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The Home Care Turnover Crisis—and What Smart Agencies Are Doing About It

If you’ve been in home care for more than a minute, you already know: caregiver turnover is one of the most frustrating, expensive, and emotionally draining parts of the business.

While some industries measure staff changes in quarters or years, we often feel the impact week to week. A caregiver leaves, a case destabilizes, a family panics, and the dominoes fall—costing time, money, and reputation.

According to recent benchmarking reports, turnover in home care continues to hover near 77%. That’s after modest improvement from an already staggering 65% a few years ago. In practical terms, that means 3 out of every 4 caregivers are likely to leave within a year.

But what’s worse than the number itself is what it means for your business:

  • Constant recruiting and training
  • Increased scheduling gaps
  • Strained client relationships
  • Burned-out care coordinators
  • Decreased trust from referral sources

And yet, many agency owners are stuck in the cycle, trying to fix it with only more hiring or more incentives—without addressing the root.


Turnover Isn’t Just a Hiring Problem—It’s a Retention Problem

Let’s talk cost for a moment.

Replacing a single caregiver costs 50% to 200% of their annual salary when you factor in:

  • Job board ads
  • Interview time
  • Orientation and onboarding
  • Administrative burden
  • The emotional cost of a bad client handoff
  • The ripple effects on other staff morale

It’s not just expensive—it’s exhausting.

And in most cases, it’s not about money. It’s about meaning.


Why Do Caregivers Leave?

Sure, pay matters. But ask any care coordinator or field staff what really drives turnover, and you’ll hear other themes:

  • “I don’t feel valued.”
  • “It’s just task after task.”
  • “I’m burned out.”
  • “I don’t feel connected to anyone.”

Caregivers want to feel that what they’re doing matters. They want to be seen, supported, and part of something bigger than a checklist.

The good news? That’s something you can fix—without throwing more money at the problem.


Caregiving Can Be More Than Chores and Charts

What if caregiving felt more like a mission and less like a grind?

What if your caregivers were empowered to:

  • Guide clients through light exercise
  • Deliver personalized cognitive activities
  • Track and support wellness goals
  • Facilitate social interaction between visits
  • Get real-time feedback on client progress

Would that caregiver be more likely to feel engagedAppreciatedMotivated to stay?

The answer is yes. And that’s where technology comes in—not to replace caregivers, but to enhance the experience for everyone involved.


The Role of Technology in Reducing Turnover

Let’s be clear: technology alone won’t fix retention. But the right tech, implemented the right way, can make a measurable difference.

Here’s how:

1. It elevates the caregiver’s role

With tools like CareLink360, caregivers aren’t just “task-doers.” They become health partners, helping clients follow routines, engage in cognitive exercises, and stay socially connected. That sense of purpose improves job satisfaction.

2. It reduces unnecessary admin burden

Caregivers don’t get into this field to fight with paperwork or app glitches. When tech automates visit verification, note taking, or scheduling, more time is freed up for human care—the part they actually enjoy.

3. It creates visible impact

When caregivers see the progress—mobility gains, mood improvements, family appreciation—it builds pride. With tools that track and reflect real outcomes, their work feels validated.

4. It strengthens communication

Two-way communication platforms (vs. just top-down directives) help caregivers feel more connected to the office and clinical teams. And when they’re heard, they stay.

5. It gives families peace of mind

When families can see how their loved one is doing—through video check-ins, updates, or engagement summaries—it reduces anxiety, increases trust, and improves caregiver-family dynamics.


Real Agencies Are Already Seeing the Shift

Agencies using caregiver engagement technology are beginning to report improvements not only in retention, but also in client satisfaction. Why? Because happier, more connected caregivers tend to stick around—and give better care.

One care agency recently shared that after rolling out a simple tech engagement platform:

  • Caregiver complaints dropped
  • Families praised the added structure and visibility
  • Their retention improved within 90 days

The takeaway? You don’t need to reinvent your business. You just need to equip your team to succeed.


What to Look For in Tech That Supports Retention

If you’re considering solutions (or just want to assess what you already use), focus on tools that:

  • Are easy to use (for both caregivers and clients)
  • Enable active engagement—not just time tracking
  • Provide feedback loops for your team
  • Support caregiver recognition and appreciation
  • Reduce admin, not add to it

Tech should never be “just one more thing” for your staff. The best platforms fit into their routine seamlessly, and make their jobs easier, not harder.


The Bottom Line for Home Care Owners

High turnover isn’t just an HR issue—it’s a business risk. But it’s also a massive opportunity.

When you create a workplace where caregivers feel empowered, connected, and proud of their impact, you don’t just retain staff—you build a culture that attracts the right people in the first place.

Technology won’t solve everything—but the right tools can be the catalyst to:

  • Boost caregiver morale
  • Improve client outcomes
  • Increase agency stability
  • And reduce the hidden costs that eat away at your margins

As the industry evolves, agencies who invest in meaningful solutions—not just quick fixes—will lead the way.

So maybe the better question isn’t if tech has a place in your retention strategy.

It’s:

Are you using it to keep the people who matter most?

