physical therapist

occupational therapist

physical therapist assistant

speech therapist

certified occupational therapy assistant

Powerback Rehabilitation

I will start by saying that my coworkers in my department were amazing. However, you can immediately tell in all workers who weren't management that they were stressed and dissatisfied with their work environment and management. The nurses and aides were specifically over worked and understaffed; expected to do more than any one person can do on a good day. I cannot tell you how many people I've seen cry from stress and over working in the few weeks I worked there before I myself broke down and ended up respectfully quitting. The schedule is not as flexible as they say it will be.  As someone who needs a morning shift job due to family and expressed my need to be at home before 5pm, I was promised a schedule that would work for me. Once my on-boarding process was over it was very apparent that the schedule I was told I could have is nearly impossilbe. Due to the understaffing of all other departments, most patients weren't even ready for therapy before 930 am when I was told my workday could start at 7am during my interview and onboarding. I was told after I began work that I need to make my schedule more flexible for my patients and come in and leave later than promised and expected despite me saying I need an ealier shift or I just couldn't do it in my interview. Once they sweet talk you into working there and make it seem so easy, they start expecting more of you quickly and don't give you everything they had promised beforehand. Everyone is so desperate to get everything done under the high productivity standards that everything feels like a rush and race rather than a job meant to help people. The schedule is very inflexible as far as weekends. I was told it wouldn't be hard to get a weekend day off and work a day during the week if needed. But after asking weeks in advance like I was told, I still couldn't get the time off and everyone else who had been there for a while told me getting time off, especially on the weekends, is nearly impossible. After having a terrible work life balance and literally sweating all day trying to get things done on time, I said I'd rather bag groceries and struggle to pay my bills than keep working for this place. Worst place I've worked doing physical therapy. Got screwed by my boss when I respectfully quit. I nicely stated the schedule just wasn't flexible enough for me and I had to go. Even offered to work a few weeks until they found a replacement so as not to leave them without a therapist to run my schedule. Turns out they instead screwed me and said I never actually quit because they didn't give me the paperwork I needed to fill out and instead fired me for "abandoning my job" when I stopped coming in despite formally quitting  and ASKING FOR THE PAPERWORK I NEEDED TO QUIT which was not given to me. They also care so much more about money than their workers that they made it known to all therapy staff that they already had plans to fire the PT and OT who had been working there for so long doing so well, and instead hiring PTAs and COTAs to take their place literally just to save money. These people were so nice and had such great experience, all the patients and staff their loved them and relied on them. They were so great for that place. and Their reward is a slap in the face saying they'd be fired whenever they found replacements and not even being given a date they would be out of work. Absolutely ridiculous how they treat their employees. This place also had the highest productivity standards of any place I've ever done therapy, while also paying the least in any place I've ever done therapy. They like to hire recent grads so they can take advantage of them. I would not recommend this place to anyone, even someone with a flexible schedule, due to the low quality treatment and major hypocrisy of those who manage each department.  

A typical day at work begins at 09:00 am and the length of day varies depending on case load, patient availability, and being full time with benefits requiring 30 hours a week. The actual work begins before you are allowed to clock in, reading and researching the goals and reading other therapists notes on patients from previous sessions, in preparation for treating your patients that day. Tight productivity/efficiency standards do not allow enough time for this. No yearly review was given. No raise was given, not even to keep up with the cost of living. I am a seasoned, dedicated,  and very hard working employee.
This facility is for independent living and assisted living, not memory care. Patient physical therapy sessions are held in patient's apartments, common hallways, and common fitness room. Most patients are treated for balance, strength, coordination, and gait abnormalities but may include any condition that requires physical therapy. 
This facility has had a large turnover in DOR (director of rehab). Management does not value the DOR enough to want them to stay. DORs become overwhelmed with the ever increasing work load that is placed on them, adding extra facilities to their case load and if they are licensed therapists they also treat patients, causing them to be spread far too thin. Managing multiple facilities creates a part time presence at all facilities. We are on our 3rd DOR within one and a half years and I sense that this director will be leaving within 2 months.
The co-workers/therapists are great! We work well as a team but are under continual pressure to be productive at 90% efficiency. This efficiency percent infringes on the actual active therapy time with the patient due to notation that needs to be written on a mini ipad while with the patient. The mini ipad does not have a physical key board and voice command always prints something different than what was spoken. This involves reading what was written, correcting the mistakes, then using one finger on the screen keyboard to type out any and all text. A huge waste of time. The mini ipad does not always connect to the online service, There are always multiple steps and passwords to get to the correct site and page needed, and can be very slow at connecting to the pages and sites that are needed in order to write your note. Billing is at a different location on the ipad and involves several steps to be reached. Genesis management does not take into consideration the multiple tasks that therapists perform while they are not treating patients. Therapist perform DOR tasks when the DOR is not present, report to nurses, report to doctors, answer the phone, answer walk-ins, pick up and store equipment from the gym at the end of the day, adjust our schedules on a moments notice when a patient cancels their appointment which involves phone calls, knocking at doors (this is a very large facility with 4 floors and multiple wings) in order to be "efficient".
The hardest part of this job is not having a DOR available full time for this very large facility. Patients have expressed there displeasure as well. 
The best part of this job is the reward of helping a patient improve their quality of life! Most patients are grateful as well!

