Pros
The office teams truly care about their clients. The teams do everything they can to staff even with low margins.
Cons
The current Skilled Nursing and the Family Group Leadership are out of touch. We have lost some of our best leaders over the last year and a half and more are leaving. You cannot lose or terminate good leaders, replace them with mediocre leaders, and expect our teams to be okay. We are NOT okay! We are feeling their loss at every level. We do not have a strategy. Our leaders are not working with us on strategic ways to alleviate problems and mitigate future issues. They need to listen to us and involve us in the solution. The current leaders are creating more issues instead of alleviating. The current leaders don't understand or are out of touch with the business and are creating high overhead while building their own so called infrastructures. She has doubled our recruiting costs over the last six months, hiring too many different levels of leadership over recruiting, however, the recruiting numbers have not grown. They have actually decreased. Of course, Cris blames this on the office staff. The Practice President does not listen and is not happy unless everyone agrees with her. We believe the RDs have been conditioned to agree with her so they do not lose their jobs. Everyone in SNU leadership knows that if you do not agree with her, you will be forced out. How they can agree, when it is obvious she doesn't know what she is doing is beyond understanding. When asked about anything to do with costs, she dodges the question or will not give a solid answer. Our teams keep expecting a change. Many are feeling hopeless and are looking to leave SNU or BAYADA. Why David Baiada doesn't see this SNU turnover as a problem, is beyond comprehension. SNU, and especially Cris, cannot retain anyone. The group leader, Abnav and Cris keep hiring people to support themselves which makes our margins razor thin. Then, Abnav, tells our teams to pay whatever the nurse wants so they can get every nurse and every case. This instruction as well as the support hires has created an issue with being profitable. Directors are stretched to find ways to make up the difference. The offices are blamed for no margin but it is the leadership creating the issues giving poor instruction to the office teams. We have to run our teams lean while they hire lots of support staff. It is impossible!