What is the turnover rate for home care aides?
PHI reports home care turnover was nearly 75% in 2024. Home Care Pulse’s older research put the typical agency between 40% and 67% a year. Numbers differ because groups count differently. Treat it as: most agencies lose a large share of caregivers every year.
There is no single official number, because the federal government does not track turnover for home care aides directly. Two sources give a picture:
- PHI, a national research group on the direct care workforce, says home care turnover was nearly 75% in 2024.
- Home Care Pulse reported a median annual turnover of about 40% to 67% from its 2018 caregiver interviews.
The numbers differ for a few reasons: different years, different ways of counting, and different agency sizes. What they agree on is the direction. Most home care agencies lose a big share of their caregivers every year.
Two more facts help set the scene. PHI says median hourly pay for direct care workers was $17.99 in 2025, and that 45% of direct care workers rely on public assistance programs. When people are paid that little, a small pay difference or a better schedule elsewhere can move them.
How to use this: figure out your own number. Count caregivers who left in the last 12 months, and divide by the number you had on average. If you are lower than 40%, you are doing better than most. If you are higher than 75%, look hard at the first 90 days.
Sources
- Key Facts: Direct Care Workers · PHI
- Top 10 reasons caregivers leave home care agencies · Home Health Care News (reporting Home Care Pulse caregiver interviews, 2018)
Reviewed by Beth Bledsoe, Care Business Advisor®, 28 Oct 2026. Rules change. Confirm with your state Medicaid agency before you act.
How CareBravo®’s Retention agent handles this
Want to see where this is costing your agency money? Four minutes, your agency’s name on the answer.