registered nurse

licensed practical nurse

nursing assistant

dietary aide

cook

Ciena Healthcare

Notting Hill was once a place where we all worked hard but was a decent job with all RN staff. I was working there when they first opened.   We had nearly a hundred excellent RNs on staff! But then the DON left and many DONs came and went (5 in 18 mos) and every DON had to strut their stuff and write up just about everyone whether they deserved it or not to let everyone know who was in control. Some were VERY abrasive towards staff resulting in good staff quitting or stepping down from management positions to take a cart or transferring out. I had loved working there and at one point I actually stepped up, moving from a cart position to wound care position and tried to help out because the facility received a G citation which is an extremely serious citation (due to the work of an untrained wound nurse).  As a certified, trained, and experienced wound care person I did most off the work myself and months later I met with the state the last time and the G citation was lifted. Immediately afterwards the DON called me into her office.  I expected a congratulations, perhaps a raise?  So guess what? She had a write up for me, she stated that the write up was because she was "fearful that the G citation would not be lifted and it was my fault that she felt stressed!"  OMG, I had denied myself a life for months, worked without lunches most days, stayed 10 to 14 hour days 5 days a week combing through every residents chart in the facility ( about 120 residents with lots of fast turn over) in order to ensure that all orders were in place and perfect in addition to doing all the regular wound care work and maintaining near perfect records.  I had also straightened out problems with the formulary and supplies, done numerous teaching sessions for all nursing staff as well as  making sure that every resident had the proper support surfaces in wheelchairs and on the bed, etc. I checked the skin of every admission and made sure all assessments were done and were correct. I brought in my own supplies for teaching as well. I didn't take my scheduled vacation. And I was doing a job which requires at least two full time nurses! When I stepped up to help they had NOBODY who could do this, and would likely have needed to pay out big money for an outside consulting team to handle this issue or be closed down! The DON had not supported me and had actually interfered with what I was doing by putting me on a cart several times when I was working hard to keep the records up in anticipation of the state returning any day!  I had to leave after 12 hours of work one day because my BP went up to 210/110. I made sure that I talked to her before leaving and she gave me permission after having another staff member check my BP. Sooo, she also tried to write me up for that as well stating that I had "left without permission" even though she herself had given permission and knew the circumstances! I was floored! I quit the wound care position on the spot as it was obvious that she had ill intentions and saw me as a target. She was hard on many of the other staff as well, firing several good staff and doing lots of write ups before she resigned her position a few months later.
The next DON look off every Monday and Friday, left early every day and showed obvious favoritism.  She didn't listen to staff who went to her with some major concerns which led to some serious citations which she blamed staff for and then she proceeded to up everyone involved. Those were dark times at Notting Hill. It had become a battlefield. CIENA policy is to fire you after 3 write ups so the place declined even more rapidly as their best and brightest were fired or fled fearful of being fired. It became rapidly populated with staff with a ghetto attitude.                                         Today Notting Hill is constantly advertising for staff in many positions and moral remains low despite it being a beautiful building in a good part of town with choice patients. They have plenty of supplies and all new equipment. This is what comes of a policy which sets up staff to fail paired with poor/bad management. 
 I used to love working there.  I was always on time, rarely took time off, helped out frequently when they were short. I was loyal and worked hard during my four years there helping out in many different areas. I was proud to tell people that I worked there. I left a few months later after another nurse lied about me and the next new DON choose to believe her over me. Guess what? The DON actually laughed at me as I walked out the door the last time.

What is the best part of working at the company?
For best part working at the company was me being the Activity Assistant working with the Activity Director with the planing and implementation of Activities for the nursing home residents, encourage the residents to participate in the Activities, listening to their concerns. Playing games with the residents such as bingo, Monopoly, sorry, safe chair exercises, chair bowling, hot potato, inviting guest musicians in to entertain the residents, having the Taco food trucks to come as well as the Ice Cone Truck. Having Birthday parties, Christmas Parties for Residents and much more events for the residents. 

What is the most stressful part about working at the company?
No stress for me in working at Regency of Livonia because there was always Activities  that I as an Activity Assistant could do with the residents which kept me busy  and also kept the residents engaged and involved. 

