Healthcare & EVS
Workforce Report 2025
Analyzing the convergence of high turnover, strict compliance loads, and wage pressure in Georgia's environmental services and clinical support sectors.
Executive Summary
The 2025 outlook for Georgia's Healthcare and EVS sectors reveals a critical tension between rising compliance demands (Index: 68) and workforce instability. With Turnover Pressure at 72, facilities face risks not just in coverage, but in infection control quality.
Wage disparities are driving migration from rural systems to metro hubs like Fulton and DeKalb, where complexity premiums exist. However, the "Shift Stability" index of 52 indicates that purely transactional staffing solutions are failing to provide the continuity needed for patient safety. A shift to "Compliance-First" staffing models is required.
Shift Stability Trend
Compliance Risk Index
Compliance Risk Heatmap
County Compliance & Labor Benchmark
| County | Turnover | Compliance | Stability | OSHA Risk |
|---|---|---|---|---|
| Gwinnett | 71 | 67 | 51 | 63 |
| Cobb | 70 | 68 | 50 | 64 |
| Fulton | 74 | 70 | 53 | 66 |
| DeKalb | 73 | 69 | 52 | 65 |
| Hall | 68 | 65 | 49 | 61 |
| Clayton | 69 | 66 | 50 | 62 |
| Chatham / Savannah | 67 | 64 | 48 | 60 |
Gwinnett Insights
Trend: →- ●CNA wage $22.24/hr (vs. statewide $13.41)
- ●High population growth → facility expansion
- ●Strong corridor for technical healthcare workforce
Cobb Insights
Trend: →- ●Healthcare employment: ~470k (2024)
- ●Marietta EVS wages $17.32/hr
- ●5.3% YoY growth in metro healthcare
Fulton Insights
Trend: ↑- ●Largest healthcare employment concentration in Georgia
- ●RN wages & CNA wages highest in state
- ●High compliance burden due to facility complexity
DeKalb Insights
Trend: →- ●CNA wages $24.89/hr (highest county wage)
- ●Academic medical systems (Emory) elevate complexity
- ●High compliance + infection control expectations
Hall Insights
Trend: →- ●Regional hospitals with limited compliance staff
- ●EVS wages ~$17.04/hr
- ●Rural compliance challenges increase load
Clayton Insights
Trend: →- ●Expanding healthcare infrastructure
- ●CNA wage ~$22/hr
- ●Turnover aligned with Atlanta metro levels
Chatham / Savannah Insights
Trend: ↓- ●EVS wages ~$17.02/hr
- ●17.9% hospital turnover (SE region)
- ●Fast RN recruitment (74 days) stabilizes clinical staffing
Turnover & Retention Dynamics
Critical failure point. Driven by "culture shock" in high-acuity environments.
Significantly higher than clinical roles, creating cleaning continuity risks.
Retention Barriers & Drivers
- Barrier:Lack of clear "Clinical Ladder" for EVS staff leads to dead-end perception.
- Barrier:Last-minute shift cancellations destabilize income security.
- Driver:Cleveland Clinic Model: Tiered certification pathways reduced NCNS by 45%.
Outlook 2025–2030
A) Demand Outlook
6-8% annual growth for EVS technicians. The aging population is increasing patient acuity, meaning more intensive cleaning protocols per room.
B) Workforce Pressure
Healthcare adding jobs at 5.4% rate. Wage inflation will likely continue to erode margins, forcing reliance on agency partnerships for flexibility.
C) Opportunities & Risks
- ⚠Aging population increasing acuity & cleaning load
- ⚠Wage inflation eroding margins
- ⚠Compliance drift in rapidly expanding facilities
Wage Benchmarks (2025)
Compliance Burden
EVS roles now require near-clinical levels of documentation.
- CDC: Infection control protocols (masks, isolation).
- Joint Commission: Environment of Care standards.
- OSHA: HazCom & Bloodborne Pathogens training.
Safety & OSHA Risks
Top Hazards
- Musculoskeletal disorders from patient handling
- Bloodborne pathogen exposure
- Chemical exposure (cleaning agents)
- Slips, trips, and falls
Build a Compliant Team
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Request ConsultationSource: First National Staffing OS Analytics, Hospital Association Data, and BLS Reports. Updated March 2025.