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The Turnover Signal Healthcare Employers are Missing

Across the healthcare industry, workforce attrition remains one of the most persistent and costly operational challenges facing HR and operations leaders. Annual turnover in home care reaches 77% (PHI National, 2025). CNA attrition in long-term care runs between 50 and 65% annually (AHCA, 2025). Sign-on bonuses, referral incentives, and wage increases have not moved these numbers in any meaningful way. The reason most interventions fall short is that they are designed to solve the wrong problem. What Exit Interviews Don’t Capture When employees leave, organizations rely on exit interviews to understand why. The data is, by design, incomplete. Departing employees have little incentive for candor and real risk in damaging professional relationships — so they give the answer that ends

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