Notes that national information is seriously lacking concerning the number and types of board and care homes, their residents, and the quality of services provided. Examines shortcomings in current living arrangement classification procedures used in federal surveys. Proposes definition and classification system that transcends state and local…

Purpose: In this study the levels of staff turnover reported in the nursing home literature (1990-2003) are reviewed, as well as the definitions of turnover used in these prior studies. With the use of primary data collected from 354 facilities, the study addresses the various degrees of bias that result, depending on how staff turnover is defined…