I worked for Genesis Rehab for over 6 years and was very faithful to the company. Even through some very incompetent DORs in my early years of work. I only recieved one pay raise in those 6 years while working at a nursing home that had 1/5 stars on google review while recieving excellent employer reviews for myself from my DOR's (I had 3 while at this building because it was such a tough building with a small gym). Benefits have declined severly (example; you can only use one personal day at a time from the previous being able to use them for multiple days and cuts in overall PTO time given and increased healthcare premiums). I even flexed to other buildings and also helped work in other buildings after the hurricane disaster even through 2 hour of drive in hurricane traffic as well as some other good employees. I do not believe the company is all bad, but some branches are really corrupt. I was recently restationed to a building after the hurricane and case load was low which was understandable but I recieved no guidence or help for the DOR despite recently arriving at 3 new buildings which I traveled between which was a new and difficult experience for me to get used to. Whats even worse is that I would get a write-up after doing something incorrectly for 4 months that I had no idea I was doing incorrectly because my DOR never let me knew it was incorrect and instead just told my regional manager instead. It seemed like I was taking hours from other employees and no one wanted me there because of that. I realized unlike other coworkers that I was constantly being watched for any mistakes and had no guidence. I also recieved no keyfobs to patients room which all my other coworkers had that were also full time. I didnt recieve a key to one of our main offices (I worked at this new building about 4 months) until a week before I was terminated after an investigation that I was not even told the results of. They stated they would not pay back PTO and fired me right before my planned cruise and even punched me out for a lunch break during a planned meeting on my final day of work according to human resources (Hopefully they will fix this issue). This company has done a lot of good things for me like help me cover part of the cost of my roof after a storm which I greatly appreciated. I just wish they were more professional and helpful and didnt show favor to other employees just because they were at that particular building longer. All these problems started when I asked to be paid for my standard of 70 hours after an approximate 60 hour work week due to low caseload (which I never saw those additinal missing hours added on my next paycheck) The very next week I got written up. No one in the company seemed to like the idea that I had to be at 70 hour per my initial contract from over 6 years ago and it seems like that is when all the write-ups and eventually terminatation occured. If your looking for a company with great benefits and payraises. I would definitely look somewhere else. Look it up for yourself. This company stocks since the beggining of February have dropped from approx. $1.60 a share to $1.30 a share in March. If you think this company will not get rid of you when things get bad. Think again and they will blame you for their failures in the process.

They pay well but don't really offer raises in the long run. They are not appreciative of their staff. They treat everyone as a pawn in their game to get more money. As staff there are not many of us who feel appreciated. They expect 80% for therapist and 90% for assistants but do not take into consideration what all we do in our communities while on the job to actually care for our patients. "If you don't have them on caseload you shouldn't have a conversation with them or help them in anyway." They have several buildings in the same area that range from 1-1.5 hours away and if they need coverage at those buildings you aren't asked to go you are told to go. Forget the fact that your family expects you home at your normal time but you have to travel extra far for work that day.  .40 mileage and are paid for your travel time only you are working at one facility and have to go to another but no travel time to drive to "work" when work is covering for another building. 
 They recently started pushing Vitality which is their "home health" side of it. More than likely if you are being hired, that is what you are being hired for because no one wants to do it. Most people apply for Genesis to avoid doing home health because they want to drive to one work site each day, but you can't tell the management that. People who have worked for this company for years are being told they have to go here and there and work weekends 
 Don't even get me started on all the pressure the DORs have. They are salary based and they work all the time. You are constantly working to change a schedule or change someones missed punch, stressing over all the disciplines completing paper work for close out so that they can write a full weekly report. They are expected to market for the Genesis and Vitality, going to meetings that the facility has so they can stay in the know about the patients and having 3-5 conference calls a week where they are put down about productivity or how they aren't bringing in enough money blah, blah, blah. They are responsible for sending therapists home when there aren't enough patients because the beds are full with LTC patients. They have to Break the news to their hard working staff members that they aren't being productive enough even though they see how much therapists do for the good of the residents. Sending staff to places that are 2-3 hours away for a day when they know the therapist needs to be done in time to pick their children up from school because they are a single parent. If staff are unable to come in due to sickness, it is the DOR who has to find coverage. They have to do all this while maintaining 50% productivity. 

