Workforce Solutions

The way that aging services employees view their jobs and employers has changed in recent years. Although compensation and benefits are still a top priority, employees are looking for employers that offer meaningful work, values alignment, workplace flexibility, and a respectful and supportive culture. HDG can help organizations emerge stronger than ever through a variety of Workforce Solutions strategies and tactics. With decades of experience as senior living and care community owners, operators, and consultants, our team implements proven people and culture processes that help optimize your workforce and drive operational success.

Interim Leadership and Permanent Placement

Leadership recruitment and retention are among the biggest challenges that senior services providers face today. Due to a variety of factors from competition, demographics, and burn-out, it is a challenge for organizations to ensure there are stable leaders in place. Through our interim leadership and permanent placement services, HDG can help you fill your open positions with the right person for your organization.

Interim Services

As managers and consultants in senior living, post-acute, and long-term care, HDG fully understands the staffing challenges that senior care organizations face every day. Our skilled recruiters can help you fill your open leadership positions with the right person, right away. We have highly experienced interim professionals, backed by the support of our operations and consulting leadership teams, ready to join your organization as soon as the need arises.

Permanent Placement

The challenge of finding strong, experienced, and stable leadership is growing. Our team takes time to fully understand your organization’s mission, culture, goals, and leadership needs before embarking on an executive search. HDG’s executive recruiters combine networking, market research, and technology, while drawing from a broad network of contacts, most of whom are not available through typical recruiting processes, to find the right fit for your organization.

Workforce Strategy Development

An organization’s overall mission and strategy establishes the framework for all human resources strategies. Upon developing or assessing the organization’s strategic plan, HDG can assist with developing a detailed workforce strategy.

Culture and Values Assessment

A strong culture is foundational to attracting and retaining high-quality, customer-focused team members. HDG’s culture and values assessment includes an internal and external audit to gather a clear understanding of employees, customers, and the current marketplace. We can also establish or revise the organization’s mission, vision, and values to align with overall strategy.

Organizational Redesign

Having the right roles, reporting, and accountabilities are essential to drive efficiencies. HDG can assess your organizational structure – and if necessary – redesign your organizational chart to ensure reporting and departmental relationships support your goals, priorities, decision making, and strategic plan.

Talent Optimization

Organizations are only as strong as their people. Having the right people in the right seat leads to higher engagement and productivity. HDG can help optimize your talent through validated, data-driven assessments to ensure talent selection and development practices improve performance and align with your strategic goals.

Workforce Assessment

HDG can conduct a workforce assessment to determine future workforce needs, identify the gap between the available workforce and future needs, and implement solutions so an organization can accomplish its mission, goals, and strategic plan.

Selection Tools

HDG can conduct pre-employment assessments using the Predictive Index (PI) or Outmatch to assist in selecting the best person for the job and managing people to their natural strengths. Additionally, we can develop interview guides that probe the specific gaps between candidates and job requirements utilizing PI tools.

Onboarding and Orientation Process

A welcoming onboarding and orientation experience is key to engaging and retaining your new employees. We can assist your organization with developing a plan to address the 4 Cs of onboarding to include compliance, clarification, culture, and connection.

Labor Management

Labor management is how employers strategically allocate people and resources, track attendance, and comply with constantly changing workplace laws and regulations to optimize productivity and reduce risk. Medicare cost reports reveal that more than 50% of total operating expenses are spent on labor including salaries, benefits, and contract labor in skilled nursing alone. Our assessment may include a review of the following:

  • Internal timecards, employees’ schedules, hiring and turnover reports, agency/contract labor use, and other labor management reports.
  • External reports, such as payroll-based journal submission to reconcile internal and external information.
  • Recruiting and onboarding processes for engagement and efficiencies.
  • Full-time equivalents (FTE) and per patient day (PPD) data that is used to adapt staffing patterns based on occupancy/census.
  • Organization’s labor environment to include an analysis of competitors, labor resources, and potential partners for workforce development.

Upon completion of the assessment, HDG will develop a labor management plan that can be utilized to establish effective staffing levels, resulting in improved employee relations, enhanced customer service, and a reduction and/or elimination of contract labor.

Leadership and Professional Development

Leadership and professional development expand the capacity of individuals to perform in leadership roles within an organization. Leaders are responsible for the execution of an organization’s strategy through building alignment, inspiring and influencing their team, and growing team members’ capabilities. When leaders are focused on helping others succeed and grow, the organization benefits from improved communication and collaboration, leading to increased employee engagement, productivity, and profitability. HDG leadership and professional development services help leaders develop a leadership mindset that enables others to thrive.

