licensed practical nurse

nursing supervisor

food service associate

nursing assistant

home health aide

Loretto

I have been employed as a CNA with Loretto for over 10 years. As a CNA you will deal with all aspects of skilled nursing Care. Every single part of your job is hands on and physical. If you are doing your job every day to the best of your ability, you will often times feel like there is not enough time in your shift to complete your assignment and you will find yourself constantly rushing. It’s just the nature of the job. That being said, it is one of the most rewarding careers you could ever be a part of. You will build relationships with the people that you care for and they will become more an extension of your family than people just living in a nursing home. This job is not for everyone. It is not easy money. Its not glamorous, but it is absolutely essential to ensuring the residents have a quality of life. The building is severely understaffed and turnover is almost unbelievable. Depending on who you talk to, management can range from being great and “in the trenches” with you to being disrespectful and unwilling to address issues within the work culture. Personally, I have only had 1 or 2 incidents with a nurse or peer in the 10 years I’ve been there. I believe it depends more upon how you are able to conduct yourself in times of stress and conflict. In this work, there is plenty of pettiness to go around. you need to know when it’s necessary to speak out and when it’s necessary to brush something off.  If you are working with compassionate, helpful, like minded co-workers, even the hardest days can go by pretty smoothly. Unfortunately, not everyone working at loretto is working to provide a pleasant life for the elders and in recent years, loretto has become less selective of who they hire and their desire to just fill in staffing gaps with bodies instead of dedicated employees has brought down the quality of work, and morale. Oddly, the same things I find upsetting about the company are the same things that keep me there. I feel as though the residents of loretto deserve good care from good aides. I know I can’t make loretto better,  but I know without a doubt that I can make the lives of the people who I care for better. At the end of the day, that’s why I’m supposed to be there in the first place. It’s not for everyone. It may not be a good fit you. You may not be a good fit for loretto, but if it is for you, you can positively impact the lives of many people. I love the work and the challenge. The only thing that prevents me from believing I can sustain this as a life long career is that Loretto does not offer their union employees a 401k or pension plan. I deeply believe that the men and women who devote 30+ years of their lives to this company should be taken care of after retirement.

● Work-life balance
It is incredibly hard to schedule time off even if you submit it months in advance. They will try to trick you into working doubles by threatening your job and certification. They are severely understaffed and any patient wellness concerns are never taken seriously. There are a lot of good hearted aids and nurses but many people here do not care about the residents. If you work in the Cunningham building be ready for drama between coworkers, verbal abuse and 2-3 aids for a 54 bed floor. I’ve seen in my 5 months of being here 3 different people fired 10 minutes before they punch out. There is a strong favoritism amongst some aids and nurses and the operations manager. Lots of roaches and bugs and residents left for hours in soiled bedding.

● Pay & benefits
You get 12 occurrences per year for any call ins and after that you will be terminated. To make up one occurrence you must work 4 extra shifts if you’re full time and 8 if your part time. Any call ins come out of your time off. The only upside is if you pick up mandating pay you make double your rate for that shift.

● Job security and advancement
The advancement opportunities are incredibly hard to obtain and it’s a competition between employees to get into programs

● Management
Management will preach about the dangers of burnout and in the same breath try to mandate you for ultimate doubles a week. If you decline the mandating they very clearly show a change of heart towards you.

● Overall
There are a lot of good hearted aids and nurses here but the management over works them to the point of quitting. I have seen roaches in the building as well as residents left soiled in their beds for hours. There is blatant favoritism from management and the operations manager will take advantage of new employees and threaten their jobs if they don’t work doubles. They will try to mandate you almost every day and are severely short staffed. You will always be taking care of 11+ residents and over 20 if you work third shift.

I came in hoping to work with a team of emotionally intelligent, collaborative professionals, but instead, I found a culture that felt judgmental, catty, and steeped in toxic positivity. Complaining was quickly labeled as being a "victim," which felt more like dismissiveness than support.

Collaboration was virtually nonexistent. Everyone seemed focused on controlling others' tasks and creativity, which killed motivation and made the work unenjoyable.

I also had ongoing disagreements with one particular manager over the direction and quality of work expected, which further impacted my drive and job satisfaction.

There was an atmosphere of surveillance and mistrust. I believe I was unofficially put on a performance improvement plan without any formal HR process or clear communication. I felt targeted by a manager who would closely monitor my work and report back to leadership at every opportunity.

If you thrive in an environment with open communication, trust, and genuine collaboration, this probably isn’t the right fit. But if you’re comfortable with petty office politics and micromanagement, this might be your scene.

PACE-CNY, (Program of All inclusive Care for the Elderly, a division of Loretto Health, is a program I still promote after my departure.  The homecare, day care centers, activities, socialization for the elderly is exceptional.  I loved learning all that I did in my field of study.

I was hired as the Data Entry Specialist for the Utilization Management Dept. & Provider Relations Dept. I performed demographic data entry for all PACE participants. Gathered data for statistical analysis and produced the final reports for the Dept. of Health. Did background checks for all prospective contract health providers and PACE providers.  Responsible for maintaining and following up with PACE providers' credentials, malpractice insurance, and re-certification.  

