Unrealistic expectations, high stress environment, inadequate equipment, shortage of computers or improperly working/limited functions on computers, do not spend money on re-ordering equipment and supplies so Therapist are bringing in their own just to get by (to include big named facilities with long history of positive public reputations) they “do not give raises” even after years of service, they will move you around different buildings or take away your hours when census is low, staff are working off the clock just to meet expectations to keep job, so false sense of “productivity” low employee moral, do not offer support systems to assist with meeting productivity expectations. Emphasis on Billing is placed over patient care. Therapists that take short cuts often resulting in poor quality are promoted