Case Study: Royal Health Group achieves cost savings and fills 33% of open shifts with OnShift

Royal Health Group Saves Cost & Combats Staff Shortages With OnShift

Royal Health Group is a 16-community senior living organization in Massachusetts and Rhode Island offering skilled nursing, rehab, assisted living, home care and hospice. The company faced staff shortages, rising labor costs from heavy agency use and overtime, and inefficient paper-based scheduling with limited visibility across communities, making it hard to manage staffing and labor metrics centrally.

Royal Health Group implemented OnShift’s scheduling and labor-management platform across all 16 communities, creating a centralized staffing pool, standardized online schedules, messaging for shift fills, and real-time staffing visibility. In six months the pool filled 850 shifts (about 33% of open shifts), overtime dropped to 2%, the organization consistently operates within 0.1% of its labor budget, and employees report better engagement through mobile schedules.

Royal Health Group

Josh Mamary

Director of Business Systems