CCRC RN Hourly Pay Increased 5.75% in 2023
Oakland, NJ, July 2023—The national average hourly rate for RNs in Continuing Care Retirement Communities (CCRCs) increased 5.75% in 2023, according to the 2023-2024 CCRC Salary & Benefits Report. The national study is published by Hospital & Healthcare Compensation Service (HCS) in cooperation with LeadingAge. While RN rates still increased significantly, the 2023 increase reflects a decline from the 2022 RN hourly rate increase of 7.70%.
In their continued efforts to attract new employees, CCRCs increased sign-on bonuses for RNs from $4,206 last year to $4,578 in 2023; 56.49% of participants reported offering sign-on bonuses for RNs, up from 42.43%. Despite improved bonuses/hourly rates, RN turnover rates rose again to 42.52%, though less dramatically then the jump from 2020 to 2021.
RN Rate Increases/Turnover
Report Year |
Trend |
Planned |
Turnover |
2020 |
2.74% |
2.75% |
34.81% |
2021 |
3.42% |
2.68% |
40.45% |
2022 |
7.70% |
3.19% |
41.30% |
2023 |
5.75% |
3.52% |
42.52% |
*The trend rate represents the percent increase from those that participated in both the current/previous year’s study.
National data: 2020-2023 CCRC Salary & Benefits Reports.
Director of Nursing (DON) salaries also saw increases drop slightly this year, going from 5.49% in 2022 to a 4.51% salary increase in 2023. The results showed the average annual bonus paid to DONs increased to 12.54% of salary from the 2022 national average bonus of 8.57% of salary. Sign-on bonuses for DONs increased from $6,571 in 2022 year to $7,423 in 2023.
DON Salaries by Revenue Size
CCRC Revenue Size |
50th |
Up to $19.9 M |
$107,947 |
$20.0 M - $29.9 M |
$118,144 |
$30.0+ M |
$121,971 |
All Combined |
$112,100 |
National data: 2023-2024 CCRC Salary & Benefits Report.
This year marks the 26th annual year of publication of the Report. 477 CCRCs participated and provided compensation data on 78,700+ employees, covering 46 management and 54 nonmanagement positions. 85.95% of study participants were not-for-profit facilities; 48.05% of not-for-profit respondents were religiously affiliated. The effective date of study data is March 2023. 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 2023 to 2024.
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.
