Healthcare payroll without the headaches.
We get it—managing payroll for healthcare is complex. That’s why we’ve designed our platform to streamline your workflow from start to finish. With robust time-tracking tools, built-in compliance, and fully integrated benefits and HR, you can focus on providing the care your patients deserve.
From shift differentials to staffing ratios, payroll for SNFs is more complex than most. Luckily, Gusto has the powerful tools you need to streamline payroll, simplify scheduling, and automate taxes and compliance—all with a platform built to keep your team happy and healthy. Starting at $49 per month plus $6 per employee.
Stay compliant without the hassle
Reduce your risk and lessen your stress with simplified adherence to HIPAA, FLSA, ACA, and more, along with fully automated tax compliance.
Reduce admin overload
Accurately manage diverse pay rates and complex scheduling without the headaches.
Build the care team of your dreams
Reduce turnover and take care of your caregivers with competitive benefits, flexible scheduling options, and empowering, mobile-first HR tools.
Payroll and time tools for SNFs
Simplify payroll, automate time tracking, and free up your cash.
Payroll built for SNFs
Easily handle complex pay including shift differentials and production bonuses for hourly, salaried, and per-diem staff.
Compliant, automated time tracking
Save time and improve accuracy with automatic overtime and clock-in kiosks that sync to payroll.
Built-in shift scheduling
Create compliant schedules up to six months in advance while avoiding double booking and missed time-off requests.
Cash flow flexibility
Use Instant Pay to manage reimbursement delays with ease.
See what sets Gusto apart
People-first platform
Take care of the people who take care of your business.
Caregivers are the heart of your SNF. Help reduce costly turnover with competitive benefits, flexible pay options, and a simple onboarding experience that makes staff feel valued from day one. Plus, mobile scheduling and employee self-service empower your team to manage their time, PTO, benefits, and more without adding admin.
- FSAs & HSAs
- Custom PTO
- Retirement & disability
- Free financial planning tools
- Wellness & commuter benefits
- Employee self-service
Employee lifecycle compliance
Compliance, hiring, screening, onboarding—all in one place
We don’t just help you hire team members with ease, we reduce your compliance burden across the board. You can run a background check, onboard a new team member, securely store documents, and offer required compliance training including HIPAA—all right from within the platform. Plus we’ll help you stay compliant with ever-changing labor laws and healthcare-specific regulations, along with built-in ACA and EEO-1 reporting.
Need a little help? Our certified HR specialists are here for all your compliance needs.
Frequently Asked Questions
Skilled nursing payroll and HR software is designed specifically for the needs of long-term care facilities. It automates payroll for nurses, CNAs, therapists, and administrative staff while also helping with scheduling, onboarding, and compliance. With everything in one place, you save time on paperwork and keep your team supported.
Payroll software for skilled nursing facilities can easily manage shift differentials, overtime, and PTO. Since skilled nursing staff often rotate through nights, weekends, and double shifts, the software ensures accurate pay runs without manual tracking. Integrating schedules directly with payroll solutions for skilled nursing also reduces errors and saves administrators hours each week.
Yes. While Gusto offers built-in shift scheduling and time tracking software, we also offer integrations with some of the most popular time tools. Whether you stick with Gusto or integrate with a tool you already use, worked hours flow directly into payroll, so administrators don’t have to re-enter data. It improves accuracy, ensures compliance with wage and hour laws, and makes sure staff are paid correctly for every shift.
Skilled nursing payroll and HR software helps facilities stay compliant with federal, state, and healthcare-specific regulations. It manages overtime rules, ACA reporting, and even state-mandated staffing requirements. Gusto can even help flag issues before payroll is processed—protecting you from costly fines and penalties.
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