licensed vocational nurse

registered nurse

nursing assistant

mds coordinator

dietary aide

Generations Healthcare

A typical work day, is reporting at 0630 AM, counting the Narcotics with the NOC nurse. Then beginning my rounds, starting the Accu-checks, then starting the med-pass. On the week days I have a treatment nurse that helps out, but on the weekends he has the day off, and I have to do my own. Even though I have a treatment nurse to help out, doesn't mean I don't check up on my patients needs with their treatments. Not only do I have med pass, but I have labs to confirm with the doctors, and orders to re-check and confirm, to be sure I'm not giving a discontinued order, or a wrong order. If the pt is having a problem then reporting to the Dr, collecting samples, Giving Wound and Ostomy care by the bedside.

My co-workers are amazing, and every so helpful. I do have a busy job, and and its great to know that there are people that are willing to help out, and I enjoy helping where I can.

I would have to say the hardest part of my job, is the work load, but its all about finding a routine. I have found my routine, and now I'm letting myself grow into a new environment. I've learned to except a challenge that has been presented before me, and learned to not be afraid. I feel I can do anything with the right education, help, and encouragement.

I think the hardest part of my job and the most is the work load. In most skilled nursing facilities, the is a charge nurse to help out with all the orders, and paperwork while we are at the cart doing med pass. But at Gramercy Court each nurse is their own charge nurse, and responsible for med-pass, and paperwork.

I do enjoy the challenge, but I'm am only an on-call, I do get full time hours most of the time, but I am looking for full-time work and something that will allow me to participate in benefits package.

There are many generations buildings, 30+ from my understanding, and I can't speak for all of them, but the one in Auburn really values their staff. I learned that if you ask for something, whether it's additional learning/orientation time, help with uniforms, helping lighten the load when you're busy, or even a pizza during a shift just for something different, they happily help. All of the nurses are very nice too, and people are appreciated for their work ethic and teamwork. There's no cliques or even negativity between the different departments. Everyone treats everyone like friends and help each other. They have an employee of the month program that is announced in front of all of the staff. I've seen people tear up and hug each other based on the compliments they share. 
Skilled nursing got a bad rap because if COVID, but Siena hasn't had a single covid patient and they work hard to keep it out of the building for the patients AND staff.
Oh! And it's really clean. It doesn't smell like a skilled nursing facility. It's not really a "geriatric" care population as the ad says. There are a lot of elderly patients, but there are a lot of younger patients who come for car accidents, surgeries, IVs or wound care too. Geriatric is just one aspect. It's really a big mix of everything! They teach new grads and the nurses are always willing to help new people. Definitely a great place to work. 

I worked from Jan/2020 to Oct/2020. It was great at beginning for someone who just graduated so you can master your nursing skills. Then COVID hits, and we had a new of administrator on board, things went south.  All nurses were constantly being asked not to apply overtime, but the workload for each station wasn’t even at all.  You can constantly hearing another language(a) between colleagues communicating which it can be scary since you wouldn’t understand their contents. Means they can also talk behind your back. CNAs have work union but not nurses. Patients sometimes cannot find CNAs to assist them so you have to stop your med pass just to help out patients. All documents have to be done within 8 hours of shift. If you clock out too late and overtime occurs on your timesheet, you will be asked from management team for an explanation. A lot of times LVNs just clock out first then continue working on documentations so you don’t leave your unfinished work to the next shift. Overall it’s a good place as a new grad but that’s all the good part I can think of for this location. Oh occasionally there is party then there are free food, but you if you happen to land on the evening shift and there is a meeting needs to attend, bad luck to you because it also takes away your med-pass time.

RUN!!!!

this company will give you the illusion of collaboration and teamwork but when things go wrong they will throw you to the wolves to save the company. the race there are mainly filipinos from the DON to the CNAs, so imagine the support, protection, collaboration the other race get, and who do you complain to? the DON or DSD who are also filipino. besides the rotten nepotism, the place is Constantly understaffed so 99.9999% of the time you are overworked to the bone with no one to help. when understaffed they will still bring in new admissions, when low censored they will take any patients to fill the bed, patients they clearly dont have the capacity or staff to care for but dump it on the RN working and if things go wrong, cause how could it not, the RN takes the fall for it all with no support or protection from management.  the manager in station 1 i wont mention any names but you know who you are, really needs to take a course in inter-professional communication, she is so unprofessional, rude and talks to her staff like mindless underlings, she yells at her staff publicly in front of residents, talks with a condescending tone and will NEVER accept her faults and blames others for something that clearly has her written all over it, on top of it all she LIES through her teeth and  God forbid you call her on it, TEMPER TANTRUMS!!!! you have been warned.

