dietitian

clinical dietitian

nutritionist

human resources coordinator

register

NutraCo

NutraCo States they are a company by dietitians for dietitians, this makes me laugh because honestly they don't care about their dietitians at all. All their dietitians are overworked without any support from their management. They basically throw you into a long-term care facility or even two+ and leave you there on your own and expect you to do the work of three RDs. You are managing at least 200+ residents on your own with excessive charting/documentation that is 100% overkill. The facilities that they put you in are awful, and are often getting bad surveys. Dietitian interventions are 90% revolving around food... well how are you suppose to provide interventions when the diets that the facilities have are awful and go completely against therapeutic diet d/t low budget. You are trying to educate a patient on a CCD diet but your kitchen thinks its okay to provide half a plate of mash potatoes and a dried out chicken breast and call it a CCD diet, but dietitians in this company don't have the ability to do anything regarding the food. So Nutraco dietitians, look silly trying to provide diet education when the patients are provided everything you advise against. It is a never ending battle trying to get support from management to try to be respected in your building and as an IDT professional. You have nurses, dietary manager putting in therapeutic diets without letting YOU the RD know.  They never acknowledge the work that their RDs are doing but constant company wide emails reminding you of all the things we should be doing.  The pay is awful, they will low-ball you a pay rate that is way under the average dietitian salary. Their raises probably 20 cents for a years' worth of work after a deficiency free survey and no call offs. Their PTO is awful, benefits are awful. HR is unresponsive. There is no opportunity for growth within this company. Don't even try thinking about taking time off with this company because when you take time off you are the only RD for the facility so there is no one there to assist with your work while you are gone, your regional is suppose to but they never do. So you are already behind working countless hours being the only RD for 200 patients, now you are extremely behind when you try to use your PTO. If you want to be respected as a dietitian, actually want to be able to assist patients with their nutrition, and want to be apart of a team, do not work for Nutraco. This isn't a deal braker but gives and idea of how Nutraco thinks about their RDs... For Registered Dietitian Day, instead of celebrating their RDs and saying thank you, they gave all their RDs a CEU on how not to get written up by state. Thanks that's exactly what RDs love to feel appreciated. 

Pros

- flexible hours
- can start working without a license

Cons

* Agreed there is very Poor training for new dietitians (0-3 days and virtual training at that!), you go to the building alone with no setup
* bad/expensive benefits for being in healthcare
* Low pay
* The company does not help pay for any credentialing/recertification (many other companies do)
* Despite it being a state mandate, no name badge was given by this company and I had to get the facility to give me one
* Overseeing 150+ patients by yourself and multi-tasking between 2 facilities (and if you are lucky enough to work remotely they have made the position so demanding it is nearly impossible)
* Working in poorly run long-term care facilities with little funding
* No assistance from regional dietitians to get help with being ready for state surveys.
* Poor PTO, it does not grow with time at the company
* Even though you are a salaried professional, you are required to be on-site for exactly 40 hours/week

A couple of specifics to my experience:
*I had no heat all winter or AC all summer in my shared office and NutraCo refused to support me, saying "there is nothing we can do"/would not allow me to chart from home (& many of the other RD's I know don't even have a desk so they had to bring personal computers...)

* Contract bases and if the facility you are working for decides to terminate the contract, you are out of a job with no recourse in 2 weeks (this does happen)

*In order to get a yearly raise, YOU have to ASK to do an annual and then they make the process take over 3 months to increase your pay (marginally by the way)

* My regional manager lives 40 minutes away and never came in once to meet me or support me / no RD meet-ups so you feel very isolated

* If you work remotely some days, you have to use a personal computer and phone to call people. Regionals ask you to leave your phone numbers with "office hours" when families can call back but this does not happen so you are dodging work calls at all hours

* The company does not support your growth/development as a dietitian. There is no $$ given toward ongoing education/ no CEU support / low-paying company in general

My time with NutraCo was challenging and stressful. I was assigned to a large facility and, as the only onsite RD, I was responsible for everything. In one building, I had no oversight or support for months, which made it feel like I was forgotten by the company. In another, the work environment was filled with constant criticism and little positive feedback. The lack of communication, guidance, and recognition made it difficult to stay motivated.

I had to manage a heavy workload, covering a large number of residents, including new admissions, without the proper resources or backup. Meanwhile, other departments had multiple people to help, which made the job feel even more overwhelming. There was no real consideration for work-life balance, and it often felt like I was expected to do more than was humanly possible.

The most rewarding part of the job was working directly with the residents. I enjoyed building relationships with them and helping them improve their health. Despite the challenges I faced with the company, those personal connections made the job feel worthwhile.

Ultimately, NutraCo needs to improve its communication, foster a more supportive work environment, and ensure that employees have the resources they need to succeed. Proper staffing, more positive feedback, and a focus on work-life balance would greatly improve the experience for RDs and help create a healthier, more productive workplace.

