Quick Overview
- 1#1: OnShift - Specialized workforce management and scheduling software for senior living and long-term care facilities with shift bidding, forecasting, and compliance tools.
- 2#2: PointClickCare - Comprehensive cloud-based EHR platform for long-term care including advanced staff scheduling, time tracking, and labor management.
- 3#3: MatrixCare - Post-acute care EHR solution with integrated scheduling, staffing optimization, and regulatory compliance features for LTC providers.
- 4#4: Eldermark - All-in-one senior living operations platform featuring intuitive staff scheduling, resident assignments, and real-time availability tracking.
- 5#5: American HealthTech - Long-term care management software with robust scheduling modules for shifts, caregiver assignments, and payroll integration.
- 6#6: SigmaCare - Modern EHR for skilled nursing facilities offering automated scheduling, acuity-based staffing, and mobile shift management.
- 7#7: Netsmart myUnity - Integrated EHR and scheduling system for long-term care with shift planning, open shift filling, and compliance reporting.
- 8#8: ShiftMed - On-demand staffing marketplace app connecting LTC facilities with per diem clinicians for flexible shift scheduling and filling.
- 9#9: ShiftKey - Healthcare shift marketplace platform enabling LTC providers to schedule and manage contingent workers with instant payments.
- 10#10: IntelyCare - Flexible workforce platform for nurses in long-term care offering shift scheduling, self-scheduling, and real-time staffing solutions.
We evaluated these tools based on key criteria, including feature relevance (such as shift optimization, compliance support, and user-friendly interfaces), performance reliability, and overall value, to highlight the most impactful options for long-term care providers.
Comparison Table
Efficient scheduling is vital for delivering quality care in long-term care, and choosing the right software can streamline operations. This comparison table examines key tools like OnShift, PointClickCare, MatrixCare, Eldermark, and more, highlighting features, usability, and integration to help readers identify the best fit for their facility’s needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | OnShift Specialized workforce management and scheduling software for senior living and long-term care facilities with shift bidding, forecasting, and compliance tools. | specialized | 9.5/10 | 9.7/10 | 9.3/10 | 9.1/10 |
| 2 | PointClickCare Comprehensive cloud-based EHR platform for long-term care including advanced staff scheduling, time tracking, and labor management. | enterprise | 8.7/10 | 9.3/10 | 7.6/10 | 8.2/10 |
| 3 | MatrixCare Post-acute care EHR solution with integrated scheduling, staffing optimization, and regulatory compliance features for LTC providers. | enterprise | 8.7/10 | 9.2/10 | 7.8/10 | 8.0/10 |
| 4 | Eldermark All-in-one senior living operations platform featuring intuitive staff scheduling, resident assignments, and real-time availability tracking. | enterprise | 8.5/10 | 9.0/10 | 8.0/10 | 8.2/10 |
| 5 | American HealthTech Long-term care management software with robust scheduling modules for shifts, caregiver assignments, and payroll integration. | enterprise | 8.1/10 | 8.5/10 | 7.6/10 | 7.9/10 |
| 6 | SigmaCare Modern EHR for skilled nursing facilities offering automated scheduling, acuity-based staffing, and mobile shift management. | enterprise | 7.8/10 | 8.2/10 | 7.1/10 | 7.5/10 |
| 7 | Netsmart myUnity Integrated EHR and scheduling system for long-term care with shift planning, open shift filling, and compliance reporting. | enterprise | 7.6/10 | 8.1/10 | 7.0/10 | 7.2/10 |
| 8 | ShiftMed On-demand staffing marketplace app connecting LTC facilities with per diem clinicians for flexible shift scheduling and filling. | specialized | 7.9/10 | 8.1/10 | 8.6/10 | 7.2/10 |
| 9 | ShiftKey Healthcare shift marketplace platform enabling LTC providers to schedule and manage contingent workers with instant payments. | specialized | 7.4/10 | 7.8/10 | 8.2/10 | 6.9/10 |
| 10 | IntelyCare Flexible workforce platform for nurses in long-term care offering shift scheduling, self-scheduling, and real-time staffing solutions. | specialized | 7.8/10 | 7.5/10 | 9.0/10 | 8.5/10 |
Specialized workforce management and scheduling software for senior living and long-term care facilities with shift bidding, forecasting, and compliance tools.
Comprehensive cloud-based EHR platform for long-term care including advanced staff scheduling, time tracking, and labor management.
Post-acute care EHR solution with integrated scheduling, staffing optimization, and regulatory compliance features for LTC providers.
All-in-one senior living operations platform featuring intuitive staff scheduling, resident assignments, and real-time availability tracking.
