A Retention Transformation Story
The featured regional hospice provider delivers care to more than 80,000 patients through dozens of offices
across multiple states in the Southeastern and Midwestern U.S.
“Working with Cara was very beneficial for my team and I to develop actionable plans to improve retention. Often when working with consultants, you leave a meeting wondering if it was worth the time and expense. That does not happen with Cara. You walk away from meetings with confidence that your time was well spent.”
– Provider’s President & CEO
In early 2025, this provider was bracing to lose half its Directors of Nursing, as relentless workloads, vacant roles, and plummeting morale pushed nurses and aides to walk away. Leaders were exhausted from years of being asked to “do more with less,” and despite their best efforts, they felt stuck in a cycle where every issue needed attention yesterday. At the same time, the executive team struggled to align on solutions, causing tension and stalled initiatives that left everyone overwhelmed and unsure which way to turn next.
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2-Day Retention Retreat with Leaders
Magnet facilitated an immersive experience for 60+ administrators and regional directors, designed to uncover the root causes of turnover, shift mindsets, and develop actionable strategies. This provided a safe space for honest conversations, enabling leaders to collaborate on realistic solutions and leave with a unified direction.
Surveys conducted before and after the Retreat show significant increases in attendee competence and confidence, improving ownership of retention responsibilities.
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Strategy Summit for Executives
Following the Retreat, senior leaders then gathered for a focused Summit, where Magnet helped them refine their strategies, prioritize initiatives, and develop a clear execution plan. This ensured top-level alignment and set a foundation for realistic change.
The Results
Today, the organization is no longer stuck—it’s aligned, proactive, and moving forward with a clear retention strategy that solves current challenges and strengthens the team for the future. The shift from “controlled chaos” to a focused, strategic plan has reenergized leaders and front-line staff alike, proving that alignment and intentional action truly change outcomes.
Since the Retreat and Summit, leaders have made measurable progress in future-focused development, communication and engagement, sustainable staffing, clear roles, proactive support, and competitive, equitable compensation.
Companies don’t create culture. Leaders do.
Companies don’t retain employees. Managers do.
Magnet Culture training gives you the tools to:
- Improve company culture and increase employee satisfaction.
- Build better managers at every level with adapted leadership styles.
- Ignite an organization-wide leadership mindset focused on growth and improvement.
- Cultivate effective communication across the organization and departments.
- Get your leaders and managers on the same page with consistent priorities.
- Successfully navigate through leadership transition and times of change.
Denise Bilyeu MHR, SHRM‑SCP, SPHR
Despite feeling the pull of work during their time off the floor, our leadership team was excited and energized by Magnet Culture’s powerful and positive training and felt it was a great use of their time! We’re already looking forward to inviting Magnet Culture back next year. Cheers to breakthrough learning and development for our people!
Marc S. Penner, MHA
I can honestly say that throughout my 30+ year career in senior living, the 4-hour retention training presented by Cara Silletto was by far the most effective, relatable, enjoyable, and meaningful training I have ever attended. […]
I highly recommend Cara for not only those organizations who are challenged with recruitment and retention, but also for those employers who are thriving with employment initiatives and want to keep it that way.
Fran DuRivage
Whatever comes out of Alayna’s and Cara’s mouths is pure gold!
Norm Devine
Magnet Culture has been a great partner!
Steve Nee
I wholeheartedly recommend Magnet Culture to any organization that is looking for an effective HR speaker or partner.
Finding a Holistic Approach
Presbyterian Living is a nonprofit with multiple senior care communities in the Chicagoland area.
Magnet Culture aligned with our vision and set the stage for our next chapter in implementing strategies that will help us retain the right talent, deliver our commitment, and stay true to our mission in all that we do. They kept the team engaged and explained why this needs to be a priority for our organization.
– Samantha Victor-Alvarado, VP of Human Resources
By juggling nearly 50 simultaneous initiatives, Presbyterian Living’s leadership became so buried in technical rollouts that they inadvertently pushed employee engagement to the back burner, fueling a cycle of turnover. To stop the bleed, they partnered with Magnet Culture to launch a holistic, multi-year roadmap that replaced their scattershot approach with intentional, people-first leadership. This targeted strategy finally gave managers the tools and breathing room needed to bridge generational gaps and prioritize the human connection required to keep their talent.
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Keynote at Annual Leadership Meeting
Cara presented leaders with a Workforce Wake-Up Call message with insights on today’s new workforce, the employment market, and retention strategies.
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Two-Day Retention Intensive Retreats Across Communities
Throughout 2024, Magnet Culture facilitated Retention Retreats at each community. These sessions gave directors and managers a dedicated space to examine the root causes of turnover, align around shared priorities, and commit to actionable next steps. Leaders reported that the Retreats helped shift perspectives and created a common language for approaching retention challenges.
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Leadership Essentials Training
Building on the retreat foundation, Magnet introduced Leadership Essentials programming, a blend of in-person and virtual, in 2025. The structured curriculum centered on skill-building, team-building, and trust-building, ensuring that each community had leaders who were confident and competent in leading today’s workforce.
Classes: Generations, communication, conflict, resilience, DISC, EQ -
Ongoing Consulting & Support
Looking ahead, Magnet’s partnership with Presbyterian Living continues through consulting engagements in 2026. A phased approach ensures that initial momentum translates into long-term sustainability to proactively create a workplace where people can thrive using the Employee Retention Ecosystem™ framework.
The Results
Today, Presbyterian Living has shifted from juggling competing priorities to focusing on a clear, structured plan for retention and leadership development. Leaders are more proactive, confident, and equipped with tools that make retention feel manageable rather than overwhelming.
While the journey is ongoing, early results indicate that a unified approach is fostering renewed energy among teams and laying the groundwork for long-term cultural change.
Accomplishments achieved:
- Cut Turnover: Reduced rates from 29.4% to 25.4% over 18 months.
- Unified Strategy: Aligned leadership under a holistic, collaborative priority framework.
- Closed Skill Gaps: Standardized training to effectively lead a multigenerational workforce.
- Boosted Confidence: Achieved measurable gains in leadership competence and engagement.
The key to a successful retention strategy is just a call away.
Outstanding speakers and trainers, plus a talented behind-the-scenes team, ensure a successful program…every time!
Book a call with a Workforce Strategist.
Start your journey by booking a call with one of our workforce strategists. We’ll dig into your organization’s unique challenges, goals, and needs to determine whether what we do for other organizations could work for yours.
Design your retention solution.
Your Workforce Strategist will work with you to select the training program that best fits your needs and budget. Whether it’s a single presentation or a combination of services, we will customize the program to align with your specific goals and culture.
Transform your company culture.
Our expert facilitators will deliver engaging and impactful sessions that empower your leaders to implement positive changes. Unlock the full potential of your organization and reap the benefits of increased employee retention, enhanced productivity, and a thriving workforce.