Sometimes making more money isn't always the best. Try offering better care for your patients instead of spreading the therapist so thin sending to the all the Vitality patients. Stick to what you are good and and make it better. They have truly lost sight of what it is like and what it MEANS to be a therapist. I just wish the higher management would listen to the game pawns. They are letting the territory management ruin their good company.

Genesis Rehab is a rehab factory that pushes its therapists to be Rehab Robots. They are all about "skill and bill". The quality of treatment does not matter to them. 

THIS IS NOT A PLACE FOR NEW GRADS!!!!

My biggest regret thus far since starting was turning down a hospital position for a job at this place! I didn't last a month at this place! After I was told I was staying too long in the facilities to get my documentation done, I knew that this was NOT the place for me! If you are given 3 patients, all with 60 minutes (even though they don't need 60 minutes) you are expected to have ALL treatment and documentation done in 3 hours and 45 minutes. Forget if you have an evaluation, a discharge, recertification, if the patient is out, if the patient is at lunch, the network is down, or the computer is not working or unavailable. You are still expected to have everything done in those 3 hours and 45 minutes. 

What they called a "mentorship" was basically an "extra person to see if you are getting all your work done" and not someone to help guide you and your career. 

Productivity is #1 and patient (pt) care comes last. They basically don't care what you do to the patient as far as treatment goes, as long as you don't abuse the pt., or drop the pt. They only care about documentation, G Codes, and productivity. Genesis Rehab constantly teeters on unethical behaviors but staunchly hide behind their "10 promises" to make it look like they are an ethical company that cares about its patients. 

Oh and don't count on getting a real orientation. You might get a day but a half day is norm. You're on your own and you better not dare act like you might be struggling at first with juggling the workload they throw at you. They hire assistants from for profit schools and the quality of their work and documentation show.  They want you to sign off on sub-par documentation of the assistants without actually looking at what they did with the pt.  

You are expected to figure out how they operate and the flow of things on your own. They may send you to an "orientation" a month or 3 later. 

The Area Directors (AD) and Clinical Directors (CD) somehow have forgotten they were once therapists and make arbitrary rules to keep therapists "busy" because apparently to them, therapists in the contracted facilities aren't busy enough. 

The program managers are puppets and pawn for the AD and CD. 

The benefits aren't that great either and good luck getting time off. You might be better off getting private insurance and an HSA. 

The bottom line is: If you are a new grad, find a place that will truly mentor you, with other therapists like in a hospital, answer your questions without making you feel like you don't know what you're doing, and will be supportive and communicative management. Genesis is not this place

I'm nearing the end of my second full-time stint with Genesis.  Things are amazingly even worse now than they were when I came on as a new grad--and that's saying something.  Genesis has to be one of the most exploitative companies and corner cutting in the health industry.  

They exploit patients by overextending patient stays, providing poor patient care (due to staffing shortfalls and low morale employees), and regularly scheduling minutes inappropriately.  Does a 90 year old dementia patient truly require an 80 minute session?

Staff are exploited as well.  For instance, nursing and GNAs are regularly short staffed yet are expected to provide high quality care to vulnerable patients.  The company knows that it is unrealistic but it's easier (and cheaper) to fire burnt out staff and replace them with naive new grads than it is to provide patients with the appropriate staff levels and staff with the requisite resources to do their jobs.  As therapists, we're increasingly burdened with concurrent and group treatments without assistance for transporting patients.  But your productivity had better be 95%!

Patient care is demanding both physically and mentally so self care is paramount.  Tell that to management who recently implemented a three month advance notice requirement for vacation day use!  This is totally unheard of and completely unnecessary--until you realize that it gives the company grounds to decline vacation requests placed less than three months in advance.  What better way to save on the PRN employee premium than by ensuring that your staff can't access the vacation days that they've earned?

