licensed practical nurse

nursing assistant

registered nurse

cook

housekeeper

Juniper Communities

I recently resigned from treatment nurse position, at Juniper at Spicewood in Austin, Tx; this is what I experienced and observed in the short time with the company:
Management lied about workload and scheduling. During my interview, managers stated the position was not an on call position, the treatment nurse position was Monday through Friday 6am-2pm. However, I found that I was having to provide floor coverage at least 2-3 times a week since I started working there. Every day I was pulled to the floor, it put me behind on documentation, so I was constantly having to play catch up, while trying to stay under my scheduled 40 hours work week, because management was constantly complaining of employees going into overtime.  Please note, when I started many careplans, wound observations, assessments including skin integrity assessments were not up to date and many times I found either months over due or not completed at all. Although, they felt 5 hour long unproductive daily meetings was essential. Census is typically about 30+ patients including short term and long term, which is divided into 2 cnas; and two nurses who each pass their own routine and prn medications as they do not have a med aide, nor are there any plans to hire a med aid. In addition to nurses doing all their medications, nurses also do their own admissions as there is no admissions nurse, the ADON, Don, mds are of no help. Nurses are truly on their own, you have no support. Everything is extremely disorganized, many times admissions were not completed (correctly/entirely) l, orders not entered, and finding the discharge orders/papers was nearly impossible and in some cases never found. They do not have any sort of daily/24 hr report, or any sort of reference material for vital numbers and contacts such as labs, pharmacy, iv access providers, etc. 
I left because after I was told I was not on call, I was coerced to work the floor to provide floor coverage, while the people who were actually responsible for being on call refused to work the floor. I then requested a pay increase for the increased workload and additional duties, which was denied. 

What is the best part of working at the company?
I am a caregiver. Junior has gab through a lot of management in the three years I have been there. There is a lot of hard works. I think it a great place to put your loved one. The design of the building the residence can walk around and go out side to the garden when the weather is warm.  

What is the most stressful part about working at the company?
When you have to  work with people that do not want to work. Also really do not care about the residence they’re just there to make money. When you have a boss that yells at works when she is stressed and gets made at works when they have done nothing they  wrong. You have a boss that don’t know how so e time to communicate well with caregivers when she is stressed. Over all the staff we have is great. 

What is the work environment and culture like at the company?
Most of the care giver are hard worker and really care about the residence. They show compassion and love for residence and workers. Most of the workers are willing to help ratchet when need. It seem like most of the residents are happy. 

What is a typical day like for you at the company?
I get to work at 6 start getting residence up out of bed and dressed. Give one or two shower a day.. the the residence that you gave a shower to do their laundry and make their bed. Before eat you have to chart what you did in the morning on a program call pcc. 8 serve breakfast in your house. After you serve breakfast. Feed the residence that need assistance. Then take residence to the bathroom . Between 9:30 and 10:30  the two care giver that working in the same will take turns taking a lunch break. 11:30 get you residence together in your house and serve lunch. After lunch clean the house and take residence to the bathroom. Then you will chart, the rest of the day on PC. 2:00 seconds will show up and they need to room to room crossover and tell them what was going on during the day. Then go home.

An assisted living environment that can go from easy and relaxing one week, to stressful and very difficult the next depending on current residents/staffing. 

At this building there are residents staying long term, and some residents on temporary stays. Many of the temporary residents arrive from the skilled building and still require skilled care. This can become difficult especially on second and third shift, where there is only one nurse and one nursing aide present.

Working second shift, my day consisted of starting immediately with medication administration. There are a lot of medications to be passed but isn't so bad once you find a routine. Many residents are very pleasant and you'll get to know them very well. Wound care, catheter care, documentation, order processing, pharmacy communication, and doctor office communications are also involved in this work. 

Time management is very important. Some days you will have a lot of time to relax, and other times you will not have much time at all. It depends on the current status of all the residents, staffing present, and how much paperwork/STAT orders need taken care of.

The head of nursing is good at what she does - pretty flexible with scheduling, time off, and is always available to answer any questions you may have. She isn't present as often in the evening time, but still remains available to help at any point in time. Other managers aren't quite as pleasant, and aren't knowledgeable about nursing which can sometimes be unfortunate/a burden.

Overall a great place to work. Would recommend to anyone trying to find a job in a long term care position that isn't as demanding as your average skilled facility.

Least until management for this specific spot (Lakewood reserve) is changed DO NOT WORK HERE. Management neglects residents Families and doctors can never get a hold of the nurse! When people do their orientation they always lose everyone’s paper work with their personal information on it and act like it’s not an issue & are trying to put them not doing their jobs on the care team. They are horrible bosses and definitely are not leaders! They treat the workers, residents, and families HORRIBLE. Management needs to be replaced. They pick and choose favorites, and if you are not their favorite then they treat you horrible and over load you with things. Everyone is very stressed out and everyone is very VERY unhappy. Worse place I ever worked at. Oh and those bonuses they promise (the sign on bonus, the reference pay, and the evaluations) will not get done. They are plain disrespectful. They scream at you if you do not clock out for breaks, but most of the time you can’t even take a break from being so busy. The two managers will scream at you in front of other employees if you make a mistake,  No ability to grow, extremely stressful. Cover up things that happen and tell workers they couldn’t tell anyone (including other workers putting everyone at risk and our families) they do not quarantine everyone who leaves the facility once again putting the community at risk! When you ask for the main bosses number to make serious complaints management won’t give it to you because he’s a really nice guy and would not tolerate what the workers would tell him. Residents, families, and workers are very unhappy! Many families are removing their relatives from this place and plenty of workers have quit consistently. 

