Mental health support for skilled nursing facilities
Staffing ratios that make good care feel impossible, residents' deaths as a routine part of the job, and CNA turnover so high that units run on agency staff and overtime. Grief with no time to grieve. Spill is mental health support for skilled nursing facilities, delivered as on-demand counseling with licensed therapists: booked from any phone in one click, often for the same day, with no referral and no paperwork through the employer.
Book by text from any phone
Grief-specific support, same-day
Packages from $250 a month
Proudly supporting care teams
Grief with no time to grieve
Staffing ratios that make good care feel impossible, residents' deaths as a routine part of the job, and CNA turnover so high that units run on agency staff and overtime. Grief with no time to grieve. The wider industry numbers tell the same story.
Turnover that runs the building
A Health Affairs study of payroll records from more than 15,000 US nursing homes found median annual nursing staff turnover of 94%, with mean turnover of 128%. (Gandhi, Yu & Grabowski, 2021)
Underpaid, in demand
America's 5 million direct care workers earn median annual pay of just under $26,000, and the sector faces an estimated 9.7 million job openings from 2024 to 2034. (PHI, 2025)
Still below pre-pandemic staffing
Nursing homes are the only US health care sector still below pre-pandemic staffing levels, and 91% of providers say recruiting new staff remains difficult. (AHCA Long Term Care Workforce Report, 2026)
The most direct lever on retention and care quality
Accessible counseling that reduces the burnout driving call-outs and churn. Here's how Spill helps skilled nursing facilities specifically.
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Cuts agency spend
Reducing the burnout behind call-outs and churn stabilizes units and cuts agency staffing costs.
Grief support built in
Regular space to process loss, not just after crisis events.
Reaches CNAs directly
Booking by text from any phone, around any shift.
All-in-one on-demand counseling for your team
Unlimited counseling sessions
Sessions with licensed therapists experienced in grief and loss, bookable by text from any phone with same-day availability that fits around shifts and home visits. Available to the whole team, including part-time and hourly staff.
Self-guided wellbeing resources
Self-guided resources on grief, burnout and financial stress written by licensed therapists, plus training that helps supervisors and care team leads spot struggling staff early. The employer funds it; each person's use stays private.
Expert guidance and training
Practical, therapist-led training workshops designed to empower staff to spot mental health presentations within nurseries, schools and universities and know how to appropriately respond. Teachers can also check in with a Spill safeguarding clinician for advice at any time.
On demand counseling, without the hoops
No referrals, no copays, no session caps. Here's how Spill compares to
booking therapy through insurance or a traditional EAP.
Spill
Insurance & Bolt-on EAPs
Getting a session
Same day, a few clicks
in Slack or Teams
Find an in-network provider,
then wait weeks
Cost to employee
Free
Copays and deductibles
Session Limit
Unlimited
Depends on the plan
Choice of therapist
Choose a specialist
Whoever is in network
Privacy
Fully confidential
Claims on the insurance record
Contract
30 day rolling
1 year+
Your team is safe in our hands
Instant access
Support in just a few clicks. No waiting lists, callbacks or application forms
High quality care
We only hire the top 5% of registered counsellors who meet our high standards
Full privacy
Therapy sessions are fully confidential, we never see or record any conversations
The highest-rated support in its category
Spill supports over 30,000 employees and is rated 4.9/5 on Trustpilot by the people who actually use it. But don't just take our word for it.
Spill is fantastic
Having Spill is such a privilege and it's such a fantastic tool. It's excellent whether you need real help now or just need some advice.
Brilliant therapists
My company subscribe to Spill as an employee benefit. I had two courses of 6 sessions throughout an extremely hard time for me.
It’s changed my life
My therapy sessions have genuinely transformed my life, how I manage my relationships and communicate. I cannot thank my company enough.
High quality counselling
Honestly cannot recommend Spill enough. Having access to high quality therapy through your workplace is extremely helpful.
Rated 4.9/5 based on over 100 reviews. Showing our 4 and 5 star reviews.
See Spill in action
Book a free 30 minute demo to hear more Spill’s features and get a tailored quote for your team