Performance Improvement 2011-2012. What Is the Prognosis for Achieving and Maintaining Sufficient Numbers of Certified Nursing Assistants in Nursing Homes?


Projections of a substantial workforce imbalance and a myriad of unresolved systemic issues have motivated policymakers, providers, private foundations, and others to seek immediate and sustainable solutions to stabilizing the long-term care workforce. Current demographic, economic, and policy trends suggest that without serious intervention, the supply of certified nursing assistants (CNAs) could significantly worsen in the coming decades. The National Nursing Assistant Survey (NNAS) represents a major advance in the data available about CNAs in nursing homes and provides a rich resource for evidence-based policy to improve recruitment and retention efforts.

Survey data show that: 1) one in three CNAs received some kind of means-tested public assistance; 2) 55% of CNAs incurred at least 1 work-related injury within the past year and 22% were unable to work for at least one day due to the injury; 3) 42% of uninsured CNAs cite not participating in their employer-sponsored insurance plan because they could not afford the plan; and 4) years of experience do not translate into higher wages; CNAs with 10+ years of experience averaged just $2/hr more than aides who started working in the field less than 1 year ago.

Report Title: The National Nursing Assistant Survey: Improving the Evidence Base for Policy Initiatives to Strengthen the Certified Nursing Assistant Workforce
Agency Sponsor: OASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Marie Squillace, 202-690-6250
Performer: HHS Office of the Assistant Secretary for Planning and Evaluation, George Mason University, Substance Abuse and Mental Health
Record ID: 9336 (Report issued November 25, 2009)

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"PerformanceImprovement2011-2012.pdf" (pdf, 701.44Kb)

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