physical therapist assistant

physical therapist

speech language pathologist

certified occupational therapy assistant

occupational therapist

Reliant-Rehabilitation

Any Rehab professional considering employment with Reliant would strongly consider elsewhere. While they work in a challenging climate and cover large numbers of SNFs. We as a profession can do better for our SNF patients with more appropriate time for treatment AND better work expectations in these facilities for all employees.

PT here. Long story short, recently I took a 13 week contract with a large rehab company that primarily contracts SNFs across the country in 48 states may or may not start with an R (had a similar experience with my first contract with a SNF and different large rehab company, otherwise have taken contract with hospital OP/IP and local short term employment near my hometown all which have been great overall).


In general there expectations (aka red flags) are: >90% productivity standards, frequency of 5x/week for EVERY patient regardless of payer, and must attempt to utilize group for 20% of patients caseload. Being in this profession >3 years am aware that our therapy margins for profit are low but this is excessively high where I have seen other companies succeed with lower margins. The DORs in this company were great people trying to help patients and maintain productivity/management standards, but patient care suffered where group was over utilized from my experience and professional opinion.


My recent experience my contract that was 13 weeks became 3 weeks and one day. (In this case as a traveler I understand I am expensive to the company and expect termination notices if perm staff gets hired and higher workloads.) Following a little over one week I received two weeks notice because they found a permanent  PTA for hire. Just starting my contract and knowing that they need help elsewhere I offered to work at the neighboring facilities 3 of which were hiring full time PTs and was set to fill in at these aites in the next 2 weeks anyway. Here, I was told no, so I began to move on having to decide to try for PRN work while my fiance finishes her contract or relocate completely since this area did not have any contracta available in the future. This is all fine however, I am aware from the DORs I worked under that those other facilities struggle to stay afloat with pt caseload and management just ignored a ready, available, and licensed clinician that is financially justifiable if productivity is met. At this point I was moving on, just finishing the next two weeks. The new perm PTA was a new grad expecting to take on 12-16 patients per day across 2 facilities who quit after one day due to unknown reason. Here they rescinded the initial notice where I countered with a 30 day guarantee for the above reasons and after negotiations got 3 week notice plus $1 more per hour.  While I still debated on taking this, knowing that there were 12-16 patients in these facilities that may not be receiving rehab if I say no, I agreed to it. My recruiter was going to work up the contract to sign but needed a few hours since she was on the road, but in the meantime they got an application because my recruiter then notified me that they rescinded there new offer keeping the initial notice. Here I am in the final two days where they cut me down to 4 hours of patient care and told me not to come in the last day. For my case I am sure they will successfully get out of the guarantee for the week that was initially agreed upon and not allowing a great amount of time for their new hire to train in appropriately with a full caseload.


Sorry for the length but for anyone considering a job with a large rehab company that covers large numbers of SNFs consider this management behavior. We as a profession can do better for our SNF patients with more appropriate time for treatment AND better work expectations in these facilities for all employees.

There are so many things wrong with this company it's impossible to list them all so I'll focus on a few essentials.  The people running this company do not listen and have a culture of poor communications.  I'm a contractor and I had important questions about training, documentation and over-time so my company made phone calls and sent emails but the people at Reliant disregarded all but one.  When one did answer an email all she did was state that they don't provide over-time which did not answer the question.  They weren’t much better with answering the DOR's questions, in fact, the regional manager who was supposed to be supportive either ignored his questions or referred him to someone else who was un-knowledgeable.

Rehab Sync is the computer system Reliant uses and it was complicated as well as problematic.  It frequently mixed up patient information from different patients, placed wrong dates on evals and therapy notes and even lost evals that were just created and saved.  The wording was gobbledygook and we couldn't change it.  This company will be hit with denials from the bad evals just because of this system.  

There was zero training on the system.  A woman came to set up the computers days after we  started therapy at a new facility and she literally told us to “play with it” and “figure it out at home”.  A great deal of unproductive time was spent figuring it out by the whole rehab team.  We kept asking for training but never got it.  The regional manager said weeks later that there was a webinar we should have taken but he never told us about it.  Later, the DOR asked a woman over the phone how to do things on Rehab Sync and she could barely answer the questions.  When he told her the problems we were having she told him that he was doing things wrong, we were the problem and nothing was wrong with Rehab Sync.  As of this writing, the system has improved very little.

The regional manager at our facility came in once a week if that, and harped about the productivity.  Productivity was 85% then they changed it to 90%.  When the DOR or any therapist asked him important questions this guy would look at his shoes, talk about his FaceBook page, stare us down with awkward silence or tell us to ask some one else.  In reality, he couldn't answer our questions because he was an assistant.  Not to put down assistants, they are important, but he didn't do evals or discharges so he didn't know the answers.  Either he couldn't or didn't provide us with anyone who did know.  Is the whole company run by assistants who don't know the answers?

