OBJECTIVEThis study investigates practices that may help retain certified nursing assistants (CNAs) and address the staffing challenges faced in long-term care.BACKGROUNDCNAs are critical to quality care and retention has never been more challenging. To solve this staffing crisis, understanding the unique perspective of CNAs is imperative.METHODSIn semistructured interviews, 5 nursing assistants, the director of nursing, and the nursing home administrator at 59 long-term care facilities answered 4 questions, providing multiple perspectives about causes and solutions to CNA staffing challenges.RESULTSKey responses for each stakeholder group were identified. CNAs highlighted the nature of the job as a bigger challenge than leadership recognized. Although pay is a top concern, emotional support, training, relationship-building, communication, and the work culture can be equally important in reducing turnover.CONCLUSIONWhen organizational leaders understand how to meet the needs and interests of CNAs, they can reduce turnover.