Working in a Nursing Home: Challenges and Rewards Explored

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May 5, 2025

Working in a Nursing Home: Navigating Careers, Challenges, and Rewards

Working in a nursing home is a complex experience involving various roles, challenges, and opportunities. These healthcare facilities are dedicated to elder care and are vital not only for their services but also as significant employment providers within the healthcare sector. According to the Bureau of Labor Statistics, nursing homes employed approximately 1.46 million individuals as of February 2024. Moreover, the Centers for Medicare & Medicaid Services implemented a 4.2% increase in Medicare Part A payments to skilled nursing facilities for fiscal year 2025, emphasizing the ongoing importance and support for these institutions. For those interested in joining or understanding the workforce within these facilities, it is essential to explore the current landscape and dynamic career opportunities.

Current State of Nursing Home Employment (2025)

In 2025, the employment landscape for nursing homes remains challenging. Staffing levels are around 3.9% below anticipated levels that would have existed without the disruptions caused by the pandemic, according to the Bureau of Labor Statistics. The demand for nursing home services continues to grow, reflected in nursing care occupancy rates reaching 84.5% in the third quarter of 2024, marking a steady recovery as reported by the National Investment Center for Seniors Housing & Care. However, geographic disparities are prevalent, with rural areas often experiencing more pronounced staffing shortages than urban centers.

Career Paths and Roles in Nursing Facilities

Nursing homes offer diverse career paths, including roles in nursing, social work, and administration, each requiring specific educational and certification achievements. For instance, certified nursing assistants (CNAs), registered nurses (RNs), and licensed practical nurses (LPNs) are critical in delivering care. Social workers address the emotional needs of residents, while administrative roles ensure the facility operates smoothly. These positions are often supported by organizations like the American Health Care Association, which focus on career advancement and maintaining a diverse workforce, offering numerous paths for professional growth and opportunities.

Challenges Facing Nursing Home Workers

Nursing home workers face significant challenges, including a high turnover rate of 82% and widespread staffing shortages as highlighted by the MissionCare Collective. These factors impact not only recruitment but also the quality of care provided. Wage considerations and benefits play major roles in this dynamic, affecting sustainability and staff morale. The emotional and physical demands of working in these settings can be daunting, with workers often encountering situations that test both their emotional resilience and physical endurance, such as responding to the needs of residents with varying degrees of mobility and cognitive challenges.

Benefits and Rewards of Nursing Home Employment

Working in nursing homes offers numerous benefits. Job security is significant, with a consistent demand for elder care professionals. Many employees find personal fulfillment in their ability to make meaningful differences in residents’ daily lives. Furthermore, professional development opportunities abound, allowing workers to expand their skills and advance their careers. According to Centers for Medicare & Medicaid Services, such career growth is facilitated by the industry’s robust financial backing.

Exploring Alternatives to Nursing Homes

In the quest to support aging individuals, maintaining independence at home presents a viable and increasingly attractive alternative to nursing homes. Solutions like the VELA Independence Chair can significantly contribute to this approach by empowering older adults to manage everyday tasks with greater ease and safety. Features such as a central brake enhance safety by ensuring stability, while electric height adjustability assists with tasks like reaching or transferring, all reducing strain for both users and caregivers. The ease of movement while seated provides users the freedom to engage in activities such as cooking, cleaning, and relaxing, reinforcing their sense of dignity and autonomy.

In homes without such ergonomic support, even routine activities could become challenging, potentially hastening the need for assisted living arrangements. By contrast, the VELA Chair offers a tangible pathway to prolonging self-sufficiency at home, embodying a blend of freedom, safety, and energy-conservation. While the VELA Chair stands out as an effective option, it is among many assistive technologies designed to foster aging in place, acknowledging the diverse needs of older adults seeking comfort and support within their own environments.

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Author

  • Senior Living Consultant & Occupational Therapist

    Linda Mae Anderson is a certified occupational therapist with over 20 years of experience working with seniors in both assisted living facilities and private home care settings. She holds a Master’s degree in Occupational Therapy from the University of North Carolina at Chapel Hill and has specialized in adaptive equipment and helping aids that support independence in aging populations.

    Originally from Des Moines, Iowa, Linda moved to the Blue Ridge Mountains for the community and the peaceful lifestyle — and stayed because she found a calling in helping seniors age with dignity and comfort.