Staffing has been and continues to be a challenge
Orientation and training is not where it should be-actually there is very little on job orientation, you are more or less thrown into your job and you sink or swim
Platinum service is preached but not practiced
The best part of the job is the residents, and family members. They make all the hardships - more ... worth the effort.
Also some of the inner politics of the specific building makes doing your job very difficult. - less