Tag: senior living operations

The future of senior living may depend less on new buildings and amenities and more on whether the industry is willing to rethink culture, autonomy and the resident experience itself. In this episode of Varsity’s Roundtable Talk, Derek sits down with Steve Moran, founder and publisher of Senior Living Foresight, one of the industry’s most influential media platforms.

Known for his candid commentary and sharp observations, Moran has spent years challenging operators to rethink leadership, culture, transparency and the overall resident experience. Derek and Steve discuss why the industry may have more of a culture crisis than a staffing crisis, how operators can better empower residents and families and why storytelling may be the key to changing perceptions of senior living for future generations.

Check out the full episode here.

WHAT’S THE REAL STORY IN SENIOR LIVING RIGHT NOW THAT PEOPLE AREN’T TALKING ABOUT ENOUGH?

As you know, we have great occupancy. We’ve had the best occupancy that we have ever had in my lifetime. And that’s really, really good news. What’s interesting to me, there are two things that are really interesting to me. The first is that when I talk to operators and leaders, there seems to be a sense of apprehension or fear like, ‘This is really good, but it feels like disaster is just around the corner.’ Probably some of that’s from the COVID hangover.

The other thing is we have operators who are just crushing it at huge margins and huge occupancies, while there are still some people out there that are really, really struggling. So much of it comes down to the operator and how they run their business because it can be super successful or really, really tough.”

ARE SENIOR LIVING COMMUNITIES TRULY ALIGNED WITH WHAT TODAY’S OLDER ADULT WANTS?

There’s this widespread belief that baby boomers are going to want something very different. I think there are a few things, but mostly as we get older, we’re going to want the same things people have always wanted.

Part of the biggest problem is that if we’re honest about the industry, senior living is still the last resort. I choose senior living when I can no longer live at home. That might mean I don’t want to take care of my yard anymore, I don’t want to cook or grocery shop anymore or it might mean I have real care needs. I’m not sure the industry is fully aligned with what people actually want because too often the focus is on providing the least amount of service at the lowest cost to maximize margins.

WHAT ARE OPERATORS DOING WELL RIGHT NOW — AND WHAT ARE THEY STILL GETTING WRONG?

I think operators are getting dining pretty right. They understand that dining is one place they touch residents’ lives three times a day. I think transportation is improving too and communities are building better physical spaces.

But I think they’re still not giving residents enough control over their own lives. I heard from a resident recently who said they were thrilled because residents had finally won the ability to choose what channel played on the TV behind the bar four days a week. And I’m thinking, this shouldn’t even be a battle. Those are the kinds of things I think we’re still getting wrong.

IS THE WORKFORCE CRISIS REALLY A STAFFING PROBLEM?

I don’t think we have a real staffing crisis. I think we have a culture crisis.

As long as there are people willing to work at McDonald’s, Taco Bell and Starbucks, we don’t have a staffing shortage. We have organizations that haven’t created cultures where people feel valued, appreciated and connected to purpose.

When you create a great work environment where people feel like they’re changing lives and love coming to work every day, they tell their friends about it. Goodwin House gets something like 900 applications a month. They hire the best people and the rest go elsewhere. That tells me the problem isn’t a lack of workers. It’s culture.

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The following is a guest blog entry from Larry Carlson. Larry is an advisor, board member, and author of Avandell: Reimagining the Dementia Experience. A longtime CEO in senior living, he now writes and speaks about helping older adults finish strong — living with purpose, vitality, and impact in their third age.

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It’s Monday morning. The numbers came in late Friday.

They’re down. Again. Not dramatically. Not enough to cause alarm. But enough to feel it.

She’s already run through the explanations in her head. Seasonality. Market shifts. Increased competition. All true.

None of it changes the number.

She walks into the conference room a few minutes early. The team will be in soon—sales, operations, nursing. They’ll be looking to her for direction. For tone. She knows what the conversation needs to cover.

Leads. Conversions. Follow-up. Urgency.

She also knows something else. What gets said in this room today won’t just shape the next 30 days. It will shape the culture. Because under pressure, something subtle begins to happen.

Standards start to bend. Language starts to shift. Decisions get made a little faster, and a little differently.

Not all at once. But enough. And for a moment, there’s a choice. When occupancy drops, the real risk isn’t the number. It’s what leaders are willing to trade to fix it. Because census pressure doesn’t just test your strategy. It reveals your culture.

Maybe you’ve been in a room like that.

In my experience, there are three places where that shows up most clearly.

Early Warning Signs – When culture starts to slip

Culture rarely breaks all at once. It erodes quietly. A phrase here. A decision there. A moment that doesn’t quite sit right—but gets rationalized and moved past.