They have even begun using their home health staff as forced labor at whichever facilities happen to be short staffed again to save on PRN costs. 

Finally, it's not as if you're paid competitively for your efforts.  Based on my discussions with colleagues here and friends at other companies in the industry, Genesis pays $2-5 less per hour than its competitors.  No wonder they ban employees discussing pay!  The company thrives on grinding its existing staff into the ground and then replacing them with low-pay new grads who don't know any better.

Here's a tip for new grads considering this company: don't believe their nonsense about having a predetermined pay scale based on years of experience.  I was able to negotiate $2 more per hour than my classmates--and I was still underpaid compared to folks who went onboard with other companies!  Insurers pay Genesis the same rate no matter how much experience the therapist has; it's yet another way of Genesis cutting every corner and squeezing every penny that it can with nothing for staff to show for it.  There hasn't been a raise at this company for over six years!

I could go on and on but in summary: I'd recommend looking elsewhere for employment.

Flagship centers are well run but, if you work in any somewhat less desirable location or somewhere struggling, you’ll be pretty shocked at the difference. I was a manager for 4 years and worked at 4 locations in MA. I’ve visited many others. Flagship centers have the best administrators and strongest clinical leaders. The least desirable buildings, at best, have ineffective or very inexperienced leaders; at worst, they can have some of the least qualified administrators you could imagine are allowed to oversee care for elders. That sounds harsh, but I’ve worked with over a half dozen administrators during my time there and have seen quite a range. Of course, the most struggling of centers serve the most blue collar population, so the most vulnerable of vulnerable elders are left with the least qualified leaders and neglected physical plants. 
I saw very good care from some very talented nurses and CNAs. When the care was poor, it was almost always due to facility shortcomings for staff levels, overworking the same people, or very poor accountability for people not doing their job right. 
The rehab can be excellent but that sector is run ruthlessly. The culture can be extremely toxic all the way up to senior management. Lots of false promises and hollow listening sessions that go no where but to buy time between major employee complaints. Some of the buildings’ problems stem from years of poor oversight of ineffective leaders, so by the time any help is given, the problem becomes systemic and nearly unfixable. At that point, no sane, experienced administrator would touch a building like that so you get the bottom of the talent pool. 
The food service and housekeeping are outsourced to a company who is notorious across the industry for poor quality and yet they remain. No matter how many complaints are received, there is no accountability for those departments because Genesis is wed to them. They’re likely the most affordable, which always trumps quality. Some of the general struggles for staffing pre-pandemic were certainly due to lack of funding across the industry but Genesis finds this an easy scapegoat for poor allocation of funds. They’re notorious for being over assets by buying out more buildings than they can serve with quality. They could downsize and reallocate funds to prioritize care, but that wouldn’t make the ultimate decision makers at the top as much money. The turnover is almost comically high. I literally worked with over 20 different managers of different department in just 1 building in just 3 years. There’s a reason for that.  

I am PRN therapy staff. I have not had a raise in the years I've been PRN. There is no pay differential for working on major holidays. There are no support staff for things like Resident transport between wherever the Resident may be to the therapy room. However there is a corporate expectation for an unrealistic proportion of time spent in billable time spent on direct care. This is not realistic given lack of staff support to track down and transport Residents. I creates environmental press that tempts some staff to cross ethical lines and bill improperly. I also used to have access to ample in-service training corporate provides to full- and part-time staff, but this has not been available for several years. These and other issues also impede the maximal benefit of my professional education to provide functional interventions known to maximize functional improvements. For ex., ADL dressing, bathing, toileting are stressed, which is appropriate, but it is difficult to order  adaptive equipment in timely fashion. Non-therapy staff who are responsible for reviewing ordered equipment at times substitute inferior or inappropriate items. And there is is minimal carry-over with nursing staff, in particular with self feeding training and typically ordered self feeding utensils and other equipnent are lost soon after therapy, and staff carry-over nursing direct care training have stopped. So the gains in therapy are rapidly lost. Clothing are "lost" frequently in the laundry process. And supplies for other essential therapy are often outdated, broken, incomplete, or jus not available.  In both facilities where I work, therapy staff have been discouraged from using bathrooms in the treatment area for Resident toileting training, being reserved for staff use. And major appliances such as washing machines and ovens have never been hooked up, thus, are totally non-usable, reportedly for not having these properly vented by code. No effort seems to have been made to correct this over the years. These issues seem to be systemic in the long-term care,/ Nursing Home industry. My direct 1st line manager could not be a more supportive and helpful buffering between corporate pressure and daily, appropriate care. Also, my therapy evaluations have been challenged in the rare occasion that the Resident was not in need of my discipline's services by non-therapy business staff because of the availability of insurance that was available, but would not be used if I concluded therapy was not needed at this time. The arrangement of therapy services being contracted in to LTC facilities renders therapy staff as "guests" in that facility. Thus creates a dynamic that isn't supportive of optimal care.

