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County reports recruiting gains but long-term care reports a 34–36 LNA shortfall
Summary
Human resources reported steady recruitment activity and a large pool of applicants, but long-term care managers told commissioners the facility still needs roughly 34–36 licensed nursing assistants (LNA); HR flagged increased recruitment spending and confirmed a hire pipeline.
Rockingham County human resources staff reported steady hiring activity at the Jan. 29 meeting but long-term care leaders said the county’s nursing facility still shows a substantial need for licensed nursing assistants (LNAs).
Allison Kvitowski, senior director of human resources, said the county has been receiving steady applicant flow and described a recent recruitment push. HR reported receiving 125 applications during the measured month and said the office is continuing targeted recruitment for critical clinical roles.
Long-term care staffing need
During the meeting, long-term care leadership repeatedly referenced an unmet need for LNAs: in the discussion participants cited figures of both 34 and 36 as the number of LNAs still required for full staffing, depending on the line item being referenced. Commissioners and staff discussed day- versus night-shift fill rates and a plan to push recruitment toward underfilled shifts rather than risk losing candidates who prefer day shift.
Recruitment budget and hires
HR said recruitment spending for recent critical hires has been substantial. Allison reported the county has spent an estimated $17,000–$20,000 on targeted recruitment for hard-to-fill positions (physicians, director-level clinical roles, and infection prevention/clinical educator roles) and that she expects to reallocate $4,000 within HR’s budget to maintain active recruitment campaigns. She said additional weekly monitoring will allow small adjustments to ad spend and placement.
Operational context and next steps
Commissioners and staff praised recent hiring momentum and noted orientation and new-director onboarding steps are underway; the county reported a new director of nursing (Siobhan) had started orientation. Staff said they will continue to shift recruiting focus toward evening and night shifts, monitor applicant pipelines and report back to the board on recruitment outcomes.
Ending
Commissioners requested updated, shift-specific vacancy numbers and a recruitment follow-up at a future meeting; HR staff said they will continue weekly monitoring and bring updated metrics to the board.
