nurse's aide

environmental specialist

registered nurse - operating room

licensed practical nurse

dietary assistant

Carespring

Ok. So I’m going to be real here because I wish someone was real with me on here before I applied to this job. I got hired and immediately was put to work which I liked and expected the work they have you do is so much, I’ll go into detail, 
When you first get there you have to help the prior Shift finish up. Then you have to get your prep sheet that has the meals on it. Resident can request basically anything so you have to have a lot of things ready for them then you have to separate hundreds of meal tickets. 
There is two floors God help you if you’re on floor one…. You have to take a portable oven Along with a cold car a dessert cart and an ice cream box. This usually takes 2 to 3 trips. Then you have to take all of this stuff and fit it in the kitchenette That’s Smaller than my laundry room. Next up you have to unload everything from the oven and the cold cart then you have to sort the tickets then you begin serving after serving you take everything back downstairs clean the oven unload all the food restock the cold cart. Then you have to go back upstairs and bust the tables and then you have to clean up hundreds of meal trays separating glassware from plastic/silver, at this point you’ve been working for around four hours. Next you take your dishes downstairs to the kitchen and you have to wash all of those hundreds of dishes and trays and then you have to put them all back on a cart. And then you have to take them all upstairs again once upstairs you have to unload them all including cups then you have to roll hundreds of silverware. Usually you have a partner helping but due to short staff I was working by myself when I didn’t even have the proper training and didn’t even know how to do everything so that was frustrating. Once your silverware is done you then have to clean the kitchen, The tables the drink bar etc. then you have to take your trashcan laundry cart full of bibs another car for hot plates all by yourself downstairs and you half to repeat this process again for dinner. 

Don’t take your loved ones here.... trust me! I worked at Hillspring for 10 years and loved it, loved my coworkers and got along with every boss that ever worked there... I did my job, I was flexible, and efficient. The DON and ADON are amazing but the administrator  is a nightmare, which ultimately any decisions about your loved one lies in her hands. She has a dance degree and then took a three week course to become an administrator. And it truly shows from an insiders perspective. She is ultimately concerned about money because she receives a bonus based on certain criteria, not the safety and quailuty of care the patients receive. She has the social service department interview patients who are not cognitively intact and ask for permission to write a five star review as well as fake made up reviews from any staff she can get to write one. You must ask why I no longer work there? After I was begged to come back after obtaining a new job for a better schedule (salary, mon-fri, no weekend or holiday) the dream job for anyone... I went back to Hillspring after they agreed to a certain schedule. When I was 8 1/2 months pregnant (high risk pregnancy with multiple appts a week) Zan made the decision to completely remove me from the schedule due to my inability to agree to a 12 hour shift schedule (yes, 8 1/2 months pregnant and very high risk after they begged me to come back to an agreed upon schedule) I was left with no hours or income. Upon my time to return after maternity leave I thought it was best to part ways with the company as I didn’t agree with the way they treated their employees or residents. Multiple people I worked with for course of my ten years of employment are no longer employees at Hillspring due to reasons listed above. I have watched this woman basically put people on the streets if it isn’t making her money without a care in the world. Think twice before you commit.

They say the pay rates are within the “top 25%.” Which isn’t something to brag about. CNAs at every other facility in the area make $20/hr+. The $15/hr they are offering is abysmal and they should be embarrassed by it. Honestly, any retail, and nearly every fast food place has a higher starting pay.

Nepotism is rampant. Children/nieces/nephews should not be working with their parents/aunts/uncles, particularly within the adult’s management duties. But they do and get away with not working. Which leaves everyone else to work that much harder to make up for what is basically a short-staffing. 

Bad work ethic is not addressed. Leaving those who actually want to work and care for others to get burnt out very quickly. Watching employees lounge on couches, on their phones, while you bust your rear to make up for their laziness is disheartening.

A lot of the staff are very unfriendly. There is definitely an imagined hierarchy where some caregivers are viewed as “less than,” like housekeeping and dietary. While the CNAs and nurses are at the top. You hear “not my job” constantly. Corporate can say what they want, this is a negative and toxic environment. From what I see and hear, corporate does nothing to combat it. 

What stinks is this facility is beautiful. Housekeeping is just awesome and you don’t get that smell common with skilled facilities. There is so much potential. But corporate MUST get a handle on the pay, the toxic environment, and nepotism or staffing will continue to be a challenge. Good people are not going to stay in the current environment. 

Staff are overworked and underpaid. Management doesn’t seem to care. Incentives such as bonuses etc were recently removed causing further staffing issues. Staff seem to work well together but always short.  Management has a disconnect when it comes to staff to patient ratios. Attendance policy is to lenient allowing for excessive call offs making it difficult on staff who show up to work every day. Removed the attendance bonus which again only hurt the ones who show up everyday.  The insurance is good but they won’t allow you to schedule PTO until you reach 40 hours. If you need to call off you can’t use your PTO balance unless you have 40 hours in your PTO account and it get approved by management.  This place could be a great place to work with better management, better staffing ratios, and incentives to show up to work. It’s sad you have to do that but today people won’t show up if they don’t have incentives. Staff need to feel appreciated so they want to come to work because the residents are who ultimately suffer. Residents deserve to have outstanding care and don’t always get that sadly. This is their home and it needs to be staffed appropriately not just when state arrives. 

