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Invisible staffing churn in nursing homes: CMS turnover metrics miss a growing short-term workforce.

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Title: Invisible staffing churn in nursing homes: CMS turnover metrics miss a growing short-term workforce.
Authors: Petterson S; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States., Winter KM; Shenandoah University School of Nursing, Winchester, VA 22601, United States., Kerns JW; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States.; Shenandoah Valley Family Practice Residency, Front Royal, VA 22630, United States., Qato DM; Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States., Wastila L; Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States., Brandt N; Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.; Peter Lamy Center on Drug Therapy and Aging, Baltimore, MD 21201, United States., Fu YH; Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States., Sabo RT; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States., Chung Y; Harvey L. Neiman Health Policy Institute, Reston, VA 20191, United States., Funk AJ; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States., Krist AH; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States., Winter JD; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States.; Shenandoah Valley Family Practice Residency, Front Royal, VA 22630, United States.
Source: Health affairs scholar [Health Aff Sch] 2026 Apr 18; Vol. 4 (5), pp. qxag094. Date of Electronic Publication: 2026 Apr 18 (Print Publication: 2026).
Publication Type: Journal Article
Journal Info: Publisher: Oxford University Press on behalf of Project HOPE - The People-To-People Health Foundation, Inc Country of Publication: England NLM ID: 9918627882906676 Publication Model: eCollection Cited Medium: Internet ISSN: 2976-5390 (Electronic) Linking ISSN: 29765390 NLM ISO Abbreviation: Health Aff Sch Subsets: PubMed not MEDLINE
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  Data: <searchLink fieldCode="AU" term="%22Petterson+S%22">Petterson S</searchLink>; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States.<br /><searchLink fieldCode="AU" term="%22Winter+KM%22">Winter KM</searchLink>; Shenandoah University School of Nursing, Winchester, VA 22601, United States.<br /><searchLink fieldCode="AU" term="%22Kerns+JW%22">Kerns JW</searchLink>; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States.; Shenandoah Valley Family Practice Residency, Front Royal, VA 22630, United States.<br /><searchLink fieldCode="AU" term="%22Qato+DM%22">Qato DM</searchLink>; Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.<br /><searchLink fieldCode="AU" term="%22Wastila+L%22">Wastila L</searchLink>; Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.<br /><searchLink fieldCode="AU" term="%22Brandt+N%22">Brandt N</searchLink>; Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.; Peter Lamy Center on Drug Therapy and Aging, Baltimore, MD 21201, United States.<br /><searchLink fieldCode="AU" term="%22Fu+YH%22">Fu YH</searchLink>; Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.<br /><searchLink fieldCode="AU" term="%22Sabo+RT%22">Sabo RT</searchLink>; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States.<br /><searchLink fieldCode="AU" term="%22Chung+Y%22">Chung Y</searchLink>; Harvey L. Neiman Health Policy Institute, Reston, VA 20191, United States.<br /><searchLink fieldCode="AU" term="%22Funk+AJ%22">Funk AJ</searchLink>; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States.<br /><searchLink fieldCode="AU" term="%22Krist+AH%22">Krist AH</searchLink>; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States.<br /><searchLink fieldCode="AU" term="%22Winter+JD%22">Winter JD</searchLink>; Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA 23224, United States.; Shenandoah Valley Family Practice Residency, Front Royal, VA 22630, United States.
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