Although the salary was competive, there was not a realistic caseload to support it in a rural area. Someone from upper management was hear saying "If we supply the therapist, a caseload will appear". Therefore focus was placed on "program development" aka recycling long term care patients in a nursing home through therapy even when they did not have a functional change to warrant therapy. When the rehab team ceased picking up inappropriate patients to stop this unethical practice, therapists from other buildings that had received "special training" in how to screen patients were sent to show us "how to recognize function change" in patients that we had treated previously and that we had contact with everyday to see that functional change. Although there was continueing education resources, they essentially centered around how to build a caseload and how to make your documentation "audit proof" (of course while keeping up with your productivity standards). Focus is on productivity (aka profitability) as it is with every rehab company in this nation. What would happen if therapists whose main focus is patient "care" formed "care" teams in geographical areas and treated patients with care and respect. We would not need to be so "productive" aka "profitable" if we were not supporting layers of middle and upper management. Oh...and did I mention you do notes on a device that the patients perceive as a cell phone while you are treating them? Patients perceived this as not getting the attention they deserved as well as rude.