Staff Turnover

Staffing Industry Analysts has released its 2026 list of the Fastest-Growing U.S. Staffing Firms. Switch came in #2 in per diem nursing and #35 overall across every staffing firm in the country. SIA ranks by compound annual growth rate, which makes it one of the few industry benchmarks measuring something […]

“Improve staffing” is a resolution, not a plan. The CMS staffing rating is a 380-point score built from six measures, scored on deciles, with published cut points — which means the distance between your star and the next one is a specific, knowable number, and some points cost far less […]

Most administrators believe contract and agency clinicians sit outside their nursing home’s turnover rate. CMS says otherwise, in writing: agency staff are counted the same as employees if they work enough hours to be eligible. What decides it isn’t who signs their paycheck — it’s how many hours they worked […]

Yes — agency and contract clinicians count toward your nursing home’s turnover rate, the same as employees. CMS puts it plainly: both are included if they work enough hours to be eligible. What decides it isn’t who signs their paycheck. It’s how many hours they worked and whether they came […]

Certified nursing assistants leave nursing homes at about 42% a year. Replacing one costs $3,000–$6,000 — but that line item is the smallest cost turnover creates. The larger ones — overtime, premium coverage, survey risk, and lost continuity of care — never hit the invoice, and they’re the ones that […]