HOWEVER, it is unbelievable that the person in charge of my training and supervision can be so inept.  My predecessors were either "re-organized" out of a job, as well as myself, or left because of the bullying she did to her employees.  When I started we were a staff of 4.  When I left, it is now a staff of 1. I say with all honesty no one wanted to work with her or for her. I find it difficult to understand why she is allowed to continue.  One person out of a staff of 200+ I found difficult to work with/for.

A typical day at Loretto consisted of...Seeing the first client at 7 am to get them ready for their day, bathing, dressing, making breakfast, be sure they got all their medications taken.  You worked all over the county going from house to house depending what the client needed.  We were used to cleaning their house, doing laundry, buying groceries and accompanying them to doctors and the day center at the Pace Program,There the clients would get bather on certain days, fed a hot meal and completed their therapy secession as well as see the doctor.  Our most pleasing times were playing games and going out to lunch with friends that attended the day center.   Management was not always considerate when it came to the staff Christmas Party. The home health aides would put the party on for their families and management would not participate or join the fun.  The hardest part of the job was when you have your schedule for the week and they call you at the very last minute to tell you that you're going somewhere else you have never been,

I was privileged to have worked at Loretto, the best home health facility in upstate. I will always be grateful for the opportunity I was given to work and attend college at the same time. I was really excited to learn about the tuition assistance program available for workers who needed help with college tuition. I was given a chance  to better my life through Loretto. The Bernardine was an amazing place to work. I really can't express how much I miss my boss Jackie, my co-workers and the lovely residents at the facility. I can't say thank you enough to Mr Rick, Mrs Antoinette, Mr George Marceau, Mr Dave at the learning center and the entire care team especially the case managers for an amazing experience.
I really enjoyed being the Prince of the Bernardine. May God bless Loretto and the entire care team who work selflessly to reach the highest standards of caregiving. Loretto is definitely changing the face of healthcare in Upstate New York. I am glad to have been part of this winning team.  Thank you from the bottom of my heart.

My second round was very difficult. I had some health issues that I was dealing with and my supervisors made the position more stressful then it needed to be. Often times I felt targeted by the negativity and unprofessionalism that often occurred with people in higher positions. I often did not feel respected or appreciated for the things I had done, the training was short and pointless, many nys policies and procedures were not being followed and it was a disorganized mess of chaos that they blamed on staff. Also if your a nurse (LPN) dont expect to ever take a real break. It never happens. The best you can get a smoke break and even that can "become an issue" if "residents family members complain". Also lazy staff always get praised and for what ever reason scheduling issues will be your fault. Just pay attention to the high turn over rates this company has. They are better and they do work hard for residents and staff, but only certain staff will ever truly see the benefits.

i came into work at 11:oo pm and the first thing i did was i got report from the nurse going off duty, then we would do med count we would count all the narcotics then i would check on all 56 residence and see if they were ok and see if they were safe in bed, then i would go back and check to see if any one needed narcotics and check the books and see if any one needed medication what time what kind what milligram then made sure they got it and in-between rounds i would set up the meds for the next morning then i would go on another round if people fell i would help them up but not before i checked to see if they were ok i checked everything like there vital signs. The most enjoyable part of the job was caring for them when they needed help. The hardest part was training other people who did not know what to do. What i  learned was caring for people is a wonderful thing to do and the best kind of work for when i was younger. the administrator was very kind and under standing and listened and trusted me she never worry when i was on night shift she trusted me completely. My co workers were a good crew .

A typical day at work involves caring for residences that has been diagnosed with psychiatric disabilities.  This includes educating them on life skills to integrate them back into society.  Loretto’s facility is designed to remove the stigma residences are confronted daily by society with having psychiatric challenges. I have learned that people with mental disabilities still have the cognitive desires to integrate back into society regardless of how many challenges they face.  Whether the goal is fully met is beside the point, but we must continue to assist them until counseling is no longer necessary. Management has done an excellent job training employees on how to deal with different issues, teaching specific guidelines, regulations and how to implement them effectively.  The hardest part of the job is those who pass away before they can successfully reach their goal originally attempted.  The most part I love about the job is that I can encourage and teach people with disabilities current life tools they can use for them to live fulfilling and happy lives.

What is the best part of working at the company?
The residents I had the honor of caring for 

What is the most stressful part about working at the company?
Being the only CNA on a floor of 28 residents to care for. Some residents require 2 assist according to their care plan. If there is only one CNA how does that person get up to use the bathroom? Or be rolled the change their brief? The answer is they can’t get up if there is only one aide to assist. How sad when someone is begging to get up and use the bathroom and by law you can’t move them with one person. I have to look at my resident and tell them I’m so sorry but I have no help to get you up.  That was the worst. Some were mortified. Especially if they were residents that were still very aware of their surroundings. Using the bathroom on yourself because there is no help to get you up is degrading . 

What is the work environment and culture like at the company?
Environment was hard on my heart.

Top Job Titles	Average Salary
Licensed practical nurse 49 salaries reported	$35.45 per hour
Nursing supervisor 63 salaries reported	$47.18 per hour
Food service associate 43 salaries reported	$19.49 per hour
Nursing assistant 33 salaries reported	$24.45 per hour
Home health aide 31 salaries reported	$22.54 per hour

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