Payactiv for Senior Care
Empower caregivers with timely access to earned wages
Payactiv helps senior care employers reduce financially driven call-outs and turnover by enabling access to earned wages.




Staffing gaps in senior care are driven by financial stress
Financially strained caregivers are driving turnover, deepening staffing shortages, and putting consistent resident care at risk.
91
%
Say recruiting new staff is difficult
85
%
Turnover for senior living workers
9.7M
Direct-care openings to fill by 2034
1 in 4
Workers faced food insecurity
Sources: AHCA, NIC, PHI, Health Affairs
Keep shifts covered with Earned Wage Access
In senior care, staffing gaps directly impact residents. When caregivers can’t cover everyday expenses, call-outs and turnover accelerates, further worsening hiring.
Reduce last-minute call-outs
Help caregivers handle urgent expenses without missing shifts.
Improve workforce retention
Give staff a reason to stay by solving a daily financial pressure point.
Compete for talent and fill roles quickly
Offer meaningful financial support that helps you attract caregivers.

























Financial growth infrastructure for caregiver stability
Off-Cycle and Term Pay
Handle urgent and time-sensitive payments accurately, supporting compliance and avoiding delays in high-turnover environments.

Goal-Based Saving
Help caregivers manage expenses and build stability over time.
Payroll Card
Enable faster onboarding and immediate access to pay for per diem and contract staff, helping you fill roles more quickly.

Clock In & Clock Out
Strengthen shift verification in regulated, care-critical environments.

Tips and Mileage Disbursement
Digitize mileage and incentive payments for home health and mobile staff to reduce admin burden and ensuring timely reimbursement.
Earned Wage Access
Reduce last-minute call-outs and improve shift coverage by giving crew verified access to earned wages between shifts, keeping drive-throughs staffed and service consistent.

American Senior Communities embedded Payactiv across recruiting, onboarding, and employee communications to make pay flexibility part of the everyday employee experience. The result is deep adoption across more than 100 communities, stronger retention among users, and a benefit that has become part of ASC’s culture and talent strategy.
• 20% Higher Retention
• 57% of Employees Use Payactiv Regularly
• 82% Active User Rate
Payactiv has made a major impact on the lives of our employees. Employee retention is key to us and our analysis on the usage shows us that employees who use Payactiv tend to stay with us longer with a 20% higher retention rate.
– Steve Boyd, Senior Director of HRIS

Nazareth Home and Sacred Heart Home wanted to offer more than temporary assistance. They were looking for a financial wellness benefit that could help employees manage day-to-day needs, reduce the stress caused by the timing of expenses, and give people greater control over their financial lives.
• 60% of employees use Payactiv regularly
• 25% higher retention rate amongst Payactiv users
• 3+ years embedded in Nazareth Home's culture
Payactiv provides the opportunity for our employees to create their own pay cycle and is even more flexible. And a better work life balance so that our employees can deliver remarkable service knowing that their families’ financial needs have been eased a little.
– Trasee E. Whittaker, Chief Human Resources Officer

Edgewood Healthcare wanted to give employees greater financial flexibility while strengthening its total rewards package—without changing existing payroll processes. Payactiv delivered Earned Wage Access with no disruption to pay cycles, no added payroll complexity, and no increase in employer cost, while supporting stronger retention and employee satisfaction.
• 22% Stronger Retention
• 1 in 5 Employees Active
• 4.5/5 Employee Satisfaction
Payactiv has become a valuable extension of our total rewards strategy by offering employees greater financial flexibility. The integration was seamless, allowing us to maintain our existing payroll processes.
– Stacie Platfers, Payroll Manager


"Payactiv has made a major impact on the lives of our employees. Employee retention is key to us and our analysis on the usage shows us that employees who use Payactiv tend to stay with us longer — with a 20% higher retention rate."
- Steve Boyd, Sr. HRIS Director

"Payactiv has become a valuable extension of our total rewards strategy by offering employees greater financial flexibility. The integration was seamless, allowing us to maintain our existing payroll processes."
- Stacie Platfers, Payroll Manager

"Our Caregivers are our number one resource. With seamless access to their earned wages, Payactiv serves as another tool demonstrating our commitment to their well-being. With a clear impact on recruiting and retention, Payactiv is a can't-miss solution!"
- Anthony Fiore, Owner & CEO, Comfort Keepers (Manassas)

"It would be a major overhaul to change from biweekly to weekly payroll. Payactiv provides the opportunity for our employees to create their own pay cycle and is even more flexible — a better work-life balance so our employees can deliver remarkable service."
- Chief Human Resources Officer

"Payactiv gives our employees access to their income sooner to help with unexpected financial challenges. It helps reduce stress, which allows them to focus more on their families and the residents we are blessed to serve. The Payactiv processes are easy for the employee and the company — a real win-win for everyone!"
- Chief Human Resources Officer
Frequently asked questions
How does Payactiv help senior-care employers keep shifts covered?
In senior care, financially strained caregivers drive turnover and staffing gaps. Payactiv reduces financially driven call-outs and turnover by enabling responsible access to earned wages within payroll and timekeeping — helping caregivers handle urgent expenses without missing shifts.
Which Payactiv products support senior-care teams?
Senior-care employers use Earned Wage Access, off-cycle and termination pay, goal-based saving, payroll cards for per-diem and contract staff, Clock-In/Clock-Out for shift verification, and tips and mileage disbursement for home-health and mobile staff.

Bring financial wellness to your caregivers
Request a demo to see how Payactiv fits your payroll and care operations with no payroll replacement and a low lift to launch.




