I wonder why these places have high turnover and have staffing issues. Is it the nature of the job itself? Management? The people they deal with?
It is hard work doing things a lot of people would not want to (imagine checking a 170 lb. man periodically to see if his diaper is wet and changing him if he is, particularly if he is non-communicative due to dementia--and that is only one ongoing bit of care he needs). Now add in companies figured out at least 25 to 30 years ago that an aging population was a market opportunity. But companies are responsible to shareholders, not patient/residents. So keeping costs down is an imperative, so staff have to do a lot with a little.
Co-worker who had dealt with a situation similar to mine noted she wanted to go in with people she knew to setup a facility they would own so when time came they would be owner-residents and staff would have to keep them happy. Seems like a great idea to me.
Btw, word of advice for those who have never been in the situation before...
Cultivate friendship with someone on staff if you have a loved one at a facility. That person will let you know when things are going wrong with the care your loved one is getting. I moved my dad more than a half dozen times thanks to being tipped off. Ohhh...and regardless of how good a place is, do not expect that to last indefinitely. High turnover means it won't last.