As a community, Juniper has the potential to be something great. There are residents who wouldn't leave even if things were worse and associates who are completely dedicated and loyal to the building and residents not Juniper. The issue is the management, not the directors (DOW, DON, Connections, Dining); it's the upper management that created a network of greed, drama and control. The company as a whole is toxic, and it drips down to the executive directors, regionals, business office, marketing teams and negatively affects the staff and the residents who deserve better. The pay is nowhere near what a lot of the staff deserve for the care they provide and the hours they put in. There is a culture of gossip and a constant pull for control and recognition. There is no HR position, the business office is supposed to be a combined position of BOM/HR manager but HR is not a priority. There is no space for complaints, and if complaints are brought up, they are not taken seriously and gossip will follow from the BOM to ED to every other department. Staff are belittled, over worked and underpaid but if it is brought up, staff will be fired (at the end of the day to make sure they aren't understaffed) or forced to quit. 

This company seems to care about employees as well as the residents and their families. The term "person centered care" seems to be a real focus. In other nursing facilities I've worked they seem to only care about making sure to cover their tracks so they don't get into trouble with Department of Health. Documentation in other facilities are worded to suit the taste of DOH and not necessarily to actually convey the truth. This facility goes to extra lengths to make sure there is no odor in the building and that the facility is clean overall. I cannot say this about other local facilities where I have been.

Management is well-informed and keeps the staff current on trends in nursing care always trying to institute new ways to improve resident care. I often saw my superiors helping serve meals and helping residents. As with any nursing facility I feel they could've used more staff, especially nights and weekends. I have moved on but the same management is currently there that was there when I worked there and I would return if a position of interest came up. As with any facility there are some employees that aren't a great fit but overall the employees worked well as a group and had good leadership to look up to.

High turn over rate due to poor management. High school drama daily especially when you dont fit in with the in crowd. Managers are fake and talk about staff members to other staff members. A NO lift facility means NO MECHANICAL lift. Aides dead lift residents, so pertect your body. Low pay even after years of dedication. Rewarding working with residents but not with staff. Constantly work short handed while management sits in the offices and watches. If you want to stay mentally and emotionally sane this is not the place. If your lazy on the job you get promoted. It doesnt matter that residents say your the best they ever had. If you dont fit the clique your wrongfully terminated. If you need help transferring a resident be prepared to not have any help for 30mins-1hr. Be prepared to be in 10 places at once. You recieve more appreciation from resident than managers. 109hr is not considered overtime after 80hrs. Untrustworthy staff and managers. Older employees get bullied because of their pace. Employees lying and bullying other staff. No education reimbursement like promised. Less than 3% rate increase YEARLY only.

My day could be bad, good, indifferent, just like the days of the week.
my learning experience is every day. If I don't understand I ask. There is never a stupid question and sometimes I am afraid to ask but then how would I find out the answer and I go to the person who I believe can give me the correct answer. Every day is a learning experience here at Juniper, to me anyway. I believe management is pretty decent on the most part. There are times where I believe there would be a better way of handling a situation, but it is what it is.  
My job is a job of many colors, some people think you sat on your butt all day and answer the phone. Put my shoes on for a day. I am part of a team, that means you help out taking residents in and out of the porch, sign out sign in get them items in need, help out other team members making books, copying papers, getting the mail put away, receiving packages and on and on. Busy, you bet.
The residents are my enjoyment, the people I work with. when someone says I am going to miss you tomorrow on my day off. A smile when someone is down, come on give me a smile and the respond. They are a piece of my heart to say the least.

Not a good assisted living to work for, borders being skilled unit, some  residents require extensive help (2staff)  or they’re hoyer lift.  The  nurse is responsible for two floors does med pass for half of one floor, which is a  heavy med pass, then many other duties/responsibilities etc. it was a 12 hour shift and most days I could barely squeeze in clocking out for a 30 minute lunch break because it’s required, but otherwise I was running pretty much the whole day. So basically they over utilize one person when really they should have additional help/staff  and then they  pay lower wages, lower than other assisted living in the area, they ought to do a pay analysis what other places are paying.  I would not ever go back there again. I worked there for less than a month, but was always on time reliable, flexible , friendly, etc and when I gave my notice, they really acted like they did not care,  so I don’t think they value a good employee. They  just want someone with a license or caregiver there to do the job, basically a warm body, and who cares about anything else. 

Juniper Village is a secure memory care facility for people with Alzheimer's and dementia. Because of the nature of the facility, it can be very emotionally taxing, however rewarding at the same time know that you have made a difference in someone's life. A typical day at work did not exist. I was responsible for constantly keeping the facility in compliance with all applicable local, state and federal life/safety and ADA regulations. The management team was wonderful. The Director however left and the new director was to young and immature to be given the position she was in. The new director had a personal vendetta against me and subsequently terminated me shortly after she took the director position. My co-workers were all very wonderful people that I got along with very well. he hardest part of this job was the dying of some of the resident s that I became close to. The most enjoyable part of this job was the people I worked with and for. Both employees and residents.

Top Job Titles	Average Salary
Licensed practical nurse 124 salaries reported	$30.32 per hour
Nursing assistant 70 salaries reported	$21.63 per hour
Registered nurse 42 salaries reported	$40.24 per hour
Cook 51 salaries reported	$18.46 per hour
Housekeeper 23 salaries reported	$17.19 per hour

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