Long Term Care

Helping to improve your long term care organization

The long-term care industry (in Canada) and skilled nursing facilities (or SNFs in the U.S.) are highly unique and face distinct strategic and operational challenges, from regulatory requirements and high staff attrition to the increasing acuity of residents and the need to provide higher levels of care.

At Burnie Group, we work across both individual homes and corporate offices, helping long-term care organizations navigate a broad range of strategic and operational issues.

Our long-term care consulting experience spans large organizations with hundreds of facilities and smaller organizations operating only a few homes.

Helping long term care facilities to design pandemic playbooks

Long-term care strategy

Developing a strategy for a long-term care organization is inherently challenging. Many organizations lack the necessary strategic expertise because this type of work does not occur regularly, and day-to-day operational demands often limit capacity.

At the same time, taking the time to design a sustainable strategy, one that incorporates market insights and ensures financial viability (including capital and cash flow planning), is crucial for the long-term success of any nursing organization.

Our experienced consultants have successfully delivered strategies for long-term care clients, addressing both organic and inorganic growth, expansion into adjacent services and geographies, evolving resident and staff profiles, and innovation within the sector.

Ultimately, a robust strategy culminates in a clear execution roadmap that establishes organizational priorities and focus for the next three to five years.

A doctor working in a long term care facility wears a disposable mask and takes notes on a clipboard.Behind her is a light blue wall.

Long-term care operations

When designing long-term care operations, it is critical to account for the industry’s unique characteristics and the sensitive nature of its operations.

Operational design must consider corporate, regional, and home-level elements, while also integrating both clinical and non-clinical (administrative) functions.

Over time, a variety of operating models have emerged in the industry, each suited to different contexts; what works well for one organization may be less appropriate for another. For example, a home-level setup may depend on factors such as facility size, urban versus rural location, resident acuity, and the presence of shared services.

Our long-term care consulting specialists work closely with organizations to define and implement the operating model that drives efficiency and best aligns with their structure, goals, and operational needs.

Long-term care organizational design

Designing an efficient and effective organizational structure for a long-term care organization or skilled nursing facility is a complex task that must consider a variety of factors, such as funding requirements, corporate and regional setup, availability of shared services, home-level configurations, and organizational scalability.

This work includes reviewing existing roles and responsibilities, reallocating tasks to align with the chosen operating model, and defining new roles and job descriptions to ensure the organization is structured for operational efficiency and sustainable growth.

Our long-term care consultants bring extensive experience in designing organizational structures at both the corporate/regional and home levels.

Long-term care integrations

Acquisitions and integrations in long-term care take many forms, ranging from the purchase of stand-alone facilities or small portfolios to the integration of larger organizations with their own clinical and non-clinical platforms.

Our long-term care integration consultants have supported a wide variety of integrations in diverse roles, including as integration project managers, dedicated resources for specific workstreams such as HR and IT, and integration change management consultants.

In addition, we have developed numerous integration playbooks tailored for long-term care organizations, helping guide successful, efficient post-merger transitions.

Long-term care divestitures

Similar to integrations, long-term care divestitures come in many forms, each requiring careful management. For example, the divestiture of a facility that will continue operating as a long-term care home is very different from a community that will be closed.

These are highly sensitive projects, and our long-term care consultants have supported numerous divestitures, ensuring they are executed smoothly and effectively.

We have also developed multiple senior living divestiture playbooks, making the process repeatable and more predictable for our clients.

Looking for consulting support for your long term care facility? We can help.

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Clients we’ve worked with in Long Term Care

Alerislife
Five Star
The Responsive Group
Revera
Sienna Senior Living

Testimonials

“I have been part of many strategic planning exercises over my many years as an executive and partnering with Burnie Group was by far the best – the best in terms of subject matter expertise, methodology, originality, organization, comprehensiveness, timeliness and final product and outcome. All at a cost that was fair, reasonable, and better than other consulting firms. I would use Burnie Group again in a minute and wouldn't hesitate to recommend them to others. In fact, I already have.”

Cathie Brow, SVP, Human Resources at Revera

“We were proud to work with Burnie Group and are very pleased with the results. They are an excellent partner who worked with all levels of our organization to create a robust strategic plan.”

Steve Foster, SVP, Retirement Operations at Revera

“Thank you to Burnie Group for their excellent work with our executive team. The level of professionalism, preparatory work, onsite facilitation, and follow-through will give us a finished product that will benefit our business for years to come.”

Head of Communications and Initiatives at a Leading Senior Living Organization

Our long-term care consulting leaders

Alexey Saltykov

Alexey Saltykov

Practice Leader, Post-Merger Integrations

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Looking for experienced long term care consultants? We can help.

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