One remedy for Ohio schools that fail to meet the state’s test score criteria for “effectiveness” is to force a change in the principalship. Concerns have been raised that such a remedy may simultaneously undermine the organizational stability of the school. The researchers in this study examined the frequency with which elementary building principals in 109 southwest Ohio schools changed during the 7-year period of 1996-1997 (FY 1997) through 2002-2003 (FY 2003). The researchers found that urban and rural schools had a significantly higher turnover frequency than did suburban schools. Ways to counter frequent principal turnover while, at the same time, generating improved principal leadership, pose great challenges for those at the helm of many Ohio districts.