Andre Williams

Florida Atlantic University, USA

Abstract Title: Nursing Turnover and Hours per Resident Day in Florida Nursing Homes: Examining the Impact of Facility Ownership Type

Biography:

Andre Williams completed his PhD at age 29 from Virginia Commonwealth University. He is an Assistant Professor of Data Science at Florida Atlantic University. He has published over 40 papers in reputed journals.

Research Interest:

Staffing instability (high nursing turnover) drives up operating costs in nursing homes due to expenses such as recruitment and agency staffing. Additionally, high care intensity, measured by nursing hours per resident day (HPRD), is essential for quality resident outcomes, including reduced adverse events and hospitalizations. In Florida, where for-profit entities constitute 76.7% of the nursing home sector amid an increasing prevalence of medically complex residents, this research investigates the association between facility ownership structures (for-profit, non-profit, and government) and critical indicators of care intensity and workforce stability, specifically nursing HPRD and staff turnover. Using 2023 CMS Provider Data for Florida and Generalized Estimating Equations, accounting for regional differences, the analysis showed that government-owned facilities provided the highest staffing intensity, with 1.295 additional HPRD compared to for-profit homes, and non-profits offered 0.441 more hours (p-value < 0.001 for both). Furthermore, turnover rates were significantly lower in non-profit (10.051%, p-value < 0.001) and government (8.821%, p-value = 0.013) facilities than in for-profit models. The findings suggest that non-profit and government nursing homes exhibit higher care intensity and workforce retention than the prevailing for-profit model in Florida. Addressing workforce instability and enhancing care quality in Florida's nursing home sector requires a strategic policy framework that prioritizes higher staffing retention and incentives to increase the intensity of care.