physical therapist

occupational therapist

controller

certified occupational therapy assistant

case manager

Centre-For-Neuro-Skills

The best thing about working at CNS is the positive patient interaction and witnessing their improvement. Unfortunately, even this is sullied by management at every possible level. Management claims to assign NRS staff based on pt need, though accommodates the “needs” (requests) of staff. There are frequent influxes of new hires followed shortly by departures, frequent call outs, very late shift changes, or complete no shows. Pts are then cared for by several different NRSs throughout their time at CNS. This inconsistency causes pts to have too wide a range of quality of care, discomfort with inconsistency, disables pts from cultivating meaningful relationships with NRSs, puts pts in a state of angst being unsure of the quality of their care, and often resulted in pts having accidents (at times requiring hospitalization). Despite the following issues (listed below) with working at Center For Neuro Skills, not being able to maintain necessary connections with pts and being unsure of the quality of care for pts I didn’t work with were the most frustrating things to deal with.
 
For this type of work, communication at CNS is essentially nonexistent. Between coworkers, from management, and from clinic therapists. NRSs were often notified of doctor’s appointments a little over an hour before, NRSs often have to find out from the pt if they are having a visitor (pt visitors must be approved by clinic staff/management), changes in dietary needs are not clearly communicated and are hardly followed by staff or management, new physical therapeutic interventions are not communicated to all NRSs, concerns brought to management are dismissed and at times met with punishment (with such a high turnover rate it seems reasonable to acknowledge and validate current employee concerns) management of PTO and reimbursement is poor, NRSs often asked to use their own money for gas, parking, or food for pts, clocking in/out is difficult when the tablets/computers to do so are often not operating, punch corrections are also difficult to communicate with management.
 
NRSs working the AM shift during the week are expected to be without their vehicle while at the clinic, pts are transported in the van from residential and all NRSs on duty are expected to be in the van, if an NRS does not fit, than one is expected to stay at the house and wait for the other to pick them up and take them to the clinic, NRS are responsible for loading 4 or more pts along with their adaptive equipment with no assistance, accommodation, or access to another vehicle, often compromising the safety of the driver and passengers. 4 pts, 4 wheelchairs, a couple of walkers, pt belongings, and other adaptive equipment with a 4 seat/1 wheelchair van was a safety hazard that management refused to acknowledge.
 
At the clinic, there is a lot of downtime, NRSs are not allowed to be in break room or lobby, on phone (never allowed, even though no staff/management complies, and management will at times take personal calls while speaking to NRSs), not allowed to leave from clinic for lunch, therapists are unwelcoming of NRSs, and clinic staff is incredibly rude and demeaning towards NRSs (I was told one time while in the lobby to “make myself useful”. 


I have been employed at Centre for Neuro Skills (CNS) for 20 years. I came to CNS with the plan of working for just a few months before returning to school. At that time, I was a bit lost as far as what I wanted from a career. The growth that I have had personally and professionally would likely have not happened if it were not for CNS. Or at least taken much longer than it did. Over the years, I have been given several opportunities to build my knowledge base, gain additional skills, and have considerable career advancement. I started in an entry-level position and through hard work and learning from the more experienced staff was able to advance my position within the company on multiple occasions. One of the best-kept secrets about CNS is their ability to empower their staff to feel as though they can tackle any obstacle. I am a firm believer that having just a little bit of faith in yourself and others having faith in you can be the best motivation and incentive there is. This is something that I cannot share enough of, is how well CNS management does this. The other well-kept secret is much they do truly care for their staff. It saddens me when I see newer staff leave before they ever have an opportunity to experience this. This does not apply to just a few of the senior leadership, this has been my experience with the whole of the senior leadership and executives. Just give them a reason to believe in you, that is all it takes. You give them a reason to believe in you and you will see what truly being empowered feels like. Double down on your strengths and CNS will go "all-in" to back your play.

It was fun working here at first, the team of therapists  and aides are great. HR and upper management not so much, they do not care about employees nor about the patients as it seems they only care about the money. Unfortunately, this company just cares more about the image and the face. They care more about the business aspect talking about low utilization when they keep admitting more and more patients every week with very little staff they have putting more workload on the staff already there. Loved working here at first but the amount of workload and expectations they have for staff is unfair. The company treats the therapists poorly dismissing a lot of their input and concerns. Aides get the one of the worst ends of it having to go to residential more frequently than “occasionally” as listed in job description upon hiring plus getting thrown into different departments of the clinic. Residential supervisors are unfriendly and ignorant, case managers get a bonus if they keep patients there which is why some of these patients have been here for years adding to the problem, and the company has a private jet and are opening more clinics in multiple locations but don’t have enough money to raise the pay for their workers. Not to mention the amount of patients per hour is ridiculous. There are multiple groups so there is no time, room, or space for quality patient care and that’s the most heartbreaking part. 

I have worked at CNS for 6 years in the residential rehabilitation setting and have seen miracles happen in the lives of those we serve. As a post-acute neurorehabilitation facility, we aim to restore each patient’s ability to function at pre-injury levels so that they can return home to family, friends, and a normal rhythm of living. I have seen patients admit that cannot walk, talk, or think clearly - I have seen those same patients, at discharge, walk out on their own, speaking clearly, and focused on re-establishing and rekindling life goals. CNS is truly a place where miracles are not a rare occurrence, but rather frequent events. Within the residential setting, we use data, compassion, and sound therapeutic programs to help train and support the efforts of those we serve as they not only recover but thrive after sustaining an injury that has altered the curse of their life. We truly believe that our jobs have a life changing purpose. I am grateful to have had the privilege to work at a company that is focused on changing the lives of others, but that also gives employees the opportunity for meaningful and rapid advancement. If you want to me a part of giving people their lives back, seeing miracles happen, and touching the hearts of patients, family members, and committed staff, you have found your new work home - come change lives with us at the Centre for Neuro Skills!

