Quality employees are the foundation to a successful healthcare organization. High rates of employee turnover have proven to have detrimental effects on clients, a healthcare organization, and the field of occupational therapy. Therapy manager and administrative personnel must consider the many factors that influence employee turnover and consider strategies that aid in retaining quality employees. This manuscript aims to explore the literature to determine factors that influence employee turnover, the effects of turnover, and strategies to retain quality employees. The intent is for therapy managers to utilize the evidence provided in this capstone project to help support their staff and ensure optimal performance as occupational therapists as well as promote occupational therapy and create an accessible and collaborative field.