
Upcoming Webinar
Dec 18, 1:30pm ET
Register Now
4 min read
Nov 18, 2025
Shifts disappear fast during peak season—quick, consistent staffing decisions keep communities stable and protect resident care.

Co-Founder & CPO
For post-acute care and senior living communities, the fall and winter months bring the most predictable staffing pressure of the year. Time-off requests rise. Flu and RSV increase acuity. Call-outs stack up. Open shifts appear faster than they can be filled.
Many communities start feeling this as early as October, and it continues through January and February, when illness peaks, census shifts, and agency usage often reaches its highest point.
The usual reaction is to call an agency and accept the markup. But that approach is costly and disrupts continuity. There is a better way to stay staffed.
Build your own PRN (pro re nata, or “as needed”) float pool — a flexible group of care providers and nursing staff who already know your community, your systems, and your residents. These internal team members can step in during PTO, illness surges, or busy weekends. When paired with an AI staffing agent that responds to applicants around the clock, you can keep shifts covered without turning to outside agencies.
This model works in both non-union and union environments, where staffing rules, seniority, and established agency agreements must be followed. Alita helps communities stay within those requirements while improving consistency and controlling overall cost.
First, know the numbers
Communities relying on agency staff pay 50 to 66% more than they would for their own staff.
Nearly half of nursing homes limit admissions because they cannot fill enough shifts.
The average time to fill an RN role is about 87 days, which increases overtime and burnout..
56% of leads arrive overnight or on weekends, a window when many communities are not staffed to respond.
Speed to lead wins. An industry senior living benchmark reports that 75% of prospects go with the first community that replies.
Heavy agency use is also associated with lower quality ratings, which can affect referrals and reputation.
These factors shape staffing all year, but they hit hardest from October through February.
The Fall-and-Winter Alternative: Build Your PRN Float Pool
Create an internal bench of 10–20 flexible CNAs, med techs, LPNs, and RNs who can cover planned or last-minute shifts. That way, you’ll pay a controlled premium to your own team instead of an inflated premium to an agency.
Option | Who Fills the Shift | Premium vs. In-House | Continuity |
Outside Agency | External staff | 50–66% higher | Low continuity, low culture fit |
Internal PRN Float Pool | Your employees | ~20% premium (1.2×) | High continuity, high culture fit |
A 1.2× PRN rate rewards staff fairly, avoids agency pricing, and keeps staffing within your control.
Try Alita Free for 30 days.
Chat with one of our specialists to get set up.
Why the Float Pool Pays Off
Lower cost. Avoid the 50–66% agency premium and keep spending inside your community.
Better resident experience. Internal care staff know your routines, expectations, and standards.
Less burnout. A stable float pool reduces mandatory overtime and helps you keep admissions open.
Union-friendly. Float pools can work within seniority rules, required posting periods, and staffing pathways.
Where an AI Agent Fits In
AI agents like Alita are designed for the post-acute care industry. Communities place it on their websites and job pages to engage, screen, and schedule interviews with applicants at any hour, including nights and weekends.
Responding quickly gives your community a far better chance of hiring the applicant before another community does.
What Alita’s AI Agent Does for Fall and Winter Staffing
Responds to applicants on your website 24/7 and books interviews directly to your team’s calendar.
Confirms license type, shift availability, experience, and even distance before your team gets involved.
Sends reminders to reduce no-shows and keeps applicants moving through your hiring process.
Results That Matter
Faster hiring cycles and fewer no-shows, leading to more PRN float pool members ready before peak months.
Fewer missed after-hours applicants. Since three out of four applicants choose the first responder, speed is a staffing advantage.
Ready to Reduce Agency Use This Season?
Agency coverage is a last resort, and an expensive one. Don’t wait for call-outs, PTO spikes, or winter illness to hit.
The strongest move you can make now is simple: Build your PRN float pool now and use AI to fill it faster than nearby communities.
Alita helps senior care and post-acute communities build PRN float pools faster and fill roles even when your team is off the clock.
See how Alita can support your staffing plan: 👉 Book a short walkthrough
Summary
Fall and winter generate predictable staffing challenges driven by illness, PTO, and rising acuity. Many communities turn to agencies, but the cost and disruption are significant. Building an internal PRN float pool offers a more stable and affordable alternative, especially when supported by an AI staffing agent like Alita. By screening candidates, booking interviews, and responding instantly around the clock, Alita helps communities hire faster, reduce agency dependence, and maintain consistent staffing throughout the busiest months of the year.
More from Alita
See all blog posts
4 min read
Nov 18, 2025
Stay Fully Staffed This Season — Without Paying Agency Prices
4 min read
Nov 13, 2025
Instantly Respond to Patient Leads With Smart Senior Living Admissions
4 min read
Nov 13, 2025
Streamline Digital Patient Onboarding in Home Health Agencies
3 min read
Nov 6, 2025
Best Practices for Pre-Qualifying New Patients Online in Independent Living
5 min read
Oct 29, 2025
Why Contact Forms Are Costing You Clients: How Instant Conversations Convert More Families
3 min read
Oct 29, 2025