It started out beautifully. So full of hope, admiration and anticipation to help the community and be apart of a group of like-minded people. The company overall is top tier!!! There is nothing but good things to say about this company at a whole. I loved it there.

Certain morally corrupt people there are spoiling the good batch. Then the gossip started. The negative remarks. The hurtful backstabbing. The cliques. The being given preferential treatment only if you are liked and accepted. Being liked and accepted was based on if you did what you were told in a way someone not in your department suggested (because it worked for them), not following your own mind (like what you were told you were hired to do). Being shunned and your work being picked over because it's not done how someone else preferred it be done.  No originality. No ability to contribute on your own. No control of your department without certain people having something negative to say to your superiors and your direct reports. No support when people misrepresented you or complained out of spite. When you complain about the hostile work environment,  you are given excuses about why that person's hurtful past gives them a pass to be inappropriate, not knowing your past was just as hurtful or worse, and you still remain professional. You are told to look at yourself and ask why the bully intimidated you. Absolutely the lowest grade training ever given. Texts, phone call interrupted key points you were then responsible to know because the trainer forgot they didnt finish and went to another topic after the several interruptions) you were left on your own and told to figure it out because you are supposed to have "talent" and be involved. Never have I experienced this methodology in any company I've been in. Training is imperative and complete. Execution of GOOD training is PRODUCTIVE. But really, you are set up to fail. You choose to go in and uplift a team that was treated as second rate, give them hope for a future in the department and company, get them trained, professionally certified, get them to finally communicate and work together just to be told that you can't lead and you were pretty much a mistake, then being told there wasn't anything you "necessarily did wrong"...It was disheartening. But the experience to help others was well worth it. It made me BETTER. And what goes around will surely come back around.
 CEO, COO- AMAZING people. I wish they could clearly see what is happening on thier lower levels and correct it. There is always hope for change. 

I have worked in managerial role and as a therapist for GRS for over 15 years.  I have spent most of my adult life with GRS growing as a professional and am grateful for the opportunity.  The flexibility in my job over the years allowed my husband to stay home with our children and then alter my hours when he rejoined the work force.  I have met so many coworkers along the way who I now consider family, and management has always been willing to listen and the reason why I have not given up whenever things have gotten tough.  
The post acute care setting is not an easy one overall right now, but fortunately for me, the rewarding days have far outweighed the challenging days.  If someone wants to come to work to do a job, and not have any challenges along the way - this may not be the right place for you.  In this ever-changing healthcare environment, our roles have become more demanding over time, but GRS continues to be committed to providing value, and making a difference in patients everyday.  There are expectations on productivity, which are still less than the first job I took out of grad school (not GRS).  If you are looking for a position that allows you to critically think and make a difference everyday, consider GRS.  If you come up to hurdles, advocate for yourself, it makes a difference!  I do recommend identifying what you need to foster your own work-life balance because I have had to hold myself accountable to that, and learn how to say no if I am not capable of taking on more.  GRS is committed to supporting the growth of therapists through educations, mentoring, and clinical support with endless access to support if an individual is open to learning and embracing new ideas and evidenced based practice.  GRS fosters wonderful opportunities for leadership, but it does take hard work and dedication and no one should decide to go into a leadership role for the $$.  
There is always something new happening on the horizon to allow GRS to keep up with the needs of our older adults and be innovative. Seems straightforward, but people really do care about people and doing the right thing - I have always believed strongly that this was supported at each level of the company.  When a compliance concern has been brought forward, it is investigated quickly to determine resolution.  I believe that if someone is looking for a career that they are willing to put hard work into, this is a great company for you.

Top Job Titles	Average Salary
Physical therapist 4111 salaries reported	$51.94 per hour
Occupational therapist 3103 salaries reported	$48.86 per hour
Physical therapist assistant 3109 salaries reported	$35.32 per hour
Speech therapist 2396 salaries reported	$48.72 per hour
Certified occupational therapy assistant 1982 salaries reported	$34.94 per hour

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