Top 10 skilled nursing facilities by housekeeping salary expenses

Skilled nursing facilities (SNFs) are inpatient rehabilitative and medical treatment centers. Patients are generally admitted to an SNF following surgery or treatment for an injury or acute illness if supervision by nurses and therapists is needed.

Older adults and people living with disabilities or chronic conditions may also be admitted to a skilled nursing facility if they are unable to perform certain activities of daily living, such as bathing, dressing, and getting into or out of a bed.

Definitive Healthcare tracks more than 20,000 skilled nursing facilities across the U.S. In the list below, we used LongTermCareView to rank the top 10 SNF corporations with the highest housekeeping salary expenses. This metric describes the amount of money a facility spends on housekeeping employees’ salaries. A higher number could indicate that a facility operates in a high-wage area, employs more housekeepers than other SNFs, or employs more highly trained or specialized employees (or all three!).

Insights into how much an SNF spends on housekeeper salaries can be useful for staffing and recruiting agencies, facility management services providers, cleaning products suppliers, and other organizations as they develop growth plans and make strategic decisions.

Skilled nursing facility corporations with the highest housekeeping salary expenses

Skilled Nursing Facility State Definitive ID # of Staffed Beds Housekeeping Salaries Total Salaries Total Operating Expenses
LCS (AKA Life Care Services) IA 581987 10,973 $53,807,453 $657,215,562 $1,876,744,567
Life Care Centers of America TN 582066 25,874 $43,908,795 $1,037,127,631 $2,058,763,534
The Ensign Group CA 581975 24,742 $42,820,149 $1,156,382,219 $2,211,300,820
Genesis HealthCare PA 582194 24,321 $42,246,751 $816,013,469 $2,434,133,662
ProMedica Senior Care (FKA HCR ManorCare) OH 582043 21,421 $32,671,999 $840,904,460 $2,081,978,718
Pruitt Health GA 582207 10,109 $29,882,339 $341,173,849 $881,270,637
Trilogy Health Services LLC KY 582145 12,713 $28,426,769 $412,006,818 $977,827,007
Centers Health Care NY 582428 8,092 $27,602,156 $329,240,546 $1,050,304,740
Consulate Health Care FL 582195 14,399 $23,271,077 $411,256,510 $1,232,425,121
Providence Administrative Consulting Services - PACS (AKA Providence Group) UT 849843 10,413 $23,076,719 $502,508,638 $1,175,210,850

Fig 1. Data is from Definitive Healthcare’s LongTermCareView product. Data is accurate as of August 2022.

Life Care Services (LCS), located in Iowa, has the highest housekeeping salary expense at $53,807,453. This may be because it is a large health network with 81 member SNFs, the majority of which are clustered in high-population states such as California, New York, Florida, and Pennsylvania. These four states also have a higher cost of living than most other states in the country, which may contribute to LCS having a higher housekeeping salary expense.

In second is Life Care Centers of America in Tennessee with $43,908,795. The Ensign Group ranks third with a housekeeping salary expense of $42,820,149.

It’s likely that network size isn’t a strong indicator of housekeeping salary expense. Life Care Centers of America and The Ensign Group both operate larger networks than LCS, with 208 and 231 member SNFs respectively. In fact, LCS is only the sixth largest network on our list. This may mean that the number of staffed beds is a stronger indicator of a skilled nursing facility’s housekeeping salary expenses.

The average housekeeping salary expense calculated from the top 10 skilled nursing facilities is about $34,668,780. When accounting for all facilities Definitive Healthcare tracks, the average skilled nursing facility spends $404,558 on salaries for all of its employed housekeepers.

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