Skilled nursing, assisted living, and hospice provider across Iowa and beyond
Care Initiatives operates a multi-site long-term care network serving over 2,500 residents and patients across skilled nursing, assisted living, independent living, and hospice settings. The organization is actively hiring across 675 open roles—accelerating recruitment velocity—with overwhelming concentration in clinical and healthcare operations roles, reflecting the labor-intensive nature of direct care delivery. Current operational focus centers on occupancy growth, census development, and discharge planning optimization.
Notable leadership hires: Assistant Director of Nursing, Director of Nursing, Hospice Program Director, Clinical Services Director, Director Of Nursing
Care Initiatives is a nonprofit health care provider founded in 1989, headquartered in West Des Moines, IA, and operating multiple skilled nursing facilities, assisted living communities, independent living residences, and hospice programs across the region. The organization employs over 3,000 team members and serves more than 2,500 residents and patients. Core service lines include skilled nursing care, rehabilitation therapy (occupational, physical, and speech), long-term care, and hospice care. The organization's primary operational challenges center on staffing resilience, regulatory compliance, census management, and payer mix optimization.
Primary systems include Dayforce for HR/payroll, Microsoft 365 (Teams, Outlook, Office), Active Directory for identity, Excel for data work, and Canva and Adobe for design. No significant tech adoption or replacement activity detected in recent periods.
Discharge planning, occupancy and census growth, community outreach, payer mix optimization, staffing effectiveness, regulatory compliance, and audit readiness. Marketing and referral source education programs are active, suggesting focus on volume and referral pipeline development.
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