My time working for Nutraco was truly a nightmare.
I was contacted by a recruiter from this company on Indeed about this job. 
In 14 years of being a dietitian I have never worked a more unorganized, stressful and poor paying job. 
Worked in a ‘special focus’ facility, which NutraCo had no idea what was going on when I started. 
I worked 40 plus hours in house and worked at least 2-3 additional nights at home catching up on documentation. Boss knew and did nothing about it. 
Several concerning issues brought to ‘managers’ of company, regarding patient care, who did nothing. 
Also had one incident that was extremely chaotic, was trying to advocate for patients needs and received zero support from nutraco regional managers. 
Regional managers have no real dietitian experience, let alone management experience. 
Was hired for a full time position, was then told they only had 24 hours a week for me after I worked my first day. Would never have accepted the position if I knew this. Had to fight to finally get full time, which I was hired for! 
Told me at the end of the work day on Friday I would be starting at a new facility with literally no guidance or information. 
This was a horrible professional experience, everyday leaving unsupported and defeated as patient care is not their concern, just making sure the client is pleased.
This RD run company  NOT a true representation of real professional dietitians. 


I have worked for the company for over three years now. Seeing all the bad reviews from 3+ years ago really does not apply these days. Their training process has improved a lot, doing group orientation and then 4-5 weeks of training with your regional at least 3-4 days per week along with regular check ins with their training team lead. The provide weekly group trainings as well on topics such as as MDS, the weight process and even has a monthly group training for “open forum” where you can ask questions. Additionally, they have in depth training packets that have a lot of good information and spells out exactly what you need to do for all the types of assessments (weight notes, wounds, TF, etc). Productivity is definitely important, but that’s just business I guess. If you maintain expectations you won’t have any issues and won’t be micromanaged. Additionally, if you need to relocate or if you don’t think the facility is a not good fit to you, they will work with you to find another location to work - which is a big plus. 

One bad thing I will say is that they lack consistency in guaranteeing a positive experience at their host sites as they can vary between severe behavioral health facilities and 5-star nursing homes. Your regional management team, depending on your region, will impact your experience as well, coming from someone who has had multiple regional managers.

Overall, NutraCo is a good place to work. I love having the ability to connect with hundreds of dietitians across the county if I run into a tricky case or want to bounce ideas off another RD. The training, onboarding, and resources provided are way more comprehensive than I was expecting. I will say, job satisfaction seems to depend on the facility in which you’re placed. In my experience, I was hired after a zoom interview so I never got to see/meet anyone until my first day. I like my busy fast paced facility, and when we fell behind during RD transitions, the regional RD came to help us get caught up. That doesn’t seem be the case for all accounts though. If you’re considering working here, I’d advise you to ask about what kind of workload you’re taking over (ie is it a new account, has the position been vacant for a while, would you have any overlap with the current RD?) and make sure you’re comfortable and/or have a confirmed plan for support during your first few days/weeks. Every dietitian I’ve ever interacted with from management has been sooo great and willing to work with you til your comfortable 

There is no bereavement policy, so if someone close to you dies you can use the small amount of PTO you get. They provide 20 PTO days that are accrued, so there are times when none is available.
Full-time, salaried employees are required to work a full 40 hour or more per week - even if the amount of work is not required. You have to sit around at the facility to clock your hours.
NutraCo partners with difficult nursing homes at times. The Grand Healthcare is one of the nursing home branches they work with. You will not feel any sense of being part of the team working with the grand. You will not be provided a badge, even thought this is a DOH requirement. You will get a NutraCo email but not a facility email - so you will often miss information. Also, you have to use your own laptop and will not have the ability to print anything on-site. And often, there is no office to work in, so don't expect any privacy and working from home is kept to a minimum, as needed in emergent situations only. 

Pros: NutraCo has some of the best training, orientation and information in regards to documentation requirements and clinical considerations in LTC. The people seem to genuinely care about the staff. 
Cons:  Mediocre wages. Not enough staffing. Because of their business model, RDs are often placed in sites that are cheap who want to cut corners and contract for less hours than is required to do the job. For example, the facility might contract for 24 hours a week but with 200 beds they likely need a FT RD.  
The reality is NutraCO is an unnecessary middleman, that has supresses wages for RDNs. Instead of paying a RD $45/hr, a facility will pay NutraCo 45/hr and the RD ends up with $30-3$5. Another con is that the documentation requirements of NutraCo are cumbersome and exceed CMS regulations, they are also and not consistent with the amount of hours. It can be hard to meet NutraCo documentation requirements with the hours contacted by facilities. 

I appreciate how detailed NutraCo is with materials and education for new hires who have little to no experience in working in long term care /rehab settings. 

I enjoyed working with my direct manager and the regional team. They are readily available to provide support when you encounter a complex clinical case. 

Pay and benefits could be better- they are not competitive enough. 

Documentation is unnecessary excessive and diverts you from giving quality care since NutraCo’s expectations value quantity over quality. For anyone who cares about producing quality work, this can be one challenge you face. 

The amount of work you’re expected to produce on a daily basis is unrealistic when you’re expected to attend rounds, care plan meetings, follow up on things, address residents/family consults, etc.

This company only cares about the facility and the contract, they do not care about you or how you are handling any difficulties at the facility, they have unrealistic expectation of how much someone can do in a day, they do not consider the meetings, the families that come in and want to speak to you and the consults that are requested all they care about is how many comprehensive notes you complete per day, and compared to other companies they don’t pay well. And if u want a raise you literally have to fight tooth and nail for one and when u do get a raise it’s nothing substantial. What I will say is they have great templates for assessments and other things that was probably the most helpful thing. As far as management they are responsive and sometimes helpful just not realistic with the work load they give you, and HR don’t ever expect a timely response or any response for that matter. 

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