Turnover at nursing homes is high. This leads to inconsistent care and poor moral. In California, staff turnover across the board at nursing homes is 43.7% on an annual basis. For-profit nursing homes have a higher turnover rate than non-profits. (For an excellent summary of staff turnover and related trends, see “California Nursing Home Chains By Ownership Type Facility and Resident Characteristics, Staffing, and Quality Outcomes in 2015,” available at: http://theconsumervoice.org/uploads/files/general/CA-Chains-Report_20AUG2016.pdf ) In comparison the turnover rate across the healthcare industry is just under 20%.
The nursing home industry’s claim that they cannot afford to provide better staffing was debunked by the United States Government Accounting Office (“GAO”) which determined that increases in Medicare reimbursement rates to SNFs do not correlate to increases in staffing. (“Available Data Show Average Nursing Staff Time Changed Little after Medicare Payment Increase,” available at: http://www.gao.gov/new.items/d03176.pdf ).
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