a drawing for movie tickets, gift certificates, prizes, etc. This is a fun way to recognize good attendance. I also read the list of names in the drawing so that everyone gets recognized, even if they do not win a prize.
So... any other ideas?? Would be glad to hear them.