Toxic work environment. Management has very little managerial experience. It is very sad because I think the manager I had has a great deal of potential and is a good person. Due to the lack of experience and fear of job loss, they are easily manipulated by upper management. If you have any opinion at all you will not succeed here. Even if the opinion is regarding patient safety. They take feedback as a personal attack. Keep your mouth shut and you will do fine. It is known among employees that you do not write occurrence reports because they will be held against you and included in your yearly review. Even if it is a system problem. I have never experienced that at other jobs. I learned quickly. They provide "Just Culture" education, despite the fact that it is upper management that needs trained in Just Culture. There is a lot of back stabbing and finger pointing. This is what the management seems to want. Vail Valley Medical Center I am so sad for you. It is a horrible place to work even though it's in the middle of paradise. To add to the stress, housing is incredibly difficult to find especially if you have a pet. Living alone if you have a pet is almost impossible, even if you are willing to $1600/month. Most of the HOA's do not allow pets if you aren't the owner. I hope things improve someday.