Sandy Shores Care Center: A Long-Term Care Staffing Crisis

Author: Lindsey J. G. Creapeau & Kevin E. Hansen
Publisher: International Journal of Instructional Cases


IJIC, Volume 6 (2022)


Sarah Martin, CEO of Sandy Shores Care Center, was faced with a significant direct care (i.e., CNA) staffing challenge in her skilled nursing center. She and her leadership team had to conduct an analysis of their current staffing retention practices, consider new ideas for implementation, and be mindful of a limited budget available. Sarah needed to present a report to SSCC’s Board of Directors with a plan to improve their staffing issues.


Long-term care administration, staffing, retention, staff satisfaction, human resources

Target Audience and Usage

Upper-level undergraduate and graduate students in health care administration or health care management programs. It would be helpful for students to have some background knowledge or experience relative to long-term care settings and staffing issues. Students should be familiar with general resources available to collect data related to staffing and associated costs (e.g., in the United States of America, this might include state provider associations, such as those affiliated with LeadingAge, the American Health Care Association (AHCA/NCAL), and/or Argentum). Additionally, students should have general familiarity with the Centers for Medicare and Medicaid Services (CMS) Care Compare tool and 5-Star quality ratings.

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