You were recently promoted from Assistant Administrator to Licensed Nursing Home Administrator.

Case Scenario

Congratulations! You were recently promoted from Assistant Administrator to Licensed Nursing Home Administrator. With the promotion comes a new opportunity to be the administrator of a one-hundred-bed skilled nursing facility in a rural area of central Pennsylvania.

Unfortunately, the facility is not without its challenges. Last month twenty-nine employees, all CNAs, resigned with several CNAs simply not showing up for their scheduled shift. The constant turnover has affected staff morale to where it is now at an all-time low.

Your facility is budgeted for forty-five CNA positions, however, the facility averages forty CNAs on staff. You are concerned that the low morale and additional workload will result in burnout and subsequent additional turnover. You spring into action, consulting your HR specialists and management team to design a program to retain CNAs in your LTC facility.

Step 1

Establish a baseline. What is your current monthly CNA turnover rate? Show your calculations.

Step 2

What is your SMART goal? (Specific, Measurable, Achievable, Relevant, TimelyLinks to an external site.).  How much would you like to reduce the turnover rate? Explain why you selected this goal.

Step 3

What actions or initiatives will you develop to meet your goal? Please detail specific actions you will take to meet your goal. Develop a time line associated with each action.

Keep in mind, the literature suggests CNAs leave their jobs for four main reasons, 

short staffing;

poor wages and benefits;

lack of respect; and

inadequate training and education

Therefore, your initiative(s) should resolve two or more reasons why CNAs leave their jobs. Please provide specific actions, programs and/or initiatives to address the reasons.

Please note, go beyond superficial responses such as increasing wages and benefits. We would all like to increase wages and benefits, however, low-profit margins generally prevent such actions. So, if you do select to increase wages/benefits, be sure to determine the cost of doing so and how you will cover the cost.

Please include in-text references as well as a reference list in the apa citation format.