Working as a Client Services Manager is a juggling act...like trying to keep 10 balls made of glass in the air at all times. I have taken approximately 4 lunch breaks in 4 months of working for Bayada and no breaks during the day other than to run to the restroom. You are not discouraged from taking breaks, but the work won't get done if you do. The phones NEVER stop ringing and company policy is to answer them within 2 rings. So forget about being productive during the work day; you are too busy answering the phones and putting out the small fires that break out all day long (for example, an insurance change, a client is hospitalized, a client has no primary care physician, a client calls to cancel an appointment, etc.). You end up taking work home at night, on weekends and holidays. And forget enjoying your vacation days! There is ZERO extra capacity in a Bayada office so you may take your days off, but your coworker will have to do the work of 2 CSMs when he/she probably can barely get the work of 1 CSM finished on an average day. You will spend your entire vacation stressed out about what you left behind and what will be waiting for you when you return. And then don't forget, your coworker will want to take vacation as well. And then YOU will be doing the work of 2 overworked people.