Staffing Health Assessment Back Facility Name *Type of facilityLong term careRetirement homeHospitalOtherPrimary contact nameJob TitlePhone Number *Email *Which of the following challenges are currently impacting your operations?Frequent book-offsRPN/RN shortagesPSW shortagesNight or weekend covering gapsHow are staffing challenges currently affecting your facility?Increased overtime costRisk to continuity of careTeam fatigueAdmission limitationsCompliance stressMinimal impact at this timeWhat best describes your current planning stage?Immediate support needed (1 - 7 days)Short - term planning (1 - 4 weeks)Proactive planning (1 - 3 months)Exploring future optionsWhich staffing solutions would you like to explore ?Per diem / temporary coverageLong-term contract assignmentsTemp-to-hire (450-hour no-cost conversion)Rapid response / emergency staffingUnsure — would appreciate recommendationsAnything else you would like to add?Submit