Long-term care management software with robust scheduling modules for shifts, caregiver assignments, and payroll integration.
Modern EHR for skilled nursing facilities offering automated scheduling, acuity-based staffing, and mobile shift management.
Integrated EHR and scheduling system for long-term care with shift planning, open shift filling, and compliance reporting.
On-demand staffing marketplace app connecting LTC facilities with per diem clinicians for flexible shift scheduling and filling.
Healthcare shift marketplace platform enabling LTC providers to schedule and manage contingent workers with instant payments.
Flexible workforce platform for nurses in long-term care offering shift scheduling, self-scheduling, and real-time staffing solutions.
OnShift
specializedSpecialized workforce management and scheduling software for senior living and long-term care facilities with shift bidding, forecasting, and compliance tools.
AI-powered scheduling engine with integrated OnShift Connect marketplace for instant shift filling from a vetted pool of per diem caregivers
OnShift is a comprehensive workforce management platform tailored for long-term care (LTC) and senior living facilities, specializing in automated staff scheduling, time and attendance tracking, and caregiver engagement. It uses AI-powered tools to predict staffing needs, fill open shifts instantly via an integrated marketplace, and optimize labor costs while ensuring regulatory compliance. The mobile-first design empowers caregivers with self-scheduling and real-time communication, reducing administrative burdens and improving retention in high-turnover LTC environments.
Pros
- AI-driven predictive scheduling minimizes overtime and ensures 95%+ shift fill rates
- Integrated caregiver marketplace for on-demand per diem staffing
- Robust mobile app with self-service tools boosting caregiver satisfaction and retention
Cons
- Pricing is quote-based and can be premium for smaller facilities
- Steeper initial setup for complex multi-site operations
- Limited native integrations with some legacy EHR systems
Best For
Mid-to-large LTC facilities seeking an all-in-one solution to automate scheduling, reduce labor costs, and enhance staff engagement.
Pricing
Custom quote-based pricing starting at approximately $4-6 per user/month for core scheduling, scaling with features and facility size; free demo available.
PointClickCare
enterpriseComprehensive cloud-based EHR platform for long-term care including advanced staff scheduling, time tracking, and labor management.
Dynamic Scheduling Engine with AI-driven forecasting and real-time optimization across clinical and staffing needs
PointClickCare is a leading cloud-based EHR and operational platform for long-term care facilities, featuring advanced scheduling tools for staff rostering, shift bidding, and caregiver assignments. It integrates scheduling seamlessly with clinical documentation, billing, and compliance modules to streamline workflows in skilled nursing and assisted living environments. The software supports predictive scheduling, fatigue management, and real-time visibility to optimize labor costs and resident care.
Pros
- Comprehensive integration with EHR, billing, and compliance for end-to-end LTC operations
- Advanced scheduling capabilities including auto-scheduling, shift trades, and predictive analytics
- Strong scalability for multi-facility chains with robust reporting and mobile access
Cons
- Steep learning curve due to extensive feature set and complex interface
- High implementation costs and lengthy onboarding process
- Occasional performance lags during peak usage in large deployments
Best For
Large skilled nursing facilities and multi-site LTC providers seeking an all-in-one platform for scheduling integrated with clinical and financial management.
Pricing
Enterprise custom pricing, typically $100-$300 per bed/month or per user, with implementation fees starting at $50,000+.
MatrixCare
enterprisePost-acute care EHR solution with integrated scheduling, staffing optimization, and regulatory compliance features for LTC providers.
Acuity-driven scheduling that dynamically assigns staff based on real-time resident care needs and compliance requirements
MatrixCare is a comprehensive EHR platform designed for long-term and post-acute care, with robust scheduling modules for managing staff shifts, caregiver assignments, and resident activities in nursing homes and assisted living facilities. It automates scheduling processes, handles open shifts, and integrates with clinical documentation, billing, and compliance tools for seamless operations. The system supports acuity-based staffing to match caregiver skills with resident needs, reducing manual errors and improving efficiency.
Pros
- Deep integration with EHR, billing, and clinical modules
- Automated scheduling with open shift management and mobile access
- Strong regulatory compliance and acuity-based staffing tools
Cons
- Steep learning curve due to comprehensive feature set
- High implementation costs and custom pricing
- Less intuitive for small facilities without dedicated IT support
Best For
Mid-to-large long-term care facilities needing integrated scheduling within a full EHR ecosystem.
Pricing
Custom enterprise pricing; typically $100-200 per bed/month plus implementation fees starting at $50,000+.
Eldermark
enterpriseAll-in-one senior living operations platform featuring intuitive staff scheduling, resident assignments, and real-time availability tracking.
