I don't even know where to start. These are some of the most poorly run facilities I have ever encountered. Nowhere near enough nursing staff/aides working and those who are working have so many patients that it's impossible to provide high quality care. Patients do not even have water a good portion of the time when a therapist walks into the room, patients wait hours and hours to be changed. Nursing staff walking out left and right. As a therapist in a SNF the productivity standard is 85% for evaluators and 90% for assistants which is pretty standard, but in facilities that are so poorly run this is nearly impossible to meet. You will spend time off the clock daily going back many times to patient rooms to attempt to get patients to participate, and there is lots of pressure to pick up patients who are not appropriate for therapy and to see them for a particular number of minutes over a particular number of days which is related to financial reimbursement that the facility will get, regardless of if it is appropriate or if they refuse to participate, which is their right (so much for this going away because of PDPM). Admission holds left and right for various reasons that are all very concerning, which means therapy caseload is typically very low. "Full time" hours for the last 7 months have been around 25 hours, facility keeps promising that we will have more work "soon" but it is clear that this is not a promise they can keep. Very poor excuse for a facility and I would never recommend that anyone work here or put their loved one here.