ArticleHealth affairs (Project Hope)2021
High Nursing Staff Turnover In Nursing Homes Offers Important Quality Information.
Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
104 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Healthcare professionals' perspectives of pharmacist roles in residential aged care: a qualitative systematic review and meta-synthesis.International journal of clinical pharmacy · 2026Pooled it
- Mapping Nursing Roles in Long-Term Care: A Systematic Review With Network Analysis.Journal of advanced nursing · 2026Pooled it
- Work motivation profiles and work engagement among nursing assistants in Chinese aged care institutions: a cross-sectional latent profile analysis.International journal of nursing studies advances · 2026Article
- Turnover of Housekeeping, Dietary, Laundry, and Maintenance Staff in Nursing Homes.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Effect of Staffing and Wages on Turnover of Nonclinical Support Staff in Nursing Homes.Journal of the American Medical Directors Association · 2026Article
- Registered nurse staffing intensity, skill mix, and acute-care use among long-stay nursing home residents: a fixed-effects panel analysis.BMC nursing · 2026Article
- Associations between nursing home leadership turnover and resident satisfaction.The Gerontologist · 2026Article
- Differential Predictors of Turnover Intention Among Registered Nurses and Nursing Assistants: A Cross-Sectional Study in South Korea.International nursing review · 2026Article
- Invisible staffing churn in nursing homes: CMS turnover metrics miss a growing short-term workforce.Health affairs scholar · 2026Article
- Integrating Virtual Reality Simulation, Online Learning, and Group Reflection to Strengthen Dementia Care in Nursing Homes: Mixed Methods Pilot Study.JMIR formative research · 2026Article
- Heterogeneous effects of nursing staff wages on turnover: evidence from U.S. nursing homes using an instrumental variable approach.The Gerontologist · 2026Article
- Unionization, Ownership Status, and Direct Care Worker Turnover.JAMA network open · 2026Article
- Moderating effects of interprofessional collaboration on the relationship between moral sensitivity and job satisfaction among nursing assistants: A cross-sectional study.International journal of nursing sciences · 2026Article
- Predictors of a Gabapentinoid-Loop-Diuretic Prescribing Cascade in U.S. Nursing Home Residents.Journal of the American Geriatrics Society · 2026Article
- Educational Interventions for Chronic Obstructive Pulmonary Disease (COPD) in Care Homes: A Near-Empty Scoping Review Revealing a Major Evidence Gap.Nursing reports (Pavia, Italy) · 2026Review
- Staffing, nursing home, and market characteristics associated with caregiver turnover in Japan: a national cross-sectional study.BMC health services research · 2026Article
- A Simultaneous Mixed-Methods Examination of Factors Influencing Intent-to-Leave Among Nursing Home Care Providers in 25 Long-Term Care Facilities.Journal of the American Medical Directors Association · 2026Article
- Pathway from job stressors to job burnout in geriatric nursing assistants in Macao: the moderating role of organizational culture.BMC nursing · 2025Article
- Turnover in Nursing Homes That Serve Residents With Serious Mental Illness.Journal of the American Medical Directors Association · 2025Article
- Exploring the mediating effect of burnout between fear of COVID-19, job-related stress and turnover intention among elderly care workers.BMC health services research · 2025Observational
44 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Nursing staff turnover has long been considered an important indicator of nursing home quality. However, turnover has never been reported on the Nursing Home Compare website, likely because of the lack of adequate data. On July 1, 2016, the Centers for Medicare and Medicaid Services began collecting auditable payroll-based daily staffing data for US nursing homes. We used 492 million nurse shifts from these data to calculate a novel turnover metric representing the percentage of hours of nursing staff care that turned over annually at each of 15,645 facilities. Mean and median annual turnover rates for total nursing staff were roughly 128 percent and 94 percent, respectively. Turnover rates were correlated with facility location, for-profit status, chain ownership, Medicaid patient census, and star ratings. Disseminating facilities' nursing staff turnover rates on Nursing Home Compare could provide important quality information for policy makers, payers, and consumers, and it may incentivize efforts to reduce turnover.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.