Acuity-driven intelligent scheduling that automatically recommends shifts based on resident needs and staff skills
Eldermark is an all-in-one operations platform tailored for senior living and long-term care communities, with a strong emphasis on staff scheduling and workforce management. It enables drag-and-drop scheduling, real-time shift adjustments, and integration with resident care plans to ensure optimal staffing based on acuity levels. The software also handles time tracking, payroll integration, and compliance reporting, streamlining daily operations in assisted living, memory care, and skilled nursing facilities.
Pros
- Robust drag-and-drop scheduling with real-time visibility and auto-fill capabilities
- Deep integration with resident acuity scoring and care workflows
- Strong mobile app for staff clock-ins, shift swaps, and notifications
Cons
- Steeper learning curve for advanced features and custom configurations
- Pricing skews higher for smaller facilities without full modular flexibility
- Limited third-party integrations compared to larger EHR competitors
Best For
Mid-sized senior living communities (50-200 residents) needing integrated scheduling tied to resident care needs.
Pricing
Custom quote-based pricing, typically $8-15 per resident/month for core scheduling module, with add-ons for full operations suite.
American HealthTech
enterpriseLong-term care management software with robust scheduling modules for shifts, caregiver assignments, and payroll integration.
Certification and credential tracking that auto-adjusts schedules for expirations and compliance requirements
American HealthTech provides an integrated EHR platform with dedicated scheduling modules designed for long-term care facilities, including nursing homes and assisted living. It handles staff rostering, shift assignments, resident activity scheduling, and time tracking while ensuring compliance with healthcare regulations like OSHA and state staffing mandates. The software optimizes workforce utilization by factoring in certifications, preferences, and labor laws specific to LTC environments.
Pros
- Seamless integration with EHR, billing, and payroll for unified LTC operations
- Advanced compliance tools for staff certifications and regulatory reporting
- Robust handling of complex shift patterns and overtime calculations
Cons
- Dated user interface that may require training for new users
- Primarily on-premise deployment with limited modern cloud scalability
- Custom implementation timelines can extend 3-6 months
Best For
Mid-sized to large long-term care facilities needing integrated scheduling within a full EHR ecosystem.
Pricing
Quote-based enterprise pricing, typically $150-250 per resident bed per month including core modules; implementation fees extra.
SigmaCare
enterpriseModern EHR for skilled nursing facilities offering automated scheduling, acuity-based staffing, and mobile shift management.
Acuity-driven predictive scheduling that automatically adjusts shifts based on resident needs and staff availability
SigmaCare is a comprehensive EHR platform tailored for long-term care facilities, including skilled nursing and assisted living, with integrated scheduling capabilities for staff shifts, resident activities, and compliance tracking. It automates workforce management, optimizes shift assignments based on acuity and certifications, and provides real-time visibility into schedules across multiple locations. The software ensures regulatory compliance through features like e-signatures and audit trails, while integrating seamlessly with clinical documentation and billing modules.
Pros
- Robust integration of scheduling with EHR, billing, and payroll for streamlined operations
- Real-time scheduling visibility and mobile access for staff
- Advanced compliance tools including certification tracking and acuity-based forecasting
Cons
- Steep learning curve due to extensive feature set
- Implementation can be lengthy and resource-intensive
- Pricing is opaque without custom quotes, potentially high for smaller facilities
Best For
Mid-to-large long-term care facilities needing an all-in-one EHR with sophisticated staff scheduling and compliance management.
Pricing
Custom enterprise pricing based on facility size, beds, and modules; typically starts at $100-200 per bed/month with implementation fees.
Netsmart myUnity
enterpriseIntegrated EHR and scheduling system for long-term care with shift planning, open shift filling, and compliance reporting.
Seamless integration of scheduling with full EHR workflows for unified clinical, financial, and operational management
Netsmart myUnity is a comprehensive EHR platform designed for long-term care and post-acute facilities, featuring robust scheduling modules for staff shifts, resident activities, and resource allocation. It integrates scheduling seamlessly with clinical documentation, billing, and compliance tools, enabling real-time visibility and automated adjustments. The software supports customizable rules, conflict resolution, and forecasting to optimize operations in skilled nursing and assisted living environments.
Pros
- Deep integration with EHR, billing, and payroll systems
- Advanced scheduling tools with drag-and-drop interface and automation
- Strong compliance reporting and regulatory support
Cons
- Steep learning curve due to comprehensive feature set
- Higher pricing suitable mainly for mid-to-large facilities
- Limited standalone mobile app for scheduling on-the-go
Best For
Mid-to-large long-term care facilities seeking an integrated EHR with scheduling capabilities rather than a standalone tool.
