Genesis Healthcare reviews

1.) Productivity standards for therapists are unethical and unrealistic, and it's all that upper management cares about. If you aren't productive, you will be bullied and written up for low productivity, even if you are a good clinician and patient advocate. 2.) Increased demand placed on PT/OT for documentation, particularly when they don't see the same patients everyday. 3.) Documentation system is convoluted, cumbersome, and overly time-consuming. In addition, computers are in shoddy condition at best, further interfering with therapist's ability to manage time effectively. 4.) Forget about reimbursement for CEUs or even basic training required for our job (e.g CPR recertification). 5.) Limited assessment tools. Management is pressing for standardized tools but are unwilling to pay for new speech assessments needed. I have no assessments for my low-level patients which compromises my ability to develop appropriate POC. 6.) Terrible health benefits for a healthcare company. 7.) Toxic animosity between therapy and nursing (note: this may be specific to my center). In addition, upper level management for rehab is totally blind to this animosity and how the dynamic affects patient care. All upper management cares is whether the department is hitting it's 85-90% PCH (patient care hours). 8.) Raises are almost non-existent (frozen for 2013 and 2014), and when you do receive a raise (supposedly this year), it is merit-based (largely on productivity) and does not keep pace with inflation (1-2%). 9.) Unless you want to be a rehab manager, there is no opportunity for advancement.

Too much push on unrealistic productivity standards. Expectations to obtain highest RUG levels on patients who are not always appropriate. These expectations force staff to see pts for allotted minutes which blur the fraudulent lines. When verbalizing concerns, money trumps professional opinions. Made to feel like unappreciated trained monkeys working on an assembly line....the patients are the product. Nothing is ever good enough. Scheduling is always a problem. Every minute of your day has patients scheduled. If one pt is unable to attend therapy at scheduled time, then there is a domino effect (happens everyday). The schedule gets rearranged constantly (because we cant miss the day) and pts, family members, staff and therapists get frustrated. Upper management doesn't seem to have empathy for the dynamics involved in the field. If it looks good on paper then it should work in the field. Documentation is ridiculous. "Texting" notes on a IPOD for every pt, everyday, while completing treatments ("point of service") is unfeasible and looks completely unprofessional to the patients and their families. Not enough computers for staff and are forced to use IPODs which is actually slower and less efficient. Constant IT problems which takes time to fix and is not productive billing. Merit raises have been put on hold for years, returned for 1 year at (1-2 %) and placed back on hold...but cost of living goes up at least 4% every year. Hard work, quality of treatment and outcomes doesn't matter anymore. As long as you put down the numbers they want to see then you are a great therapist. Not a lot of room for professional growth. Unfortunately, the fulcrum has strongly shifted from Quality of care to Quantity of care.