McKnight's December 22, 2025
As 2025 draws to a close, skilled nursing providers are once again confronting a familiar crisis: the year-end stress test of their workforce operations.
This annual ritual, marked by a scramble to process W-2s, reconcile PTO balances, and ensure accurate year-end payroll, is more than a paperwork headache. It’s a revealing audit of whether an organization’s workforce systems are working in harmony or merely patched together with temporary fixes.
In my work with providers across the care continuum, I’ve seen how small inefficiencies balloon into costly missteps during this period.
The stakes are rising. This year’s disruptions are not just about overloaded HR departments or a few compliance headaches; they’re a warning flare for 2026. The operational challenges surfacing now...







