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This study estimates full-time nursing aide turnover rates and examines ADSC provider characteristics associated with turnover using the 2018 National Post-Acute and Long-term Care Study, a nationally representative sample of 672 ADSCs in the United States. The average turnover percent for aides was 18.5% (range: 0\u201360%). Attending care plan meetings often was associated with a 6% lower aide turnover rate (95% CI: \u221211 to \u2212 0.74). A higher proportion of participants needing bathing assistance was associated with a 0.11% higher turnover rate (95% CI: 0.04 to 0.18). Lastly, providing 11\u201320 hours of continuing education to aides was associated with a 6.6% increase in turnover (95% CI: 1.1 to 12). This study expands knowledge of nursing aide turnover in an under-explored LTSS setting.<\/jats:p>","DOI":"10.1177\/07334648251318417","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T11:27:57Z","timestamp":1740569277000},"page":"1867-1872","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Nursing Aide Turnover in Adult Day Services Centers: A National Cross-Sectional Analysis"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7285-6850","authenticated-orcid":false,"given":"Yuwa","family":"Edomwande","sequence":"first","affiliation":[{"name":"Booz Allen Hamilton"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6129-8288","authenticated-orcid":false,"given":"Natalie","family":"Shellito","sequence":"additional","affiliation":[{"name":"Booz Allen Hamilton"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer Gaudet","family":"Hefele","sequence":"additional","affiliation":[{"name":"Booz Allen Hamilton"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2477-7529","authenticated-orcid":false,"given":"Marye","family":"Phillips","sequence":"additional","affiliation":[{"name":"Booz Allen Hamilton"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/36.4.512"},{"issue":"2","key":"e_1_3_4_3_1","first-page":"25","article-title":"Developing an enhanced perspective of turnover and retention of nurses and health care aides in long-term care homes","volume":"38","author":"Black P.","year":"2015","unstructured":"Black P. 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