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CCRC RN Hourly Rates Increased 3.42% in 2021

Oakland, NJ, July 2021--The national average hourly rate for RNs in Continuing Care Retirement Communities (CCRCs) increased 3.42% in 2021, according to the 2021-2022 CCRC Salary & Benefits Report. The 2020 increase was 2.74%. The national study is published by Hospital & Healthcare Compensation Service (HCS) in cooperation with LeadingAge

RN Hourly Rates by Total Unit Size

Total Units

Hourly Rate

Up to 299 Total Units


300 Total Units+


All Combined


National data:  2021-2022 CCRC Salary & Benefits Report.

The national average hourly rate for RNs was $33.95. In CCRCs with less than 300 total units (IL, AL, and SNF units combined) the average hourly rate was $33.42; for CCRCs with 300+ total units the national average rate was $34.57. In a state comparison, Iowa reported the lowest hourly rate of $29.50; with the highest in California at $42.04, then Washington at $41.49.

The average hourly rate for CNAs increased 4.10% in 2021, while rates for Certified Medication Technicians increased 4.00%. The national turnover rate for RNs increased from 34.81% in 2020 to 40.45% in 2021. CNA turnover increased from 41.08% in 2020 to 45.87% in 2021.

In response to how COVID-19 impacted their CCRC, 25.5% of participants increased the numbers of hours RNs, LPNs, and CNAs worked. 57.8% of participants provided pay adjustments to key employees and those working with COVID-19 positive residents. Appreciation pay, one-time bonuses, and hazard pay for direct care workers were the most commonly provided pay adjustment.

This year marks the 24th annual year of publication of the Report. 545 CCRCs participated and provided compensation data on 81,200+ employees, covering 46 management and 53 nonmanagement positions. 71.93% of study participants were not-for-profit facilities, with 50.25% of respondents religiously affiliated. The effective date of study data is March 2021. Findings are reported according to revenue size, total unit size, region, state, and CBSA.  The Report also includes 19 fringe benefits, turnover rates by department, and projected salary increases by department for 2021 to 2022. 

The CCRC Report is available for $375. The price for LeadingAge members is $300. The PDF version is currently available for purchase; the hard copy will be available in 2-3 weeks. To order online, visit the HCS website at www.hhcsinc.com or call (201) 405-0075.

The HCS Nursing Home Salary & Benefits Report will be published in late July. The Assisted Living Report was released earlier this year. Both studies are conducted in cooperation with LeadingAgeand AHCA/NCAL.

HCS, founded in 1971, is recognized as the leader in national healthcare salary and benefits research.  HCS conducts national and custom marketplace studies, publishing more than ten specialized Reports each year. 


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