We were totally unsupported, we all felt like we were being set up to fail and we all had to work on our own time.  Reliant Rehab is so bad it's embarrassing.  Don't even take a 3 month contract with this company!

Reliant has been the worst company I have ever worked for. The pay is excellent, which is why I tolerated working with them. I feel that perhaps it is not the company themselves, but the buildings they are contracted into and whom they have sitting in the position of DOR is what is detrimental to this company’s approval ratings and employee retention. I was employed i over a period of almost three years. I watched many staff come and go, with all but one person resigning over issues with the DOR and how they were treated as an employee. Most of which were afraid to speak up, because even when things were reported to our regional managers it got swept under the rug. Mainly, because they wanted to keep their contract with our building and our DOR bent over backwards to make them happy even at the expense of losing employees. Assistants were expected to be 95% productive, and even had a rehab tech hired to transport patients, but she was too busy being delegated jobs by the DOR like running MDS reports and schedules to have an impact on productivity. Meanwhile, our DOR did NOT treat and was frequently found outside on hourly smoke breaks with case managers while therapists were trying to meet productivity standards and unethically high RUGs.  Having a manager not have time to treat, yet come sit in the treatment gym on her phone or computer watching staff working or coming in to reprimand staff in front of patient’s and other staff while holding her cigarette/lighter in hand. Having PTO denied, working full holiday days (with no holiday pay) while your DOR leaves to watch football, and having 8-9 hours of treatment time on your schedule with no regard to therapist’s personal schedule. Nothing is worse than having a patient for 72 minutes who is actively dying as being expected to get that time, or having a group code on a patient who is bed ridden and can’t leave the room, or treating Med As until they’ve reached their 100-day cap. Also, being asked to go on potentially unsafe home evals for both the patient and therapist, and putting therapists at potential risk. This company puts your moral and ethical standards into question every day, with increasing demands from management, all while being treated like just a number. With better management in place, this company could have been tolerable to work for.

What is the best part of working at the company?
My coworkers and my patients, also my flexible schedule

What is the most stressful part about working at the company?
Sometimes getting overscheduled because patients get minutes based on insurance instead of what is appropriate due to medical needs so often I will go over and end up with an exhaustingly long day. My Cota colleagues have to see 17 patients in a day sometimes. The only way she gets through the day is grouping. She is amazing but she shouldn't be put in this situation.  However this is not sustainable and she is exhausted. As her OTR it makes me frustrated. These short treatments are ridiculous. She also has to be over 95% productive and still do treatment notes, progress notes etc. I have to be between 86-88% productive which is not realistic when you account for chart reviews, documenting evaluations, I do as much point of service documentation as I can but it's not realistic. I get so distracted sometimes. Also we never get raises not even for cost of living. During Covid we got paycuts while the nurses were getting bonuses. No raise of any kind since then. I've been in this building for13 years and 3 companies and only 1 raise

What is the work environment and culture like at the company?
Watch your back. I've had managers talk to the regional about my needs instead of talking to me. I won't trust my managers but my Cotas a trust completely. 

What is a typical day like for you at the company?
I get in later and stay later. I'm allowed to do that which is nice. I see 8 to 13 patients depending on evals. If we are slow I'm given the choice to travel or use PTO. I often choose to travel sometimes up to 3x week. I like traveling between buildings because less burn out, less drama, more variety. However the rate of travel is low for an evaluating therapist $10 under my hourly rate so I lose money every time I travel with is unacceptable. I've tried to address this but they won't budge on it.

zero out of 5 star rating.! I initially started with the company December 2017 with the opportunity to return to a facility where I started my career as a COTA in 1997. Pay was average and benefits offered seemed compatible to the other rehab companies. They lied about holiday pay, the use of PTO and productivity. As a team the productivity expectation is 93%, however that includes the zero to 10% of your DOR and zero for a rehab tech.  They put out a monthly productivity list so you and your coworkers can see and compare who is productive and who is required to meet with the bosses to discuss your productivity. There are no holidays according to the company, yet their corporate office is closed on thanksgiving, Christmas and New Year’s Day! Vacation days are denied and they black out the week of thanksgiving and last 2 weeks in December and 1st week in January. You can however get vacation during those weeks if your one of the favorites of your DOR and regional director. You are expected to run 1-2 groups of med B patients per week to increase your productivity, and forget about ever discharging a patient, that only happens when money runs out! If you don’t get your unrealistic minutes with your patients, then you can expect to have to beg for your hours In December 2018 instead of giving us all a raise we were told to call in for a group conference call of which we were told as of January 1st of this year we were getting a 4% pay cut! They were nice enough to allow all employees to be paid for the 30 minute phone call!!

