Increase salary of nursing assistants, and home nurses to at least $12/hr, or determine salary based on experience, caregivers are the bones of In home and assisted living companies, and are grossly undervalued and underpaid.
Stop excepting new clients when you don't have enough caregivers to offer proper care. Stop flex pay. Don't permanently assign cases to caregivers before they except the case. Match caregivers and clients appropriately.