That with a few exceptions it is very difficult to keep SNF (skilled nursing facilities) or even ALFs (assisted nursing facilities) fully staffed, especially with aides.
I have also had conversations with many aides at home care agencies and their pay and benefits generally suck. If they get a good enough reputation they go private (if the client is willing to do that even though agencies specify they are not allowed to) and word of mouth then gives them plenty of business.
This might be different in rural vs urban areas.
And I hate to say it but some clients are terribly nasty to the workers (I’m speaking more on the home care setting - and yes some workers are not very dedicated shall we say).
I think a federal law was passed several years ago trying to correct for some of the pay issues but I can’t remember. Maybe it was a state law.
Regardless, the need for workers for elder care is exploding and going to get a lot worse.
Sorry I got off the point. Some facilities may not feel they can mandate COVID vaccines if they are short staffed. Crazy, I know…