What is the work environment and culture like at the company?
The staff were very engaging with each other and with the residents.
The 2nd Floor Dining room environment was neat and clean and very spacious to hold Activity groups with the residence.
Staff in all Departments attended monthly meetings with the Administrator and the DON.
Activity Director and Activity Assistants  held Monthly Resident Council Meetings  with residents to listen to their concern.. 

The Culture at Regency at Livonia was that the residents knew each other and they knew the staff. At this nursing home the promotion of growth and development of residents and staff  is very essential. 

What is a typical day like for you at the company?
As a former Part Time  Activity Assistant who worked Monday, Tuesday and Wednesday from 9:45 a.m. to 2:15pm on these days that I worked  a Typical day started with me getting my Activity cart from the Activity office. which my Activity cart was already Assembled by me from the day before with all of the Supplies for the day to start activities with the residents. I would leave the office with the cart and clip Board with 1 on 1 form and Activity forms and go to each residents room on each side of the second floor which the residents rooms were on the North, East, West and South Side. Before entering each residents room I would knock on their room door Introduce myself and wait for the resident to answer and say I can enter their room. Once in their room I would communicate to them letting them about the Activities that was scheduled and refer them back to the Monthly Calendar that I gave each resident. After visiting each Resident in their rooms for 1on 1’s I would return back to the Dining room and assist the Cena’s with transporting residents to the Dining for breakfast, after breakfast I would assist with getting the food trays from the tables and clean the tables off after tables were clean I would start Activity games with residents, this same process was done at residents lunch time. More Activity games, current events, nail care and other Activities were performed until Activity Assistant Work shift ended at 2:15pm

Although this workplace is not without its flaws, it will forever hold a special place in my heart. I certainly enjoyed my time here, and I learned more from here than any job I have worked previously.

The work days are, in concept, simple. You cook a meal, serve a meal, and clean up. Of course, all of the details in between are anything but simple; cooking delicious food, while making sure everything is in compliance with safe and sanitary practices. 


I will say I don't personally have a problem with anyone there in particularly, and I left on very good terms, but the management is sadly, very lack-luster. The work place is disorganized and chaotic, with management coming and going frequently. 

The building administrator has handled the situation very poorly, and rather than picking a good candidate with actual experience, and promoting from within, he looks to people with fancy degrees, who have no actual experience in the building, thinking they will be an end-all-problems solution, which sadly, is not a realistic fix for actual workplace issues.


On to a brighter topic, the co-workers there are amazing! I have never enjoyed working along side people quite as much as I have here. Everyone, for the most part, wants to get their work done, and have a good time doing it. That crew has a special sense of humor that I am going to deeply miss!

The hardest part of the job was dealing with the chaos each day from , what I mentioned above, our lack of strong management. Call-offs were frequent, we would often be missing food that was needed for a meal (from the manager not ordering properly), and it really dragged the place down.


The most enjoyable part of the job was the people you worked with. Most everyone there was fun, and enjoyable to be around, and it made it a one-of-a-kind workplace that you would be hard pressed to find elsewhere. 

The main factor that made me seek employment elsewhere, was that the company is very poor on giving raises and promotions to those deserving of such. It pays slightly higher than minimum wage, but you will be hard pressed to make more than pennies above what you started at.


In short, this is a great starter job with an excellent crew, and you can learn a lot working here, but it's not a place to stay long-term and make a career out of.