Language begins to change. Residents become “units.” Move-ins become “wins.” Conversations become more about pace than people.

High performers—especially in sales—may begin to get a little more latitude. Not intentionally. But because the pressure to produce is real. And slowly, what was once non-negotiable starts to feel… flexible.

The challenge is that none of this looks like a problem in isolation. But over time, it becomes the culture.

TRY THIS: 

Before your next leadership meeting, ask yourself—and your team:

“What have we started tolerating in the past 30 days that we wouldn’t have accepted before?”

Don’t rush past the answers. That’s where culture is either being protected… or traded.

Decision-Making Under Pressure – Where values get tested

Most organizations don’t abandon their values. They just begin to reinterpret them under pressure. The conversation shifts.

“This is what we believe… but in this case…”

“We wouldn’t normally do this… but given where we are…”

And often, the decision itself doesn’t feel dramatic. It feels reasonable. Necessary, even. That’s what makes it dangerous. Because culture isn’t shaped by the decisions you’re proud of. It’s shaped by the ones you justify.

Pressure doesn’t create values conflict. It exposes it. And in those moments, leadership isn’t about having the right answer. It’s about having the discipline to pause long enough to see what’s at stake.

TRY THIS: 

Before making a key decision, ask:

“If this decision became visible to every team member, would it strengthen trust… or weaken it?”

You may still make the same call. But you’ll make it consciously.

Communication – Setting tone without creating fear

When census is down, teams don’t just look for direction. They look for signals. What matters now? What’s changing? What’s not?

Some leaders respond by increasing pressure. More urgency. More accountability. More focus on the number. Others go the opposite direction—softening the message, trying to protect morale by minimizing the reality. Neither approach builds trust.

Because your team already knows. They see the numbers. They feel the shift. What they need isn’t spin. They need clarity—and steadiness.

The ability to say: Yes, this matters. Yes, we feel it. And no, it doesn’t change who we are. That’s what anchors a team. Not the absence of pressure. But the presence of leadership within it.

TRY THIS: 

In your next team communication, name both sides clearly:

• The reality you’re facing
• The values that won’t change because of it

Say it out loud. And then live it in the decisions that follow.

In that Monday morning meeting, the numbers will get discussed. They should. Plans will be made. Expectations clarified. But something else is happening at the same time. Your team is watching. Not just for direction. For signals.

What matters now? What’s negotiable? Who are we under pressure?

And over time, those signals become your culture. Not because you declared it. But because you led it, especially when it was hardest to do so.

QUOTES

“I eat, breathe, and sleep senior living. And so having a chance to have a conversation about where the industry is at, where we’re going, what’s working and what’s not is one of my favorite things to do.” (Steve)

“We’ve had the best occupancy that we have ever had in my lifetime.” (Steve)

“It’s all about the operator and how they run their business because it can be super successful or really, really tough.” (Steve)

“The word I would put to it is the word tentative — that we’ve kind of got something that works pretty well, the returns are pretty good, and there’s a lot of hesitancy to change anything because it’s sort of working.” (Steve)

“We don’t have a staffing crisis, we’ve got a culture crisis. As long as there are people who are willing to work at McDonald’s and Taco Bell and Starbucks, we don’t have a staffing crisis.” (Steve)

“When we create a great work environment, a place where people feel valued, where they love coming to work every day, where they’re feeling like they’re making a huge difference, they’ll tell their friends about it.” (Steve)

“I think to not post pricing is a huge, huge mistake.” (Steve)

“We need big, bold stories that should be told.” (Steve)

“We should be our worst critics. We should be saying, what is it that we’re doing wrong? How do we get this right? How do we do it better?” (Steve)

NOTES

Steve Moran is the founder and publisher of Senior Living Foresight, one of the most widely read media platforms in the senior housing industry. A longtime commentator and thought leader, Moran is known for his candid perspectives on occupancy, workforce culture, innovation, leadership and the future of aging services. At 71, he also brings the perspective of someone personally navigating aging and senior care decisions for his own family.

Senior Living Foresight is a media and thought leadership platform focused on the senior living industry. Through articles, interviews, podcasts and commentary, the organization explores challenges and opportunities facing operators, caregivers and residents. Recently acquired by Procare HR, the platform continues expanding its editorial reach while maintaining Moran’s independent voice and focus on improving the industry.

Moran discussed how the senior living industry is experiencing record occupancy levels, yet many operators still seem apprehensive, almost expecting another crisis around the corner after the lingering effects of COVID. He emphasized that success in senior living often comes down to operational leadership and culture, pointing out that some communities are thriving while others continue to struggle.