Pricing
Custom enterprise pricing via quote; typically subscription-based starting at $200+ per user/month depending on modules and facility size.
ShiftMed
specializedOn-demand staffing marketplace app connecting LTC facilities with per diem clinicians for flexible shift scheduling and filling.
Real-time shift claiming from a nationwide network of 300,000+ pre-vetted per diem healthcare workers
ShiftMed is a mobile-first staffing marketplace that connects long-term care facilities with on-demand nurses, CNAs, and other clinicians for flexible shift filling. Facilities post open shifts via the app, allowing vetted per diem workers to claim them in real-time, which helps address staffing shortages efficiently. It includes tools for scheduling, attendance verification, compliance checks, and instant payments, making it ideal for dynamic LTC environments.
Pros
- Access to a large pool of vetted, local per diem clinicians for quick shift filling
- Intuitive mobile app for both facilities and workers streamlining scheduling
- Automated attendance tracking and compliance verification reducing admin burden
Cons
- Higher per-shift costs compared to permanent staff or traditional agencies
- Limited control over worker continuity and potential for no-shows
- Less robust for long-term staff scheduling or advanced forecasting compared to full EHR systems
Best For
Long-term care facilities experiencing frequent staffing shortages that need rapid, on-demand access to flexible clinicians.
Pricing
Pay-per-shift model with fees varying by location, role, and shift length (typically 20-40% markup on clinician pay); no fixed subscription.
ShiftKey
specializedHealthcare shift marketplace platform enabling LTC providers to schedule and manage contingent workers with instant payments.
Largest U.S. network of on-demand, license-verified healthcare professionals for instant shift matching.
ShiftKey is a healthcare staffing marketplace that connects long-term care facilities with per diem nurses, CNAs, and clinicians for on-demand shift filling. Facilities post open shifts via a mobile app, and verified professionals bid or claim them in real-time, enabling rapid coverage for shortages. It focuses on supplemental staffing rather than comprehensive internal scheduling for permanent employees.
Pros
- Extensive nationwide pool of vetted per diem healthcare workers
- Real-time shift posting and filling via intuitive mobile app
- Flexible pay-per-shift model without long-term commitments
Cons
- Lacks tools for permanent staff scheduling, forecasting, or recurring rosters
- Potential variability in worker consistency and retention
- Higher per-shift costs due to platform fees compared to in-house staff
Best For
Long-term care facilities needing quick supplemental staffing to cover temporary gaps or high-demand periods.
Pricing
Pay-per-shift marketplace model; facilities pay clinician rates plus ShiftKey's 20-30% service fee, with no fixed subscription.
IntelyCare
specializedFlexible workforce platform for nurses in long-term care offering shift scheduling, self-scheduling, and real-time staffing solutions.
Real-time shift claiming by a nationwide network of 250,000+ vetted clinicians via mobile app
IntelyCare is a mobile-first staffing platform designed for post-acute care facilities, including long-term care, to instantly fill open shifts with a large network of vetted per diem nurses and aides. Facilities post shifts in real-time, and clinicians claim them via an intuitive app, reducing reliance on expensive agencies. It focuses on alleviating staffing shortages with transparent pricing and compliance tools, though it's more of a marketplace than a comprehensive employee scheduling system.
Pros
- Access to a vast pool of pre-verified, local clinicians for rapid shift filling
- Significant cost savings (up to 70% less than agencies) with pay-per-shift model
- User-friendly mobile app for both facilities and clinicians enabling real-time matching
Cons
- Lacks full employee rostering, PTO management, or deep EHR integrations typical of dedicated scheduling software
- Relies on per diem availability, which may not suit facilities needing permanent staff planning
- Limited customization for complex LTC scheduling rules like union constraints
Best For
Long-term care facilities facing chronic shift shortages that prioritize quick, flexible on-demand staffing over traditional employee scheduling.
Pricing
Pay-per-shift model starting at $50-80 per filled shift (varies by role/location), with no subscription required and savings of 50-70% vs. agencies.
Conclusion
After evaluating the 10 tools, OnShift emerges as the top choice, excelling in specialized workforce management, shift bidding, forecasting, and compliance for senior living and long-term care. PointClickCare and MatrixCare follow as strong alternatives: PointClickCare offers comprehensive EHR integration with robust scheduling, while MatrixCare stands out with post-acute care optimization and regulatory features, each addressing unique operational needs. These top performers showcase the depth of innovation in long-term care scheduling software.
Don’t miss out on enhancing your facility’s efficiency—start with OnShift’s tailored solution, or explore PointClickCare and MatrixCare to find the best fit for your specific workflow.
Tools Reviewed
All tools were independently evaluated for this comparison