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CCRC DON Salaries Increased 5.49% in 2022

Oakland, NJ, July 2022--The national average salary for Directors of Nursing (DONs) in Continuing Care Retirement Communities (CCRCs) increased 5.49% in 2022, according to the 2022-2023 CCRC Salary & Benefits Report. The 2021 increase was 3.10%. The national study is published by Hospital & Healthcare Compensation Service (HCS) in cooperation with LeadingAge

DON Salaries by Revenue Size

CCRC Revenue 50th Percentile

Up to $19.9 M


$20.0 M - $29.9 M


$30.0+ M


All Combined


National data:  2022-2023 CCRC Salary & Benefits Report.

In a comparison of salaries according to CCRC gross revenue size, the following national 50th percentile data was reported: In CCRCs with revenue < $19.9 M the DON salary was $103,362; $20.0 M - $29.9 M CCRCs reported a DON salary of $109,990; while the salary was $115,055 at CCRCs with revenue > $30.0 M. In a state comparison, Iowa reported the lowest DON salary of $94,809; followed by Indiana at $97,000. The highest DON salary was in California at $132,277, then Maryland at $123,368.

In response to how COVID-19 continues to impact CCRCs, 32.54% of respondents reported they utilized contingency staffing for RNs, LPNs, CNAs, CMT, as well as Housekeeping and Dining/Kitchen staff. Many CCRCs are using sign-on bonuses as a short-term hiring solution.  24.8% of respondents used sign-on bonuses to competitively attract new employees. The average sign-on bonus for DONs was $6,571.

This year marks the 25th annual year of publication of the Report. 421 CCRCs participated and provided compensation data on 65,400+ employees, covering 46 management and 54 nonmanagement positions. 86.16% of study participants were not-for-profit facilities, with 44.04% of respondents religiously affiliated. The effective date of study data is March 2022. 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 2022 to 2023. 

The CCRC Report is available for $375. The PDF version is online for purchase; the hard copy will be available in 1-2 weeks. To order, 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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