He expressed concern about increasing ownership by large investment groups focused primarily on short-term returns, arguing that this can limit innovation and resident-centered experiences. Moran believes many communities still operate as a “last resort” rather than a desirable lifestyle choice.

Drawing from his own experiences, Moran shared that today’s boomers may not be as different as many assume. While older adults want autonomy and meaningful experiences, they still share many of the same emotional and practical needs previous generations faced as they aged.

Moran argued that senior living communities often fail to give residents enough control over their own lives, using examples like residents battling management over choosing television programming in common areas. He believes future communities must empower residents rather than dictate daily experiences.

On staffing, Moran challenged the common narrative of a workforce shortage, saying the industry actually faces a culture problem more than a staffing crisis. He explained that organizations with strong leadership, meaningful work environments and supportive cultures consistently attract applicants and retain employees.

He stressed the importance of storytelling in both recruitment and marketing. According to Moran, operators need to tell compelling stories about how senior living changes lives for residents, families and staff members rather than relying solely on amenities and clinical messaging.

Moran also highlighted the emotional complexity families face when choosing senior living communities, drawing from his own experiences helping his stepfather transition through multiple communities. He believes operators need greater transparency around pricing, care expectations and the realities families may encounter after move-in.

Looking ahead, Moran sees technology, AI and robotics playing increasingly important roles in senior living, though he believes the industry still struggles with fragmented systems and implementation challenges. He also predicts that future successful operators will prioritize employees, listen more carefully to residents and families and create experiences that inspire genuine brand evangelism rather than simple customer satisfaction.

Everybody in senior living is talking about the workforce crisis. Fewer people entering caregiving. more older adults needing support, rising pressure on operators, care teams and families. But underneath all of those conversations is a reality the industry can’t avoid anymore: the future of caregiving and the future of immigration are becoming increasingly connected. 

For many organizations, this is no longer just a policy conversation. It’s a people conversation, a culture conversation and ultimately a care delivery conversation.

That topic drove a powerful discussion during Varsity’s quarterly Executive Roundtable last week where we were joined by Rob Liebreich, President & CEO of Goodwin Living, and Lindsay Hutter, Chief Strategy & Marketing Officer at Goodwin Living. Together, they shared how Goodwin Living is approaching immigration advocacy, workforce development and employee support at a time when caregiver demand continues to outpace supply across the country. 

Said Lindsay during the presentation, “If we as a nation didn’t welcome global workers, we would not have the hearts, the heads and the hands to care for the older adults when they are at that stage of living.”

Their conversation explored the emotional realities facing immigrant caregivers, why advocacy has strengthened trust inside their organization and how older adults themselves are emerging as important voices in the workforce conversation. Below are a few Fresh Perspectives from their discussion. 

CAREGIVING IS A WORKFORCE MATH PROBLEM, NOT JUST A POLICY DEBATE

As the caregiver support ratio continues to shrink, senior living organizations are confronting a simple reality: there are not enough caregivers to meet growing demand. Immigration is increasingly tied to workforce sustainability and long-term care access.

IMMIGRANT CAREGIVERS BRING CULTURAL INTELLIGENCE, NOT JUST LABOR

Many immigrant caregivers come from multigenerational households where caring for older adults is deeply ingrained. That lived experience often translates into stronger patience, empathy and attentiveness in caregiving environments, challenging the misconception that these roles are simply “jobs people take.”

ADVOCACY BUILDS INTERNAL TRUST AS MUCH AS EXTERNAL AWARENESS

Goodwin Living’s public stance around immigration and workforce issues strengthened loyalty and engagement among employees because team members saw leadership actively standing behind them. Values-driven advocacy became a culture-building strategy, even though that was never the original intention.

OLDER ADULTS ARE EMERGING AS A POWERFUL ADVOCACY VOICE

Residents and older adults are becoming active participants in workforce conversations because they directly understand what caregiver shortages mean for their quality of life. Efforts like the “Seniors Care for Caregivers” campaign demonstrate how resident voices can influence public awareness and policymaker attention.

THE MOST EFFECTIVE WORKFORCE STRATEGIES ARE LONG-TERM INVESTMENTS

Competitive wages alone are not enough. Organizations are pairing living wages with leadership development, continuing education, retirement benefits and mentorship programs to create long-term career pathways and improve retention across caregiving roles.

Download Goodwin Living’s Citizenship Program Playbook for practical insights on supporting immigrant team members, strengthening workforce stability and building long-term caregiving pathways inside your organization.

Families searching for senior living options often aren’t casually exploring. They’re navigating stress, uncertainty and emotional decision-making after a health event, hospital stay or major life transition. In those moments, trust, speed and guidance matter just as much as care offerings or amenities. That’s why placement partnerships are becoming an increasingly important part of occupancy growth and the overall family experience in senior living.

