Many large management companies have full-fledged HR and legal departments to manage all the things senior living companies do. However, there are a lot of other management companies that have between 3-15 communities, perhaps in several states and do not have the resources to manage compliance, payroll, Work Comp, and other HR-related tasks.  
This is where a PEO comes in. The PEO takes the payroll, HR management, benefits, work comp, and EEOC/DOL management, and partners with the senior living company to share risk and help manage talent. 
There still is no substitution for hands-on care in healthcare, and a PEO helps manage their HR needs so the focus can be on serving residents, families, and stakeholders.
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