i had a 36 unit skilled hall, it was unmanageable. Many times I broke down in tears feeling like I was letting my residents down. Management was not team players, nor did they try to problem solve with why they couldn't keep a long term nurse on the hall. STNAs worked short alot, nurses were stressed out and turnover was constant. Pay did not match amount of work you were required to accomplish. Staff that tried to make things better were dismissed.
staffing, pay, work load