Leadership Assessments

Our leadership assessments identify an individual’s unique characteristics in leading, managing, and directing others, how these characteristics align with the position’s requirements, and determine any potential gaps. The identified gaps are used to create a blueprint for developing talent.

360 Assessments

360 feedback tools are used to gather real-time feedback on employee performance from peers, subordinates, and superiors, while maintaining the anonymity of the respondents. This feedback highlights strengths, blind spots, and other areas to help leaders in their growth and development.

Leadership Training

Effective leadership can help an organization thrive. Developing employees into leaders is just one of the many ways you can improve your team’s culture and productivity. HDG offers virtual and in-person leadership training on an array of topics.

Team Development

Effective team collaboration leads to improved outcomes and goal achievement. HDG can assist with strengthening teams through assessments that identify a leader’s ability to influence a team, discover collective strengths, and identify misalignments between capabilities and goals. Following these assessments, HDG can define opportunities to close gaps to drive goal attainment.

Compensation and Total Reward Strategy

The right total reward strategy is one of the keys to attracting and retaining talent, which is critical as organizations face the great resignation and a future of shrinking talent pools. HDG can assist you with:

  • Reviewing and developing compensation structures that support your organization’s objectives and business strategies.
  • Assessing current compensation structures to determine equity and fairness within departments to prevent legal issues related to pay discrimination.

Improving talent acquisition and management by determining competitive compensation structures and the impact of various policies on employee retention.

Employee Engagement Advisement

Employee engagement is a leading indicator of organizational health and sustainable performance. Organizations with high levels of employee engagement tend to perform better than competitors in areas of innovation, productivity, customer satisfaction, and financial results. We help organizations build a more engaged workforce by:

  • Surveying your workforce to understand employees’ needs and desires.
  • Building an employee experience program that drives alignment and change.

Human Resources Assessments, Audits, and Policy Development

The human resources department plays an essential role in planning, supporting, and engaging your employees. HDG consultants can help you ensure your HR team stands ready to meet the needs and demands of an ever-changing workforce.

Human Resources Assessment

A human resources (HR) assessment is a comprehensive review and evaluation of the HR services that are delivered within an organization. HDG’s HR assessment includes:

  • Strategic and operational analysis of existing workplace programs and practices for effectiveness;
  • Evaluation of the structures and competencies of an HR department’s workflow and roles and responsibilities;
  • Identification of the HR department’s strengths and gaps in services and how services align with the needs of employees and the goals of the organization; and
  • Actionable recommendations for measurable change and best practices.

HR Compliance Audits

HR compliance audits are a vital means of avoiding legal and regulatory liability that may arise from an organization’s HR policies and practices. HDG’s HR compliance audits focus on how well the organization is complying with federal, state, and local laws and regulations including areas such as job classifications, record retention, Family Medical Leave Act, American with Disabilities Act, Workers’ Compensation, Form I-9, personnel files, timekeeping records, policy, and handbook reviews.

Policy and Employee Handbook Development

HR policies and employee handbooks govern employees’ work, behaviors, interactions, and management. They incorporate a wide range of employment practices, including recruiting and hiring, benefits, work rules, policies and procedures, and discipline and separations. HDG can work with your organization to create policies and employee handbooks that are legally compliant and align with your organization’s needs.

Centralized Workforce Management

Our workforce management solutions provide centralized senior care staffing and recruiting services that ensure you have the right people in the right roles. Our experienced and trained human resources professionals lead and support the recruiting, screening, and hiring process for you, resulting in decreased open positions and reduced overtime and staffing agency use.

Case study: find out how HDG’s placement of an interim Nursing Home Administrator led a struggling SNF to regain its 5-star status.

Want more? Check out our blog

Why work
with HDG


As managers and consultants in senior living, post-acute, and long-term care, we are familiar with the challenges our clients face every day. Caring Above and Beyond, our proven process, supports those we serve through four Pillars of Excellence: Quality/Customer Experience, People, Financial, and Sales and Marketing.


Aging services are our focus, resulting in an unparalleled depth of knowledge. Our seasoned and highly skilled professionals ensure customized solutions specific to our clients’ unique circumstances.


Guided by an unwavering commitment to our values of hospitality, stewardship, integrity, respect, and humor, we have served the nation’s leading providers and industry partners for over 20 years.