registered nurse - home health

physical therapist

occupational therapist

physical therapist assistant

licensed practical nurse

Adoration-Health

Being hospice nurse is a challenging career but a very rewarding career. It’s not a job it’s a calling. And yes , nurses especially hospice nurses know that there are times when you have to go above and beyond and  times were you go out of your way to do just that because your heart tells you to and you want to because you are called to. There are days when you work more than 8 hours. There has been some reviews on here stated they don’t understand why someone would write negative comments. about Grane. I will explain... First reason among many.... There has been a repeat history of things being said at time of hiring and quickly they change. Your caseload becomes heavier and heavier and yes understandable that if more clients come on you will get more patients but maybe they should get more help or put a hold on admissions until they are staffed properly, instead of being more concerned about  numbers and making money for the company (getting their referral bonus)  instead of making shorter time with your patients to add more patients.   Management does not have your back , they act like they do, when your first hired , saying you can always come to them, checking on you  but that changes quickly. King of Prussia is a small office but there is a lot of  backstabbing,they talk nice to your face and then go behind your back. There is a VERY HIGH turnover rate not limited to  only nurses, but including,CNAs, Chaplins and Social Worker. Poor communication from management to staff. No raises,even if you got a excellent evaluation.  They do not treat their employees with respect. I wrote this review not because I am a angry employee, a terminated employee,but a former employee that loves hospice and what it stands for. I want to be honest about the experience I have had and my co workers have had at Grane for someone looking for a job in hospice here and that this place won’t be honest  with you. Being a hospice nurse and being able to be there at the end of life and make them comfortable and at peace is a wonderful experience.  The positive reviews written  on  here were most likely posted by management.

Don't be fooled by outward appearances and first impressions. Don't be wowed by the money. It's not everything...unless you are a member of senior leadership. Don't be drawn in by the motivational words. They came straight out of a how to make the your boss rich book...that you will be forced to read.  Promises are made  with either no intention of keeping them or they change according to how it benefits a random situation or individual. Get everything in writing, otherwise, denials will be made that promises and/or conversations ever took place. There is little consistency in processes and policies. Most of the senior management are rude and not interested in the success of anyone but themselves. Others are weak and are frequently left out of making important decisions. Non-clinical staff  make clinical decisions. They are extremely reactive and closed minded, which explains the poor retention. Work/life balance does not exist and that's ok. The bus you will be riding is traveling on a one way, dead end street and driven by a couple frat boys. If you are in THE group you are held to a different set of standards and allowed to behave in ways that no one should in a work setting. The word intimidation comes to mind. People are often set up to fail, either by being assigned duties they are not familiar with and receive little to no training on or work loads becoming so heavy there is no way to get everything done as it should be. You can then expect to be disciplined or called lazy and ungrateful.
The core values are sold as being the foundation of this company but truthfully they should be done away with or at the very least the order of them rearranged. When staff see these are not being demonstrated by their leaders they become just empty words.
If this company has any chance of success, most of the senior management team should be replaced. Any success they are enjoying now is entirely due to the direct caregivers and support staff providing loving, compassionate,skilled care.

Worked for Adoration for nearly 3 years- both as a private duty nurse and home health nurse--- there were growing pains in the beginning-as the company was new--The hiring process took several weeks even though they said they were desperate for nurses-Went through a couple different schedulers, HR staff, RN supervisors- never really knew exactly who I needed to answer to- The RN supervisors were quite disorganized- they would promise help but it took a long time to get it- and then only when I would hound them! Once I was dumped into a high-needs private duty case in which I and the patient's family were told that there was complete 24hr nurse coverage in place- this was false---I was the only nurse in place- and felt I needed to work beyond what I was able to help the nervous family-and the management relied on me to help find the additional coverage--it was a nightmare! They were always saying they needed nurses to cover all the cases they took on- I personally referred many of my nurse associates to the company- the admin did not follow through with them or gave the nurses the run around--
All of that said- once I was established with the company- they worked with me in order to place me in the right private duty case--and gave me a generous raise as well-- I always received the time off I needed--PTO is offered -I was able to work all the overtime I could handle if wanted -I was promptly given the supplies and paperwork required for my job--- The last RN supervisor I worked under always either answered her phone or responded quickly to me- she was always reasonable and fair---The company also has a great documentation program--- 
The company did improve the longer I worked there- I think the staff was trying to figure it out--- it is not seamless- but if you are able to work independently and are willing to seek out solutions on your own this may be a good fit for you

This company is owned by a few individuals that are greedy, uneducated, and a disgrace to home care for any patient. Their primary objective is to achieve money from unethical, immoral, and at times illegal management practices. 

