-Below average pay compared to other facilites, I know waiters that make as much as they pay their nurses and PTAs, and PTAs/COTAs that make as much or more at other locations that make as much as the PTs/OTs at HS, so there's bound to be dissatisfaction.
-No internal chain of command,ie when you have techs and transporters feeling like they are equivalent to nurses and therapists there is a problem, and noone in management reprimands them. I believe clinical staff should be treated with some regard from support staff.
-The company operates with too few people, the nurse/therapist to patient ratio is horrible, long wait times for patient using call bells, staffing relies completely on patient census-understaffed.
-The bottom line is the main criteria, however at my facility there are probably 20 clinical staff and 80 other people that are assistant administrators or "managers" of this or that, while clinical staff probably ends up making much less than these people.
-paperwork is insane, people have charts that are the size of an encyclopedia, and there may be more than one of these encyclopedias created for a 9-14 day stay, they should go to computer
-There should be some way to calculate patient acuity into the census, there are obviously people that need 1-1 time that don't get it because census is calculated based on raw numbers, especially lower level patients (stroke,TBI,amputees,cardiac,dementia,Parkinson's,etc)
