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Related Experiment Video

Updated: Nov 19, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Measuring Caregiver Retention in Nursing Homes.

Nicholas G Castle¹

¹Department of Health Policy, Management, and Leadership, School of Public Health, West Virginia University, Morgantown, USA.

The Gerontologist

|February 1, 2021

Summary

Nursing home caregiver retention, particularly for nurse aides and registered nurses, is low but linked to better quality of care. Policymakers should use nuanced retention metrics for quality improvement.

Keywords:

Nursing homes Quality Retention Stability Staffing

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Area of Science:

Healthcare Management
Nursing Home Quality
Workforce Stability

Background:

Caregiver retention is crucial for maintaining consistent quality of care in nursing homes.
Understanding the relationship between staff retention and facility quality is essential for effective policy and practice.

Purpose of the Study:

To examine the retention rates of different types of nursing home caregivers.
To investigate the association between various caregiver retention measures and quality indicators in nursing homes.

Main Methods:

A 2016 survey of 2,898 nursing home administrators provided staffing data.
Data were matched with Nursing Home Compare and certification records.
The study analyzed four retention measures for nurse aides, registered nurses, and licensed practical nurses against six quality indicators.

Main Results:

Five-year retention rates for nurse aides (NAs), registered nurses (RNs), and licensed practical nurses (LPNs) were found to be low.
Higher caregiver retention showed a positive association with improved overall nursing home quality, strongest for NAs and RNs.
Retention measures spanning 3- and 5-year periods demonstrated the most significant links to quality indicators.

Conclusions:

Caregiver retention is a potentially valuable metric for enhancing nursing home quality.
Practitioners and policymakers need to apply caregiver retention metrics with careful consideration of nuances for optimal impact.