Nursing Home Staff Turnover Increases Health and Safety Risks for Residents: Study

Frequent staff turnover at nursing homes may increase the risk of residents facing nursing home neglect, according to the findings of a new study.

Research has long shown that low staffing in nursing homes reduces the quality of care provided to residents, but the findings of a new study indicate that frequent staffing turnover also has an impact, and may increase the risk of nursing home neglect injuries.

During an average week, roughly 15% of staff members working in nursing home facilities are new employees still learning about their new patients, their jobs, and the facility, according to a group of U.S. researchers. However, some facilities have turnover rates as high as 125%, which can have an outsized impact on the quality of care.

In a report published on October 9 in the journal JAMA Internal Medicine, researchers from Johns Hopkins Bloomberg School of Public Health, the University of California, Los Angeles (UCLA); and the University of Rochester, New York, conducted a cross-sectional study evaluating data from nearly 14,000 nursing home facilities to confirm the impact of nursing home staff turnover.

Researchers used data from the U.S. Centers for Medicare & Medicaid Services on health inspection citations and quality measures at U.S. nursing homes. The researchers then combined the data with turnover information derived from daily staffing payroll data from 2017 to 2019. The data covered 1.06 billion shifts for more than 7.48 million employees at 15,869 facilities.

According to the findings, during an average week 15% of nursing home staff and nearly 12% of nursing home administrators were new hires.

Each facility had roughly an average of six citations for issues involving the quality of nursing home care provided. However, if turnover at a nursing home was 10% higher than normal in the two weeks before an inspection, researchers found that the nursing home saw a 4% increased risk of receiving a citation for nursing home neglect and other deficiencies.

A 10% increase in nursing staff turnover was also linked to a decrease in quality measures for patients and reduced patient functioning, the data indicates.

Nursing Home Staffing Turnover Risks

Prior research has linked nursing home staffing shortages to reduced quality of care and increased COVID-19 deaths during the pandemic.

Additionally, staffing shortages make it harder for hospitals to discharge elderly patients back to nursing homes and receive new admissions because the nursing homes are short-staffed and unable to care for the existing patients, previous researcher has indicated.

But the findings of the new study indicate staffing turnover rates, not just shortages, also lead to reduced care among patients. Periods of high turnover of nursing staff are linked to lower quality of care along multiple measures, according to health inspection citations and resident assessments.

Did You Know?

AT&T Data Breach Impacts Millions of Customers

More than 73 million customers of AT&T may have had their names, addresses, phone numbers, Social Security numbers and other information released on the dark web due to a massive AT&T data breach. Lawsuits are being pursued to obtain financial compensation.

Learn More

Turnover disrupts patient care and leads to operational difficulties, including missed or late medications and less frequent check-ins, the researchers determined.

The White House recently announced plans to impose new mandatory requirements for nursing home staffing hours. But these latest findings indicate staffing hours and nursing home staff turnover are both critical factors for patient quality care.

“Within-facility variation in staff turnover was associated with decreased quality of care,” the researchers concluded. “These findings suggest that efforts to monitor and reduce staff turnover may be able to improve patient outcomes.”

0 Comments

Share Your Comments

I authorize the above comments be posted on this page*

Want your comments reviewed by a lawyer?

To have an attorney review your comments and contact you about a potential case, provide your contact information below. This will not be published.

NOTE: Providing information for review by an attorney does not form an attorney-client relationship.

This field is for validation purposes and should be left unchanged.

More Top Stories

Johnson & Johnson Faces Medical Monitoring Lawsuit Over Future Baby Powder Cancer Risks
Johnson & Johnson Faces Medical Monitoring Lawsuit Over Future Baby Powder Cancer Risks (Posted today)

Women who used Johnson's Baby Powder around their genitals for feminine hygiene purposes now live in fear of developing ovarian cancer, according to the class action lawsuit seeking medical monitoring for future diagnoses

More Than 9,600 Join Suboxone Lawsuit Over Tooth Decay in MDL Filing
More Than 9,600 Join Suboxone Lawsuit Over Tooth Decay in MDL Filing (Posted yesterday)

A bundled complaint of about 9,600 Suboxone lawsuits were filed in federal court on Friday, ahead of the two-year anniversary of the FDA requiring tooth decay label warnings on the opioid treatment film strips, which is also a deadline for filing a civil complaint in many states.