What started out as an all RN very professional workplace has gradually degraded to a workplace which allows and therefore encourages workers with volatile abusive temperaments who are mostly LPNs, the majority of whom are new grads (not to say LPNs are bad, however the good experienced LPNs rarely stay long).  All of the nursing management  staff are new nurses with very little  hands-on experience(except the DON).  On a daily basis there are so many call-ins that staff must spend hours calling and trying to get other staff to cover.  The afternoon manager refuses to help with this and expects staff nurses to stop working and find coverage.  Many of the nursing staff routinely do  whatever they want in that they simply refuse to do assigned tasks.  Complaining tends to get the complainer labeled as a trouble maker and rarely makes a difference.  There is frequent yelling, rudeness, excessive tardiness which is routine (20 minutes to hours)  usually involving the same people.  One nurse is so threatening and aggressive that many patients refuse her care.  Other nurses must cover for her on a DAILY basis.  Shift change is frequently a mob scene with many staff arriving late and then loudly greeting co-workers and catching up on gossip while those staff who are ready to go home are ignored.  If outgoing staff attempt to get the attention of oncoming gossiping staff because it is time to go home the most frequent reaction is yelling and accusations of rudeness!  Favoritism is rampant.  Even tempered people and those who prefer a more professional environment have been leaving in droves.  In my 2 years I have seen hundreds come and go (all departments, not just nursing) .   This is no exaggeration.  This Ciena facility has the highest turn-over rate!   To Cienas defense I do believe that they have good intentions. I have seen them give many new nurses a chance which many  places will not do.  However they do not seem to understand that new nurses need training and supervision by experienced nurses.  Hiring a bunch of new nurses who are trained and managed by other new nurses is not the best way to achieve a professional working environment providing good nursing care.

    "Typically day at work "
My hard work and dedication is worth recognizing my worth to those around me  who respect  that path and passion.

     "Management "
Management  lacks  respect and compassion for their employees across all departments. Therefore, this is a significant issue.  Employees often feel unappreciated, ignored, and disrespected. Human resource she definitely talk at you and not to you.
       
      "Workplace  culture "
My colleague was incredibly supportive despite our challenging work conditions at Regency of Shelby.  Therefore, this is a significant issue.  Employees often feel unappreciated or disrespected when dealing with work place adversities, concerns, or conflicts that can impact their responsibilities for the workplace environment. For instance, frequently work short-staffed. Employees must yet maintain the appearance of being fully staffed. The constant pressure of juggling multiple work related task and responsibilities has lead to overworking fatigue, employees often miss their lunch or even both of their 15-minute breaks. 

          "The most enjoyable part of the job "
 Coming to terms with my colleagues at work was enjoyable. We always helped each other out and engaged in activities among ourselves to maintain our motivation and appreciation for our work together. We celebrated and exchanged gifts of appreciation to show our gratitude. I truly miss that hard work and camaraderie we shared during those challenging mornings when we would buy each other coffee and donuts.

As the RD, you are in a manager position and are expected to know how every department/position works but do not receive any training in this respect (which is ironic because no one in the company understands what the educational/training background and scope of practice of an RD is). You will have plenty of non- dietitian work to do- you will be doing housekeeping, maintenance, activities, receptionist, and nursing tasks. The RD is treated as a glorified CNA/dietary aide/assistant dietary manager/waitress. I have been tasked several times with weighing residents with a hoyer lift even though I have no training to do so and thrown into being the kitchen manager with zero training. You will be working in the kitchen, then delivering the trays, feeding the residents, and weighing them yourself. Then on top of all of this, you will be receiving emails asking you why you are behind on the assessments. There is a huge lack of staff and everyone is burned out. I always felt stressed out, depressed, and filled with anxiety. There are extremely unrealistic expectations of the work that can be completed. Actually, I think they do know that the workload of the RD is extremely heavy which is why the RD position is salary, that way they can give you 50-60 hours of work to do each week but only pay you for 40 hours. The pay they offer is below the average pay for a dietitian in Michigan. The yearly bonus is 2%, which are usually months late with little or no retro pay.  Corporate culture and ineffective management leads to a negative environment. The only way you can make it in this company is if you are a "yes" person. Nepotism runs strong in this company, so it also helps if you are related to someone in corporate.