Since working here, I witnessed 12 people resign in under 90 days, that is 12 skilled professionals with years of experience just resign after working and being exposed to the humiliating environment of bullying to increase patient referrals day after day or risk being terminated. Patient care is delayed, medical supplies are poorly ordered for patients, patient care is secondary after revenue. Many patients with non-medicare insurance are turned down due to a low profit margin. 

Marketing is heavily rewarding if you can bribe, solicit, and persuade medical facilities to give you patient referrals through questionable tactics. 

HR is a mess to say the least, cabinets are unsecured containing sensitive information, patient and email files are shared through unsecured communication channels. Employee charts, files, and private information is discussed openly with any employee. Office supplies are a luxury good here, chairs are ripped, desks are cracked and broken, cabinets have no keys, cables are hanging all over the office, office computers are old and slow, scanners and printers never work, keys are lost always.

The owners are uneducated, one claims to be a doctor but has no medical license from ANY state in the United States of America.

If you plan to spend 1-4 years working here and then resign and go somewhere else, plan to also have a thought out exit strategy, the owners will defame you and will bad mouth you with anyone and everyone.

I am not quite sure why others have written such scathing reviews about Grane. Unless, of course, they are former employees who were terminated for not fulfilling their job duties or failing to represent the mission of Grane. Grane Hospice provides hospice care as it should be, patient-centered. Are there times where you go above and beyond for your patients? Absolutely! Are there times where you work past business hours? Of course! Are there times where you are asked to be a team player and participate in covering on-call? Yes! Hospice care is not an easy job. Nor is it a “job,” it is a passion, a calling. Your heart MUST be in this care! You are there for these patients and these families in some of the most frightening, saddening, and potentially life-changing moments in their lives. 

As far as management is concerned, I have never felt more supported! I have worked with management who have literally said, “Just figure it out and get it done!” At Grane, while we do need to figure it out and make sure our patients/families are cared for, I have NEVER felt “bullied” into anything. My goal as an RN in hospice care is to ensure these patients and families receive the care they deserve. I also know wholeheartedly, that management has my back. I am consistently asked what they can do for me when the day gets hectic. 

If you have ever had a loved one on hospice care, as I have, you sincerely want this team around you. Our current team truly cares for our patients and families but also for one another. I could not be more proud to be part of this team and to see how we continue to grow and provide the care I wish my loved one had at the end of his life!

The new management is only about money and numbers. The previous owners were nurses and cared more about the staff and patients. The "upper crust" are now mostly all business people or brown nosers of upper management, not actual licensed medical professionals. Too many medical decisions are influenced by the owner and managers who are not licensed medical personnel. Prime example is one of the chaplains who is now a decision maker in upper management.  The new "marketers" get paid bonuses on admissions so they go out and promise patients and families the moon, they essentially make medical decisions by promising certain medicines and treatments. The RNs will get questioned and have to defend their nursing judgement when they do not do what these marketers promise. 
The staff is overburdened with large patient loads & working very short staffed in the inpatient unit. Communication lacks and when you ask too many questions, you get in trouble. Oftentimes, supplies are not maintained well - it's not uncommon to run out of soap, bedpans and germicidal wipes. They are always trying to cut corners, understandable, however, it often leaves the patient to suffer. Example: the cook also functions as housekeeping. (See employee review below). Do not be surprised if you have to stretch the truth to make a patient hospice appropriate- remember most often the marketer is the one who has done the initial contact with the patient or family. Also, you will be expected (and asked) to treat "certain" patients better or differently than others. Really, the list could go on. So sad to see what is happening to this company.

A typical day at work involves arriving with purpose, putting on scrubs, gathering assignments, and heading out to provide care for patients who depend on compassion, dignity, and skilled support. Each visit requires focus, patience, and an understanding that comfort matters deeply in every small task.

This work has taught significant lessons about grace, human resilience, and the value of simply showing up when someone needs you. It reinforces the importance of empathy, communication, and honoring the emotional weight carried by patients and their families.

Management strives to balance patient needs, staff needs, and organizational goals. Clear communication and strong support impact the quality of care, so effective leadership is vital in such a sensitive healthcare environment.