For a first time position it isn't bad. However, I had a year in direct care and 6 months in mental health so the hours and pay weren't something I wanted. You get paid 13.00/hr starting out no matter what your educational level or experience is. If you have a degree it isn't worth going to, however, if you are a student it would be a good experience. However, many students I was in class with couldn't continue working there due to scheduling. If you are pregnant, planning to have a family, or have children it probably isn't the best place to work due to restraints and the only schedules that are available were PM or Overnight at the Irving location. I was pregnant when I was interviewed, hired, and even told the company since I could not lift. When they were teaching restraints I had to remind them that I was pregnant and they decided to fire me due to not being able to restrain, although, I have a bachelor degree and was qualified for other non-restraining positions they had available. I even asked if they could place me in another position and they declined. In addition, I had experience as a correctional officer and already knew the restraint techniques.

If you enjoy attempting to destroy the lives of innocent people, enjoy being over worked, being under paid, if you honestly dont care about the people your paid to care about, and if you dont mind covering your fellow employees  by falsifying stories, medical docs, and if you enjoy being treated as if that poo that dog took in the yard was worth more than you, then you have found the perfect Job.

Heres a brief history of my experience at CNS.
Ive seen patients ignored, left in feces and dirty sheets be dropped. Be injurred, medical documentation changed to cover the company, patients personal groceries stolen, ive seen staff sleeping, verbally attacking family of patients and patients themselves, seen meds given incorrectly, seen narcotics stolen, seen meds purposely taken from one patient and given to another, seen med documentation changed to reflect "mussing" medication, seen patients land fellow NRS left for several hours after calling for pick up from.doctors or hospitals. Ive seen the cliquing between management and select employees, ive been under valued, as an employee, and as a human, im ashamed of the things ive seen, and disgusted for ever being part of this company.

Im sure Mark Ashley would be disgusted with what he built if he knew any of this.

CNS has a great program for patients, they also have great structure for employees benefits and internal promotion. Where I witness the true need for improvement is overall behavior of residential staff caregivers/NRS.  There are plenty of staff all hungry for shifts.  They are very unwelcoming to new staff, matter of fact rude to new staff.  Supervisors talk down or at staff, lack of professionalism with regards to peer to peer communication.  If you have background and experience,  you'll more than likely become frustrated with your peers in residential.  Super high turnover, really need to upgrade overall skill level of NRS/Caregivers and definitely change the peer to peer and Supervisors to peer climate and disrespect towards each other with communication.   Residential has some sloppy ends that need tightened up. Better prepared staff on residential floors that all have same abilities and work ethic.

Good place with the tools, just need to tighten things up at residential facilities. 



It gets very messy there . People are rude and patients get away with a lot even the higher functioning ones they get away with hitting and being disrespectful to staff until someone has had enough . Management is poor they don’t care about their staff go on good and read the reviews . A patient that’s been there even commented . The pay is 12.30 starting which sucks cause they do CNA work without the title . They never want you to call off it’s 6 call offs A YEAR with PTO if not your in trouble . People take their job too serious . You cook everyday laundry everything if the patient is unable to complete themselves . There’s no security which is scary anybody can walk in the gate no matter what the buzzer does . Go get a cna and work in the hospital instead . They work around school and things. They don’t care about your children being sick they worried about you showing up for their patients . Sometimes you’ll get a cool apartment with great co workers and just be relaxing with the patients but most of the time it’s behavior somewhere . Everyone know everything best to stay to yourself. WEEKLY PAY IS THE BEST.

Pros:
- Patients are the sweetest humans alive
- Working with TBI patients is hard but rewarding
- Ton of experience towards a career in Healthcare

Cons:
- They Do Not care for the Patients. It's super sad to see
- No Communication, figure it out style of Management
- Absolutely Zero support as company comes first
- Be prepared to fill 2 - 3 positions performing tasks outside of your job description.  
- Retaliatory HR & Management. Absolutely zero concern for the baseline employees. Voicing any kind of negligence, liability or concern will earn you pay back. 
- Forces you to Quit before they Fire you... Avoids paying UI benefits.
 

I have been here for many years having had several different positions.  Work is difficult but very rewarding.  We change lives.  It doesn't matter if you are the housekeeper or the CEO, everyone pitches in and does what it takes to help the patients.  It is highly collaborative and innovative.  Our owner is a visionary who wants not just to rehab patients with brain injuries, but to research how to minimize the disability and increase the independence in everything we do. Ex.  We created a sleep lab to study the relationship between sleep and recovery.  We did research on human growth hormone levels and recovery.  We started a vision department many years ago before anyone else was doing this. 
The work is very hard as the patients and families have many needs and we don't always get it right.  But we try. Everyday we suit up and make the decision to give it our best.  I love the fact that so many people have worked here for many years and are still totally committed to the patients and to their jobs.

Top Job Titles	Average Salary
Physical therapist 1 salary reported	$114,000 per year
Occupational therapist 1 salary reported	$84,000 per year
Controller 4 salaries reported	$150,625 per year
Certified occupational therapy assistant 1 salary reported	$72,000 per year
Case manager 1 salary reported	$26.50 per hour

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