May 6, 2026

Therapy Staff Turnover in Skilled Nursing Facilities: Facility Characteristics and Associations With Resident Outcomes

Millions of patients receive care in skilled nursing facilities (SNFs), including both long-term residents and short-stay patients recovering after hospitalization. Staffing challenges following COVID-19 have made turnover a major concern, especially among nursing staff, as it is linked to poorer patient outcomes and has become a focus of federal quality programs. However, far less is known about turnover among rehabilitation therapy staff, who make up a large share of the SNF workforce and play a key role in patient mobility, safety, and functional recovery.

This article explores turnover of physical, occupational, and speech therapy staff in SNFs from July 2020 through September 2023.

Don’t have access to the full text? Email Rachel Prusynski, (rachelp1@uw.edu), to request a pdf version.

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