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It's easy to see why annual turnover rates at home care agencies are around 60%. <br />Gurgone and her colleague Hayley Gleason at the Home Aide Care Council presented <br />this telling statistic at the Aging in America conference: Home care agencies in <br />Massachusetts hire 18 people every three months, on average, but they lose 15 workers <br />over the same time period. "My reaction was: `You've got to be kidding me,"' Gurgone <br />said in an interview. <br />Why Things Could Get Even Worse <br />And yet the job market for home care workers may well deteriorate even more. <br />One reason: The Trump administration's plans to restrict legal immigration to the <br />United States. About one -in -four workers at nursing homes, assisted living facilities an <br />home care agencies are immigrants, according to PHI, the Bronx -based advocate for tb <br />direct care workforce. <br />Another: local independent home care agencies are closing up as their owners retire. <br />ICA Group researchers say that recently, for every agency with 20 to loo employees in <br />business at least 25 years that has been sold, nine closed their doors. <br />Sobering trends, no? <br />Small Initiatives That Could Help <br />But industry reforms are beginning to bubble up. <br />For example, in Massachusetts, the Hoene Aide Care Council is piloting a two-week, pr( <br />training program to expose newcomers to what home care work is like. Says Gleason: <br />"We want to make sure people feel ready before starting their formal home care <br />training." <br />The ICA Group is taking a different tack. It's working to expand the number of home <br />care cooperatives beyond the current io nationwide. Co-ops are owned and controlled <br />by home -care workers; members get more training opportunities, steadier work <br />schedules and better benefits than normal. ICA is also reaching out to retiring home ca <br />agency owners to see if they're interested in selling the businesses to their employees. <br />