-Everything looks great, but is usually a result of cost cutting. This means there's little consistency between sites and even between rooms in the same facility.
-Training is available, but you have to follow their path. If you're not interested in the specific certifications they want you to achieve, you'll eventually face some kind of punishment, but they never go into detail of what that is. Most people leave before they find out.
-There is little accountability. This is true within teams and between departments. If you don't have a specific contact, then odds are good you'll be on your own to fix whatever problems arise. If someone doesn't follow through with their obligations, it's up to you to fix.
-Standards exist for a reason. Either follow them or don't, but don't pay them lip service and ignore them.
-Management needs some serious training. Our team lost everyone over the course of a year and half. At one point it was all taken up the chain only to be ignored. The same manager that caused the problems is still there and still committing the same mistakes. This is a common theme and the reason I left.