Published on:

Take This Job & Shove It! Disturbing Insights Concerning Working Conditions At Large Nursing Home Chain

Working Conditions At Large Nursing Home Chain

When it comes to selecting a nursing home, assisted living facility — or even a hospital, to care for a loved one, the selection process can be difficult because of the incredible array of information.  While there is no shortage of websites available that boast all sorts of information, I find much of it to have little value given the inherent biases of the source.  

If there ever is an appropriate source for getting valuable information about the inner workings of medical facility— and what really happens behind closed doors, I would suggest that the one of the most valuable sources would be to get information from people who witness the type of care provided day-in and day-out — the health care workers.

A colleague sent me a link to Glass Door, a site that provides information about salaries and working conditions at companies from current and former employees.  As a nursing home and medical malpractice lawyer, I of course was interested in hearing how employees at health care companies rated their employers.  

If there’s a recurring theme from these reviews, it appears to be that many of these staff are: over-worked, under-paid and seemingly looking for a way out of their current position.

While I can’t say that I’m shocked, the overwhelming number of employee reviews make these companies sound like miserable places to work— and I’d bet that being a patient there can’t be much better.

Below are some clips from employee reviews from popular nursing home and long-term-care operators.  You are welcome to review all the information provided, but I’ve clipped several employee reviews which seem to best summarize the conditions at these facilities.

Kindred Healthcare (2.7 out of 5 stars reviewed by 64 employees)

Kindred Healthcare Respiratory Therapist in Louisville, KY: (Current Employee)

“Back breaking work, and EXTREMELY stressful environment”


My co-workers,& patients’ there, still need “someone” who cares and that will help them.


They say they go by patient accuity, but they don’t. They cram as many patients’ in as they can and sometimes 2 patients’ to tiny rooms where beds aren’t hardly 2 feet apart! They take anybody, whether the patient has been known to abuse staff and also many weighing over 300 pounds, which is hard on staff. It is all about money there!…

Advice to Senior Management

Need new management with education in managing people without being cold, and abusive.

Kindred Healthcare Anonymous in Huntsville, AL: (Current Employee)

“Unfavorable work environment and poor leadership”


Patients and my peers. Clicking out


Lack of communication, poor work environment, low morale. Favoritism. Overall a stressful work environment and no regard for the employees. Rating D-

Advice to Senior Management

Communication. Invest in your employees. Mgmnt training. Provide a decent work environment and tools to work with. Update outdated mundane tasks and join the 21st century.unto the 21

Kindred Healthcare Anonymous: (Current Employee)

“No support for workers”

2 of 2 people found this helpful


pay is pretty good for certain departments, facilities are close to where I live, when I started the facilities were very good with excellent staff so I enjoyed being there


Money is the bottom line for everything

Would rather hire new graduates because pay is lower than experienced people

Management in facilities does not care about staff

Promotions do not appear to be based on competence but rather who you know

Medical insurance is horrible

I watched as all of the experienced staff started quitting to go to other jobs, as staff continued to leave, new staff was hired, morale began to go down until it is now a revolving door of staff.

Advice to Senior Management

If you want to keep people, you need to value them. You need to be willing to keep experienced people even knowing their salaries may be higher than an inexperienced person, and quit making everything about the money. You say you value your staff but then repeatedly mandate people over and over and tell them if you don’t like it, find another job. And they do find another job at some point.

Acknowledge when people are doing a good job

Manor Care (2.5 of 5 stars based upon employee reviews)

Manor Care Administrator: (Current Employee)

“Manorcare- Home of Mediocrity”

1 of 1 people found this helpful


They have some good clinical systems – they just dont give you the tools to actually do them. If you have a decent RDO it is bearable.


….Staffing is a problem. They don’t cut nursing staffing in budgets – at least on paper. What they do is give impossible non nursing staffing numbers – 1 social worker for 150 patients, 4 people a day in a kitchen etc. then demand that you “find the hours” which means cut from nursing but can be denied later.

Manor Care Manager, Business Development: (Past Employee – 2010)

“Churn & Burn”

1 of 1 people found this helpful


Good training programs and attention to compliance issues.


Clinical and marketing operate in seperate silos- high turnover in the sales/marketing ranks.

Advice to Senior Management

Success requires a unique value proposition and consistent ‘face’ to build referral relationships.

Manor Care CNA in Libertyville, IL: (Past Employee – 2010)

“Not a suggested place to work as a CNA.”

1 of 1 people found this helpful


This employer has constant turnover with CNA positions so CNA positions are always open. Great orientation process-give each new CNA to their company a full 10 days of training.


Working short is a common part of their CNA jobs.

Advice to Senior Management

Listen to your employees more. CNA’s are the backbone of your company, yet are treated poorly.

Sunrise Senior Living (2.9 out of 5 stars based on employee reviews)

Sunrise Senior Living Care Manager in Bloomfield Hills, MI: (Past Employee – 2010)

“Sunrise has a great concept but horrible execution!”


Working with the residents.

Gaining experience

nothing else I can think of




sales pitch does not match the service provided

food in reminiscence is pretty bad

not sufficiently staffed

some staff incompetent but kept on because of favoritism

Advice to Senior Management

Audit visits should be made without prior announcements and incognito. All personnel gets warned about impending visits and encouraged to “look busy at all times”.

Sunrise Senior Living Anonymous: (Current Employee)

“We have lost the serving leadership culture and that is hurting the business”


Great opportunity to work with seniors


Recent trend to throw away long term loyal great people is very sad.

Advice to Senior Management

Bring back the culture and not just talk the talk but walk the walk. Senior management you are missing the boat and our residents are paying the price everyday.

Sunrise Senior Living Care Manager in Omaha, NE: (Current Employee)

“Not a great place”

1 of 1 people found this helpful


Love of people. Working with Alzheimer residents.


poor management, mean people to work with (co-workers)

Advice to Senior Management

Follow through on complaints about other employees- Gain some actual structure in how the day to day operations should work- Don’t have “bad” staff train new staff. Being a private facility shouldn’t keep you from running a nursing home in the eyes of a public facility. There should be an actual manager ensuring that jobs are done properly by the staff and if someone isn’t doing their job- let them go. Especially if they are running off the good staff.

Client Reviews

He did a tremendous job on our case and I can see why he's earned the praise he has from clients and peers.