Facility has been short staffed since CNAs and nurses left due to COVID last year, yet pay was not increased much to match the workload on the remaining employees. Due to unpredictable staffing it can feel like one CNA is doing the work of multiple staff at once, but for the same pay as when the facility is well staffed. It just doesn’t feel like the pay matches the amount of effort put in by employees, especially when staff call in sick and there is no replacement. However there are frequently opportunities to pick up shifts and make money overtime. In regards to company culture, it can feel isolating when coworkers frequently chat loudly with each other in their native languages even in front of patients. Due to this lack of connection with coworkers, it feels more challenging to collaboratively care for patients. The nurses are hardworking and easy to ask for help but other CNAs can be standoffish especially those who have worked in the facility for a long time.

I had high hopes for this job but the disorganization and unprofessionalism was overwhelming. So much gossip and high school pettiness. A member of management has an actual burn book. I hope it's shredded now. My first day was spent listening to 2 members of management complain about floor staff. There was a lot of confusion about my role within the facility. The workload was unrealistic for a caseload of 75 clients. I was afraid to ask the consultant questions because her usual answer was "we already talked about this". That felt demeaning. Every day was draining. I tried to hard to make it work but it became clear that I needed to move on. I gave notice and I was shocked when a few days later, in the middle of my work day, I had my badge and keys confiscated. I was told to hand over any company property. Then I was escorted to my car in front of clients and staff and watched  as I drove off the property. That felt more like passive-aggressive revenge than a respectful goodbye.

I would not recommend this facility. It was extremely disorganized when I worked there, they had large turnover, there was a bad culture and I often saw patients in unsafe conditions.

Job objectives are not clear from the start.

Management was poor and inexperienced.

Job load is way too much; understaffed and high turnover.

They use paper charts which almost no facilities do anymore. This meant you often had to wait all day for other clinicians to finish using the chart.

Nurses would often lose my recommendations and orders would fail to be carried out.

Typical day at work included charting on 10 new patients and rounding on existing ones. As the dietitian you are responsible for all 100 in the facility. Paper charts meant a fair amount of my day was spent deciphering the handwriting of previous dietitians. You were discouraged from spending a lot of time with patients. The goal was to chart on as many patients while spending as little time with them as possible.

Do not recommend working here.

Less important but hard socially: Everyone is filipino so if you are not and do not speak the language you will be left out.

Pay is low, there is no support from management, unless you are related to them. They force employees to participate in their fundraisers.  And because they hire family members and friends, there is favoritism. They give no raises. And if they do,  its only 20-30 cents, that’s how cheap they are.  No opportunity for advancement unless you are a favorite of management.  One other thing, they don’t approve overtime, and because they cut hours, and are understaff, they expect you to “finish” your work until the end, think about that for a second. The co workers are nice, but the company does nothing to keep employees happy.  Some managers are bullies and use intimidation, the Administrator did nothing to stop them, she/he would turn a blind eye to employees’ concerns and only care about making money out  of the employees for the fundraisers.

FRESNO: I'm convinced that this place will never get better.  The leadership team lacks the knowledge and backbone and it's a snowball circus.  So many residents have passed on in the last year that it's heartbreaking.  This company has no interest in supporting its employees and I have no interest in giving my best work. When an employee feels valued they will do more for you and go above and beyond.  It's such a simple concept, yet one rarely followed.  The transition from the old company to the new company was sloppy and many of us were unsure of what to expect and it was done at the last minute.  I've been through mergers before but none like this one.  Long story short - still miserable. 

I worked for Lawton per diem and I felt like I had the training and support I needed.  A lot of cakes and mini celebrations where I was encouraged to participate (but I would have rather have gotten all my work done).  I'd come to my shift 30 mins early and our break room was in the basement- formerly a pediatric psych ward (night shift claims to hear laughing children).  Coworkers were direct and gave clear instructions (something I appreciate) but it was difficult to find a superior when needed (I feel they were sometimes short-staffed so I get it).  This facility felt like an acute hospital- which I liked- and I would seriously consider working here again!  

Top Job Titles	Average Salary
Licensed vocational nurse 16 salaries reported	$39.61 per hour
Registered nurse 12 salaries reported	$48.00 per hour
Nursing assistant 13 salaries reported	$24.25 per hour
Mds coordinator 2 salaries reported	$52.75 per hour
Dietary aide 2 salaries reported	$18.25 per hour

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