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Turnover, Staffing, Skill Mix, and Resident Outcomes in a National Sample of U.S. Nursing Homes

Journal Article
January 1, 2013

This study linked data from the National Nursing Home Survey, a nationally representative sample of U.S. nursing homes, to Nursing Home Compare quality outcomes in order to identify the relationships between staff turnover and selected nursing home quality outcomes.

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Key Takeaways

CNA turnover is significantly associated with higher odds of pressure ulcers, pain, and urinary tract infections.
Turnover appears to drive nursing outcomes, more than staffing levels or skill mix.
When employee turnover is minimized, better care quality is more likely in nursing homes.

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