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  1. Mesirow, Katherine Masleid MS, RN, NHA
  2. Klopp, Audrey PhD, RN, CS, ET, NHA
  3. Olson, Linda L. PhD, RN, CNAA


In the long-term care industry, the turnover rate among nurse aides is extremely high. This adversely affects resident satisfaction, resident care, morale, and finances. It presents a challenge to long-term care administration. Refusing to accept high turnover as an impossible situation allows changes to be made. The authors describe how the staff at one intermediate care facility identified its problems, assessed the causes, and implemented corrective action.