“…Turnover among nursing staff, for example, is associated with the leadership and communication styles of top management (Anderson, Corazzini, & McDaniel, 2004;Donoghue & Castle, 2009). Researchers also found a greater ratio of administrative positions to residents related to resident outcomes, including lower restraint use and pressure ulcers (Castle & Banaszak-Holl, 2003). Administrator turnover has also been shown to be associated with staff turnover (Castle, 2005), deficiency citations (Christensen & Beaver, 1996), and resident outcomes (e.g., Castle, 2001).…”