direct care workers walking down the hall

Continuing care retirement communities in some regions have seen caregiver staff turnover close to 50% over the past year, according to the 2022-2023 CCRC Salary & Benefits Report

The annual report is released by Hospital & Healthcare Compensation Services in cooperation with LeadingAge.

Nationally, the average staff turnover was 44% among certified nursing assistants, registered nurses and licensed practical nurses. Turnover reached 50.4% in the West North Central region (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota and South Dakota) whereas the Middle Atlantic  states (New York, New Jersey and Pennsylvania) saw a 36.6% turnover. No data were reported for the East South Central region (Alabama, Kentucky, Mississippi and Tennessee).

The greatest shift came from CNAs. The national average CNA turnover was 51%, with several regions coming in at greater than 60%. The Mountain region (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah and Wyoming) topped the list, at 63.4%, followed by New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont) at 62.4%, West South Central (Arkansas, Louisiana, Oklahoma and Texas) at 62.1%, and East North Central (Illinois, Indiana, Michigan, Ohio and Wisconsin) and West North Central at 61.1% each. The Middle Atlantic states saw the least amount of change, at 31.6%.

CCRCs saw an average turnover of 41.3% for RNs, with some regions topping almost 50%. The West South Central region was the highest, at 49.7%, with New England  at 48.6%, the Mountain region at 48.3% and the South Atlantic region (Delaware, Washington, DC, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia and West Virginia) 41.9%. The Pacific region (Alaska, California, Hawaii, Oregon and Washington) saw the lowest RN turnover, at 36.5%.

CCRCs saw the least amount of turnover among LPNs, according to the report. Nationally, LNP turnover averaged 40.5%. Only the New England and Mountain regions exceeded 50%, at 58.2% and 51.5%, respectively. By comparison, the Pacific states saw only a 30.9% turnover among LPNs.   

The report uses data with an effective date of March. A total of 421 CCRCs participated, 86.16% of which were not-for-profit facilities, with 44.04% of respondents religiously affiliated. 

The full publication is available for purchase at the HCS website.