Individual Departments/Managers can make or break you
Pros
Good benefits, PTO accrual for years of service, pride of work in patient care and making a difference in individual's comfort with care.
Cons
Management is varying across the board in being either 100% supportive, or out to destroy you. A good manager talks you through challenges, gives you tools and training to work with and checks in regularly. A bad one is scared to look inefficient, starts making their employees scapegoats for poor rating performance, makes up unrealistic "department protocol" standards thereby making it only attainable if you cut time or safety practices or breaks to meet them, turns employees against each other and will refuse to acknowledge any evidence that proves their mismanagement and ineffectiveness was the root cause. This will go on until you become disenchanted and either leave yourself, or they dump you at HR's doorstep for whatever misstep they can find, even if it is subjective evidence. Unfortunately, you don't always know which type of manager you'll be getting and it varies by department and location.