The staff says one thing and does another.  For example, in orientation they ask "are there any questions?"  Then they get annoyed when orientees ask them intelligent questions for clarification.  The staff is intentionally confusing, and they are not on the same page.  Their reputation is that they allow the CNAs to run the place.  I had to pick up dirty gloves off equipment during orientation, and there is an ant infestation in the basement that I had to report in writing.  Everybody in orientation walked past the gloves and over the ants-even the long standing employees.  The employees curse even though administration says that's a no-no.  I didn-t last long, and Im glad I didnt stay.  They lie, and are the types to load-up garbage on employees to run them out of their jobs, or explain why the employee left.  There is no place to hang your belongings, and they have all these unnatural rules like no drinking coffee or cell phone use on the premises for healthcare workers-except nurses so one said.  Another employee in administration said every employee can use cell phones in the employee break room.  Then another administrator said something different-NO cell phone use for CNAs ever.  On the No coffee rule its just that-No coffee.   Then the rule changed to no coffee upon entry to the building.  Then when administration needs a cup of coffee to stay awake they offer you coffee.  Its like ur on line for a sorority or something, i.e. the head games.  There is a high turn over rate.  The neighborhood is dangerous, and the rules for parking are lets say....off campus.  If you dont believe me give them a try you'll see.  Everybody else does.  Then most leave.

Typical day at Royalton is nurse walks on floor and Residents that our callers our up walking around and at times setting off door alarms going off and no one in sight, night shift 1 aide 28 residents and nurses have to float between two floors. Day shift comes in and daily schedules our often wrong and aides always short staffed especially weekends. Nurse has to watch callers and try to pass meds and answer phone, constantly rings and a lot of times in house calls that could be taken care of after med pass or in person. Aides get residents up and no showers given hardly ever on any shift on any floor. Kitchen help never come in on time if at all. Breakfast as late as 10am and lunch at 145 and the food is slipped on plates an about half the time portions our very small. Vegetarian meal is rock hard personal pizza or dried out bean burger or grilled cheese. Residents our lucky to get to bathroom every 4 hrs and changed every shift.a lot of nurses and most of aides always on cell phones and management says nothing. Always short staffed and DON says deal with it. Administrator hides in her office and dictates and never helps on floor when short.  Use to love my job now we barely give care hurts my heart. Too many falls and injuries staff and Residents.


I worked for this facility for two years starting a few months after it opened.  It was a great place to work initially,  with an all RN staff, very professional.  Most of e the staff came aboard with many years of experience in ICU,  ER,  wound care, chemotherapy, and other specialties.  The staff tried to work together to provide a good environment for patients and staff.  However this facility is not like most rehab faciltys due to its high number of admits and other factors.  Management has not been able to resolve these issues and staff started leaving. After two years most of the original nursing staff  has been replaced by LPNs, most of whom are fresh out of school.  Management has also changed.   The old management at least tried to be fair and fix issues.  The new management has different interests. Now the staff has broken down into factions and for many staff being 30 min or more late daily, long breaks, lots of trips outside to smoke, then complain that they cannot get their work done is a daily routine.  Most of the day and afternoon shift refuse to process orders as they do not consider it their job. Those who do work find the workload overwhelming and are unable to handle everything which has piled up, sometimes for days.  After complaining to the new management regarding these issues on several occasions the response from management is "you are wrong, that doesn't happen here," and "you must be exaggerating," "your complaining is unprofessional." Really?

RGB is such a great place to work. Management is well organized, fair, concise and always willing to lend a helping hand. They match your 401k with great benefits. This is one of the highest paying facilities in the area. Time and a half for anything over 8 hours/day or 80 hours per pay period. The nurse to patient ratio is outstanding. The building is still relatively new and remains beautiful both inside and out. Just like any facility there is some turnover but there are still many staff members who have been there since Day 1. 

I’d say the hardest part of the job is having to work “short” at times; 
whether it’s due to a call-in or census being low. Working short is not like other facilities. You may only take on an extra 6-8 rooms (some of which are empty). 

They do have a rotating mandation schedule for nurses. They don’t mandate unless they absolutely have to. Management or scheduler will attempt to find coverage before mandating and if they can’t, they sometimes offer the employee a nice deal if they have to stay. 

My favorite part of the job is the relationship that is established with patients. The facility strives for continuity of care, so you are typically assigned to the same group of patients every day and really get to know your patient. 

Come see what Team RGB is all about!

Top Job Titles	Average Salary
Registered nurse 660 salaries reported	$39.73 per hour
Licensed practical nurse 628 salaries reported	$33.30 per hour
Nursing assistant 484 salaries reported	$22.57 per hour
Dietary aide 169 salaries reported	$15.49 per hour
Cook 133 salaries reported	$16.65 per hour

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