During Varsity’s weekly Roundtable, Matt Wilson and Lori Crabtree of Next Level Senior Advisors discussed how stronger relationships between senior living communities and placement advisors can create better outcomes for families while also supporting referrals, conversions and long-term occupancy growth. Below are a few Fresh Perspectives from their discussion. 

PLACEMENTS SHOULD BE VIEWED AS A REVENUE STRATEGY, NOT A MARKETING EXPENSE

Even one additional move-in per month can create significant long-term revenue, shifting placement partnerships from a cost discussion to a meaningful occupancy growth strategy.

FAMILIES AREN’T SHOPPING, THEY’RE IN CRISIS MODE

Most families are navigating fear, guilt and time pressure after a health event or hospital stay. Communities that simplify decisions and provide reassurance stand out quickly.

TRUST IS THE TRUE CURRENCY OF REFERRALS

Advisors build their reputation one family at a time. Poor communication, delayed responses or bad family experiences quietly damage referral relationships faster than communities may realize.

THE BEST PARTNERSHIPS ARE BUILT ON TRANSPARENCY AND SPEED

Communities that are upfront about pricing, responsive with communication and easy to work with are the ones advisors consistently recommend first.

SMALL OPERATIONAL CHANGES CAN CREATE BIG REFERRAL GAINS

Simple steps like maintaining updated profiles, assigning one advisor contact and creating a dedicated referral inbox can dramatically improve communication and conversion opportunities.

PERSONALIZATION BEATS VOLUME IN TODAY’S REFERRAL LANDSCAPE

Families don’t want endless lists of options. Advisors who narrow choices down to the best-fit communities create better experiences for families and stronger conversion opportunities for providers.

Senior living’s biggest opportunity may not be occupancy or operations. It may be human connection. The communities people truly want to be part of are the ones built around trust, culture, communication and meaningful relationships for both residents and families.

That was a major theme during a recent conversation on Varsity’s weekly Roundtable featuring Steve Moran, publisher of Senior Living Foresight and one of the industry’s most recognized voices on senior living culture, workforce challenges and innovation. During a candid Q&A, Steve shared what the industry is overlooking, where operators are getting it right (and wrong) and what senior living must do to better align with the expectations of a new generation of older adults. Below are a few Fresh Perspectives from the discussion.

CULTURE, NOT STAFFING, IS THE REAL CHALLENGE

The communities winning on workforce aren’t magically finding more people, they’re building cultures where employees actually want to stay, grow and feel valued.

FAMILY EXPERIENCE IS THE NEXT BIG OPPORTUNITY

Senior living often focuses heavily on residents while overlooking the emotional and logistical burden carried by families. Communities that intentionally support caregivers will build deeper trust and loyalty.

CONNECTION IS THE MOST UNDERSERVED NEED IN SENIOR LIVING

The biggest differentiator may not be amenities or programming, but helping residents and families form real friendships and meaningful human relationships.

TRANSPARENCY BUILDS TRUST, EVEN WHEN THINGS GO WRONG

Families don’t expect perfection. They expect honesty. Communities that communicate openly about challenges, mistakes and solutions create stronger long-term trust.

SENIOR LIVING MUST BECOME MORE ASPIRATIONAL

Most people still move into senior living as a last resort. The future belongs to communities that people choose earlier for lifestyle, purpose, connection and belonging.

LONGEVITY ISN’T ENOUGH WITHOUT QUALITY OF LIFE

The industry has become better at extending life, but it still struggles with how to support emotional well-being, cognition and purpose as people age.

THE WINNERS WILL PRIORITIZE PEOPLE OVER MARGINS

The most successful organizations over the next decade will be the ones known for exceptional care, communication, trust and human connection, not just operational efficiency.

KEY QUESTIONS

What is the biggest challenge facing senior living today?

While staffing shortages often dominate the conversation, Steve Moran argues the bigger issue is culture. Communities that create supportive, engaging workplace environments are often the ones attracting and retaining strong team members.

Why is family engagement becoming more important in senior living?

Families play a major role in the senior living experience, emotionally, financially and logistically. Communities that communicate well and intentionally support caregivers can build stronger trust, loyalty and long-term relationships.

How can senior living communities create stronger human connection?

The most impactful communities help residents and families build authentic relationships and friendships, not just participate in activities or events. Social connection may become one of the industry’s biggest differentiators moving forward.

What will define the most successful senior living communities in the future?

According to Steve Moran, the organizations that thrive long term will prioritize exceptional care, transparency, communication and human connection over simply focusing on operational efficiency and margins.