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 Quick Sheets


 Fast Facts

  • More than 2 million people were directly employed in
    nursing centers across the United States in 2011
  • 65% of skilled nursing center employees are direct care staff (RN, LPN/LVN, CNA), equaling 1.3 million people
  • Turnover is highest among direct care staff

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Staff Stability


Those who work most closely with residents are at the core of providing quality care and achieving quality outcomes. Research shows that satisfied and happy staffs provide better quality care and contribute to greater quality of life for the residents in skilled nursing centers.

With a more satisfied, well-trained and committed staff, providers see increased retention rates and fewer work-related accidents and injuries, all of which contribute to better overall performance of the center. The more consistent and dedicated the staff is, the more they understand and are able to effectively respond to each individual’s care needs – reinforcing the long term care profession's commitment to delivering person-centered care.

AHCA Toolkit: 4 Key Strategies to Retain New Hires and Reduce Employee Turnover - AHCA Members Only Content (login required)
Additional Resources

Mission Health Services


Mission Health Services' turnover rate is well below the national average, in part, because of their daily staff learning circles.

Share your facility's story on increasing staff stability

Progress on the AHCA Quality Initiative
Over the past year, since Board Chair Neil Pruitt announced the AHCA Quality Initiative in February of 2012, much great work has been done across the country by members committed to achieving the four goals.  
So how are we doing? One way we have to assess that is by listening to the stories we hear from you, our members, sharing about the work you are doing and the results you are achieving in your individual facilities and organizations. Another is by looking at the data we have available.
​DISCLAIMER: The AHCA/NCAL quality programs’ contents, including their goals and standards, represent some preferred practices, but do not represent minimum standards or expected norms for skilled nursing and/or assisted living providers. As always, the provider is responsible for making clinical decisions and providing care that is best for each individual person.