Caregiver On-Boarding and Retention: Takeaways from MHCA 2026

Only 12% of employees strongly agree their employer did a great job on-boarding them (Gallup). In home care, that gap costs you caregivers fast. Nearly 4 in 5 caregiver turnovers happen in the first 100 days (HCAOA), and the client feels it first: a missed visit, a new face in their home, a scheduler scrambling to cover.

In October 2026, John E. Dalton, President & CEO of Optimum RTS, presented “What You Need to Know About On-Boarding and Retention” at the Minnesota Home Care Association Annual Conference in Breezy Point, Minnesota. Here are five ideas from the session.

Live your values where your staff can see them. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. Who owns retention? Everyone. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. Ask the question you don't want the answer to. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. "Free" job posts aren't free. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. A path to leadership without a new title. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. Say what you mean, but don't say it mean. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. Sit in every seat before you take yours. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. Life favors the prepared: before Day One. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. Orientation is one day. On-boarding is 180. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking. Only 12% got it right; 88% are your opportunity. Caregiver retention takeaway, John E. Dalton, Optimum RTS training and speaking.

Caregiver On-Boarding and Retention: Takeaways from MHCA 2026

Only 12% of employees strongly agree their employer did a great job on-boarding them (Gallup). In home care, that gap costs you caregivers fast. Nearly 4 in 5 caregiver turnovers happen in the first 100 days (HCAOA), and the client feels it first: a missed visit, a new face in their home, a scheduler scrambling to cover.

In October 2026, John E. Dalton, President & CEO of Optimum RTS, presented “What You Need to Know About On-Boarding and Retention” at the Minnesota Home Care Association Annual Conference in Breezy Point, Minnesota. Here are five ideas from the session.