The Cost of The Revolving Management Door
Posted by Patti on June 14th, 2010 / 
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As I read this article at Long Term Care Living, I thought of all the administrators I have known in my 18 yrs working as a LNA (CNA). At one assisted living facility I briefly worked for, I watched three administrators come and go…this was in less than two years.
How prevalent is this?
Research indicates that more than 7,000 administrators will leave their jobs in long-term care each year. Turnover for assisted living is equally as frequent and both are in excess of 40%, and as high as 70% in turnover each year.
What happens to the facility?
The negative impact of high administrator turnover has been demonstrated and includes increased deficiencies, citations, occurrences of resident pressure ulcers, and use of urinary catheters, restraints and psychoactive drugs—all of which become targets for surveyors and are highly recognized indicators of overall quality of resident care.
Usually when the administrator goes, so does the DON among others…
Research indicates that facilities with higher administrator turnover will yield increases in other staff turnover averaging 76% for RNs, 78% for LPNs, and a complete new group of nursing assistants with 107% turnover in a year.
What bothers me about the high turnover among our esteemed leaders is we just get things working, everyone gets used to the management and expectations, when BANG, they’re gone. So, we have to start all over again. No wonder this has such an impact upon staff, residents and families. Make no mistake, this does effect the residents- read this blog post to see why. How many administrators have you gone through?
June 16th, 2010 at 10:49 am
I have been at my facility for a little over two years. In that time we have had 3 Administrators and 4 DON’s. Currently, my Administrator and DON are older ladies and both have said that they are looking to stay until they retire (5-7 years by their count). This would be a nice change for us over what we’ve been through. Frankly, I’ll believe it when I see it.