To learn more about AI, and tools like Carelink 360, feel free to schedule a free consult with:

David S. DuPlay

Schedule A Meeting: https://calendly.com/dduplay

www.MyCareLink360.com

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Peg Pickett
"Gregg has been a game-changer for my business! After 20 years in the industry, I had a lot of knowledge but didn't always know how to ...
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Peg Pickett
Owner, Visiting Angels
"Gregg has been a game-changer for my business! After 20 years in the industry, I had a lot of knowledge but didn't always know how to apply it effectively. In just six months of working with him, I've more than doubled my business. His detailed explanations, structured approach, and weekly check-ins keep me focused, addressing bottlenecks and celebrating wins. His educational videos for all aspects of the Home Care Business for all employees duties are outstanding. Gregg ensures you stay on track and turn insights into action. I highly recommend him to anyone looking to grow their business. Let him be your mentor as he is mine."
Peg Pickett
Peg Pickett
Owner, Visiting Angels
Mario D'Aquila, MBA
“Way back in 2020 Gregg reached out to me to see if I wanted to join his Homecare Revenue Breakthrough Mastermind Group. I proceeded...
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Mario D'Aquila, MBA
COO Assisted Living Home Care Services
“Way back in 2020 Gregg reached out to me to see if I wanted to join his Homecare Revenue Breakthrough Mastermind Group. I proceeded both with intrigue and excitement but unsure of how it would help me and my company. Being that we are one of the largest homecare agencies in our state I didn’t know how Gregg would be able to get us to the next level. I will tell you that it’s one of the best business decisions that I have ever made! Gregg has not only been a mentor and friend, helping to guide us on our homecare business journey, but he created this unbelievable think-tank called the Homecare Mastermind group. This group of like-minded business owners shares ideas, critiques each other, and grows our companies together. Since joining this group and implementing what I’ve learned our revenue has increased over 30%!! From Greggs sales, marketing, recruiting, and business operating Mastermind sessions we were able to incorporate strategies and processes that have launched our company into the stratosphere. If you are ever considering hiring a coach or consultant that knows home care well, Gregg is the real deal, and he’s built a phenomenal Mastermind group.”
Mario D'Aquila, MBA
Mario D'Aquila, MBA
COO Assisted Living Home Care Services
Rosaleen Doherty
"My home care team has been working with Gregg for the past 4 or 5 years. Gregg's salesperson training and 10x growth trainings are excellent and help ...
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Rosaleen Doherty
Co-Owner/CEO Right At Home
"My home care team has been working with Gregg for the past 4 or 5 years. Gregg's salesperson training and 10x growth trainings are excellent and help you to sit back and look at your people and your business. When we came to Gregg, we were already very successful in our home care franchise and had been in business over 20 years. Gregg helped us solidify our outside sales strategy after COVID and leverage his training to grow our private care business. I also joined his Mastermind, because I was paired with other home care owners around the country about my size and of my tenure in the industry. My franchise business was so much larger than most businesses in the system, so finding "peers" in the home care space has been invaluable to me. Gregg is an expert in the home care business and we feel like there is so much more to learn!"
Rosaleen Doherty
Rosaleen Doherty
Co-Owner/CEO Right At Home
Cara Delgado
"Working with Gregg Mazza was truly transformative for my home care business. After facing major setbacks —like rebuilding after Hurricane Harvey —I was ready...
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Cara Delgado
Former owner Home Instead Home Care
"Working with Gregg Mazza was truly transformative for my home care business. After facing major setbacks—like rebuilding after Hurricane Harvey—I was ready to give up. But Gregg challenged me to commit to growth, and that mindset shift made all the difference. His strategies gave me clarity, structure, and confidence, helping me grow referrals and increase my business's value and eventually selling it for almost half a million dollars more than my prior valuation. The focus on accountability, financial awareness, and team culture was game-changing. If you're feeling stuck, just know: if I could do it as a non-sales person/former social worker, so can you. This journey proved that with the right guidance and determination, incredible success is possible. I got so much value from my experience with Gregg that I decided to join his company as an accountability coach after I sold my business"
Cara Delgado
Cara Delgado
Former owner Home Instead Home Care
Jennifer and Brian Perruccio
When we had been in the home care business for about eight years, we were hovering around $1 million in revenue. While we...
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Jennifer & Brian Perruccio, Owners
HomeChoice Home Care Solutions, Raleigh, NC
When we had been in the home care business for about eight years, we were hovering around $1 million in revenue. While we were experiencing some growth, it wasn’t at the pace we wanted. Attending one of Gregg’s events was a turning point for us. At first, we were hesitant about working with a coach/consultant—it felt like a big investment in both time and money. But taking that step turned out to be one of the best decisions we’ve made. While working with Gregg we implemented his Rapid Referral program, focusing on refining our sales process and systems. It was a challenge at first, especially as a small agency with limited staff, but by following Gregg’s methods closely, we started seeing real results. Shortly after, we joined Gregg’s Mastermind group, and the ongoing exposure to his insights on recruiting, management systems, and innovative strategies has transformed our business. Not only have we built a stronger, more independent team—something Gregg strongly encouraged—but our business has more than tripled in size since we started working with him. More importantly, we’ve shifted from being consumed by the day-to-day operations to having a company that runs more and more without us. Gregg has been an incredible mentor, constantly pushing us to think bigger and step outside our comfort zone. Every time we take his advice, our agency grows stronger. If you’re serious about growing your business and want to be energized by a forward thinker, don’t hesitate—work with Gregg. You won’t regret it!
Jennifer and Brian Perruccio
Jennifer & Brian Perruccio, Owners
HomeChoice Home Care Solutions, Raleigh, NC

Gregg Mazza

After nearly losing my business in 2010 and facing intense personal burnout, I turned things around—growing our agency by over $1 million in just one year. That transformation not only stabilized the business but gave me the freedom to step back from daily operations. That journey inspired me to launch Home Care Breakthrough and Home Care Insider Magazine—platforms built to share the hard-earned insights and strategies that helped me scale, so fellow agency owners don’t have to walk the road alone. I know firsthand how isolating and overwhelming home care ownership can feel. But I’ve also discovered that building a larger, systems-driven agency brings clarity, stability, and more balance to your life. Through our articles and resources, my mission is to help you achieve that too—and to remind you that there’s room for all of us to succeed.

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