Factors Associated With Nursing Aide Turnover in Adult Day Services Centers: A National Cross-Sectional Analysis.

Adult day services centers (ADSCs) play an important role in long-term services and supports (LTSS), but no studies have examined ADSC nursing staff turnover. This study estimates full-time nursing aide turnover rates and examines ADSC provider characteristics associated with turnover using the 2018 National Post-Acute and Long-term Care Study, a nationally representative sample of 672 ADSCs in the United States. The average turnover percent for aides was 18.5% (range: 0-60%). Attending care plan meetings often was associated with a 6% lower aide turnover rate (95% CI: -11 to - 0.74). A higher proportion of participants needing bathing assistance was associated with a 0.11% higher turnover rate (95% CI: 0.04 to 0.18). Lastly, providing 11-20 hours of continuing education to aides was associated with a 6.6% increase in turnover (95% CI: 1.1 to 12). This study expands knowledge of nursing aide turnover in an under-explored LTSS setting.