The workplace culture revolves around teamwork and empathy. Colleagues become a support system for one another, sharing knowledge, encouragement, and the understanding that this work changes a person in meaningful ways.

Nothing about the job itself is truly hard in comparison to the privilege of serving others, yet the goodbye remains the most difficult part. Forming a bond with someone and then having to let them go is a testament to how deeply hospice care connects caregivers to those they serve.

The most enjoyable part of the job is knowing that comfort was provided, a smile was sparked, or a family gained reassurance in a challenging moment. Making a difference in someone’s final journey offers profound purpose and fulfillment.


Well where do I start?  This company would be successful and have low turn around if the management executives would step down and stop hiring inexperienced employees to do 5 star work or at least train Everyone the same. No structure! They mislead in the interviews. There is not a TRAINING program or Advancement program (I've been there since 2014 and I was still a Tech II in 2016). They expect all this work to be done and do not pay good for their expectations. Sometimes the employee is left alone to do all this work and gets no recognition and if a newbie gets hired, they come in as a higher rank. The managers will lie and quickly throw their department under the bus to cover their mistakes. ALOT of favoritism! The Pharmacy Director, Regional Manager, and Managers does not know how to make decisions and fails to participate in their departments. ALOT of micro managing. No incentives No bonuses No overtime No raises (the most an employee gets is $0.25 raise). And the 25 days PTO includes holidays, sick days, and a week vacation. The pay compensation SUCKS- definitely underpaid for the title (like Tech II gets paid Tech I). Other departments are confuse with what is going on so a lot of work gets passed down to other departments to complete. Too much chaos and drama! Turn around rate is High (especially in CLT Rx-I'm the 9th person to quit in a year and 4 months)! I will not recommend this company to NO ONE unless you use them as a get in, get out until you find something BETTER! 🙅🏾😡

My job duties include but are not limited to the following:
Develop effective working relations & cooperate w/medical team throughout the entire case/care management process
Coordinate & provide safe care in a timely, efficient, effective manner
Prioritize/handle case assignments, review case progress/case closure
Facilitate multiple care aspects (case coordination, sharing info, etc.)
Help patients/cg make informed decisions by acting as their advocate
Help patients achieve optimal wellness & autonomy
Address motivational and psychosocial issues w/thorough assessment
Promote quality & cost-effective interventions and outcomes

The hardest part of my job is dealing with staff who frequently call in sick and/or staff that move patients on a daily basis instead of ensuring patients be seen as I schedule them to be seen. It is a priority to me to keep patients on a routine schedule as much as possible as they depend solely on what we tell them & it is important we follow through with the poc as discussed with patient/cg at the start of care visit. 

The most satisfying part of my job is knowing I am in complete control of each patients' outcome. I truly believe the more time spent preparing the best individualized plan of care UP FRONT will be the most rewarding for not only the patient but the entire team as a whole. I have learned if you make the workplace environment a happy one and as easy as possible for every member of your team; they are more open to reciprocate in the same way which leads to better patient outcomes.

I have worked in hospice for quite some time and this place by far has been the worst job ever. The owner is very involved in the day to day operations of the company , but pretends he doesn't know about the corruption that goes on with his company. Management lacks diversity and the only chance of moving up in the company is to be part of or accepted into the clique. They are rude and disrespectful, your thoughts or concerns doesn't matter  . Once you voice them you are viewed as negative and they find a way to get rid of you. They have you recite their core values daily that they don't  believe in or abide by. Company supposed to be based off Christian values , but they go out and get sloppy drunk. A lot of times you are confused who your immediate supervisor is because all the chosen ones are running the show. Company allows no Autonomy you do as they say and as you are told. They are the experts not you . They could care less about employee retention you are seen as a Robot once your batteries run out they replace you. Their favorite motto when you leave the company is "They wasn't a good fit for the company". They micromanage the heck out of you , but they try to make you feel like they aren't. They have put tracking on the computer because they don't trust their employees, but they claim CMS is behind that . You have to state on the call daily who you are seeing while they are looking at the schedule you submitted to them a week ahead. They are checking for discrepancies in your schedule. If you enjoy grade school please apply.

Top Job Titles	Average Salary
Registered nurse - home health 33 salaries reported	$53.47 per hour
Physical therapist 31 salaries reported	$65.88 per hour
Occupational therapist 24 salaries reported	$48.72 per hour
Physical therapist assistant 17 salaries reported	$43.88 per hour
Licensed practical nurse 20 salaries reported	$37.08 per hour

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