A growing shortage of certified nursing assistants is straining the U.S. long-term care system, according to a new University of Georgia study. CNAs, who provide about 90% of direct care in nursing homes, are leaving the workforce due to low pay, limited advancement opportunities, and lack of resources.
The shortage worsened during the COVID-19 pandemic, when nursing homes lost over 220,000 workers, reducing care quality and fueling burnout.
Researchers identified barriers such as costly or inaccessible training, limited career growth, and insufficient mental health support. Disrespect from colleagues and residents also contributes to turnover.
The study highlights programs like Georgia’s CNA Career Pathway Initiative and a virtual skills evaluation program that has helped over 6,000 CNAs enter the field.
Advocates urge better pay, training access, and career tracks to sustain the workforce. “They are the heroes in the story,” said co-author Austin Dobbs.