Reviewed email upon arriving to determine any additions to MDS schedule r/t discharges throughout night and if any admissions are expected for the day. Proceeded to floor to collect charts , medications and assessments required to complete MDS due for day. Work closely with all disciplines daily for timely completion of MDS. Twice weekly meetings to review any current events for staff. I  assisted as needed on nursing unit with ADL's when requested, provided inservicing on ADL coding with new staff as needed. Assessed any new residents coming into facility. I would say the hardest part of the job was the extended hours required in this position, admissions come to facility at all hours and it was our job to stay  until completion of admission which at times would require working  10 to 12 hour days five days a week until recently we were required to be on call every other weekend which could result in working 10 days without day off. The most enjoyable part of my job was the residents I have worked in LTC since graduating from high school . I enjoy one on one time with them when I have down time.

I have worked as an STNA in different care facilities for 7 years and for 6 months I’ve since been employed with Boone Springs and it is BY FAR the best healthcare related facility I’ve worked in. They management goes above and beyond for their employees with incentive programs for perfect attendance and recognition for giving great care. The residents are treated with such care and empathy and truly love living within our facility to spend out the rest of their lives or for rehab purposes. Our housekeeping, dietary, rehab, activities, STNA’s and management will quickly jump in to help out a resident in any time of need. The teamwork atmosphere is something I’ve never experienced before coming to Boone Springs. Our first, second and third shift STNA’s are all amazing employees. We have so many great employees that help others, give amazing resident care, and are people that truly care who I’m honored to work with and learn from. I’m so glad I made the decision to come to this facility to work. They’ve worked with my school schedule and have continued to motivate me through Nursing school. Seriously, Worlds Greatest facility for work and living.

The Cold Spring branch has improved greatly even within the last year, shifting their focus to hiring dependable and caring staff (and cutting ties with temp agencies and half-hearted staff) while still implementing new ways to support the existing staff and to share the workload as a team. The management staff often works as a team to accomplish new goals, not just about increasing numbers but about genuinely improving patient satisfaction and the quality of care for all involved, from staff to resident.

It is a good workplace with the possibility of benefits beyond PTO or insurance (although that’s important too). Healthcare is always stressful, but if your heart is in it and you connect well with your team and the residents like I did, you will never want to leave. Being in the activity department has the special opportunity to serve residents’ needs in a unique way (and is more than fun and games), though they are moving to requiring all staff to be CNA-certified. Despite the long hours and being asked to stay over, I miss my job and time at Coldspring, it was genuinely a great place to work.

I had a MINIMUM of 28 PTs in long term care and 14 in rehab, it’s always understaffed and you had to beg to get compensated for working short or extra. Definately showed favoritism and made business decisions on a peronsal level. If you can be their friend they will let you get away with anything. Constantly texts your line to come in and work and then after no luck they would bribe you with a gift card to come in. 4 halls are staffed with 3 nurses on each floor, so 2 nurses have to work a cart and a half, sometimes 2 if they are short. Too many cheifs and not enough Indians in this facility, its a nice building but poorly ran. They offer bonuses when they are in critical need and don’t always follow through. I wish they would shut down for good, it should be illegal to run this place. Good luck taking a lunch break AND get out on time. They have nerve to continue to add orders for you to put in no mater how far you are behind. Upper management will not help you even though they are RN’s, but will find you to tell you a call light is on, the aides are nowhere to be found, some literally just walk out as they please.

Working for this company was horrible. The only positive part of my experience were the residents I cared for. Residents were often neglected by the nurses and many of them spent 90% of their day huddled in the nurses’ station gossiping and being hateful. Residents were dying for essentially no reason while I was there due to the neglect. I once had an RN ask me (an STNA) for advice on how to properly dress a wound. I also watched 4 nurses basically torture a poor woman because NONE of them knew how to properly administer a catheter. The management was poorly run and there was a lot of favoritism. People could show up whenever they wanted and leave whenever they wanted and were not punished, while some people were always getting picked on by management and were always punished for little things. Please be careful and take all of these things into consideration if you are considering working here. 

The training was non existent, my trainers wouldn't train me hardly, they kept hiding in patients rooms to avoid me, even though I was told that I had the best trainers. Drama between co workers was pretty evident. 
Since I had come from home care, I received no respect because the other aides. New Aides who did not have facility experience are looked down upon as having no knowledge even though I had prior experience in facility work a year ago but I took off time to do home care work.
There seems to be disorganization there, and other aides complained about it.
During lunch for residents we had to carry trays one by one to each room since the DON was watching us. I've worked in a different facility where we had a cart covered and each tray separated so that the aides didn't have to carry trays to 30 residents rooms.
The kitchen is not allowed to feed the workers. Only water bottles is allowed on the floor, if anything is found you are written up.

Top Job Titles	Average Salary
Nurse's aide 15 salaries reported	$16.50 per hour
Environmental specialist 19 salaries reported	$13.75 per hour
Registered nurse - operating room 8 salaries reported	$30.19 per hour
Licensed practical nurse 1 salary reported	$32.00 per hour
Dietary assistant 10 salaries reported	$13.75 per hour

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