The pay rate is way below industry standards. Management was untruthful regarding the reason for the lack of wage increases over a period of four years.
The management was also unconcerned about staff safety. Nurses were regularly put in highly unsafe situations. When an incident would occur, the nurse affected would be instructed not to discuss the incident under the risk of being disciplined. Then other staff would be sent to the same area with out knowledge of the safety hazard.
At times the individual census was unmanageable to the point where it became a safety issue. During one period, the team lost so many nurses due to attrition and burnout that there were two full time RN's left. It was six months before an additional RN Case Manager was hired. PTO was unable to be used due to the lack of staffing and lost. No exception was made.
Non-hospice management was put into place and expectations became unrealistic. Every complaint, no matter how minor became a "tempest in a teapot" Everybody from the General Manager on down were dragged into whatever the issue was. A ridiculous amount of time and resources went into this. Prior to this management change, Case Managers were allowed to manage their cases, and effectively resolve most of the issues. If they were unable to, then the Case Manager would bring higher management into the situation.