I love my coworkers, yet it is impossible to make a living working for this company. The regional director of operations has compared providing therapy services and productivity standards to being a factory working and picking orders for shipping! 

If you happen to be a newly graduated therapist please stay further away as you won’t get any mentor ship.

I have worked with several companies and Reliant is the worst employer to work with. The staff have received three pay cuts for a period of two years. That is on top of no pay raise or annual appraisal. Turn-over of staff is very high from corporate positions to a regular staff due to poor management and stress working with the company. They offer PTO but that depends on their approval. The current regional director is unprofessional, unqualified and has poor leadership skills. Not all but a lot of the directors of rehab are the same way. If you are concerned with your license, DO NOT WORK WITH THIS COMPANY! Your license will be in jeopardy because the company does not care for the patients, and care only with the numbers (revenue and productivity). Productivity requirement is too high that the staff is working off the clock. They brush off any complaints of billing fraud. Staff is not being oriented or trained upon hire before you start working on the floor. They do not guarantee full time hours even if you are a full-time employee. You will be sent home early at their discretion. It does not matter if you have two or three hours only for the day. If you are working in one location you like, you can be transferred in a different location if they want to. Reliant is only contracted to manage the rehab department of a healthcare facility, therefore if a staff from that facility does not like to work with you, Reliant will fire you just to please the facility they have a contract with. Name all the cons for Reliant and several pages won't be enough. I hope this serve as a warning to my co-therapist who is looking for a job. Please do not put your license in jeopardy and do not work for this company if you love your profession.

Reliant challenges the morals of their employees with unrealistic productivity standards. The higher-ups (regional directors) have no idea what we do on a daily basis, but they don't hesitate to lay the pressure by demanding reasons why our productivity is less than 90%. They push higher RUGs for patients, and it's often inappropriate. They are ruthless, and I truly believe they look at patients as how they can milk them for the most money, rather than provide best patient care. 
When it comes to treating employees fairly, forget it. We don't have holiday pay, and are expected to work. And when we want to take a holiday off, they give us a hard time, and don't let us use our PTO but rather we have to flex/work over 8-hour shifts to make up for it. Last month, they sprung it on us that we couldn't roll over all of our PTO time, but wouldn't approve PTO requests at the end of the year... so they offered us a buyback, at 75%. Even more upsetting, we just found out before the holidays that employees in our region are getting a 4% pay-cut. Their business model is clearly a failed system. They were willing to pay huge bonuses in the beginning of the year to encourage people to work for them, or travel to different buildings, and now they are struggling because of it. 
While the pay-cut is harsh, I think that the worst part of this whole situation is how they treat us. They take advantage of us, putting in the hard work, and then cutting our pay by a significant margin. We are just a number. The sad part is, that when we leave, they will find new employees to work at a 4% lower rate and they will have no idea what's coming. Probably a 4% pay-cut a year from now. I could go on but I won't. Just consider yourself warned.

First time in my career I have been ashamed to work for a company.   Multiple issues even with recruiting and some information being false.  When upper management enters the building, they do not speak to therapists - this is not only where I worked, but in many states.  The most unethical productivity standards in the industry - almost forces therapist to tweak their time to make their numbers look high.  Even in a difficulty building where it was more convienient to take the stairs - evaluating therapist were suppose to perform at 90% and asssitstants at 95%.  It would take 15 min to get a patient from the room to the gym (don’t even tell me about using that time as billable-yes some of it was for getting the patient ready).  If you do not understand productivity well - @ 90%, this means you have 6 min per hour and 95% is only 3 min per hour to be unproductive.  Don’t attempt to go to the bathroom!  Amount of equipment was embarrassing as well.  NOTHING to work with.  Bad culture, bad management, bad company.  The poor managers were miserable.   Even submitting PTO - have to submit 30 days in advance.  Then it is still reviewed.  Even the DOR attempted to take a day off a little last minute to surprise their spouse - (we had several experienced therapist that could run the department while they were out) only later to find Reliant denied their time off.  TO BE WITH THEIR SPOUSE ON THEIR ANNIVERSARY !!!  The company does not have a heart.  Really feels as if the entire company is being operated by a computer that only spits out numbers.

Reliant Rehab does not care about their employees. Their priority is the bottom line. You’ll never get a raise if you’re an assistant, and we endured rounds of pay cuts along with demands for increased billing through group and concurrent treatments. If you’re fortunate enough to have a good DOR and great colleagues, you’ll all get to suffer together, and that helps a little. The ridiculous productivity requirement (95% in an 8 hour day is 24 “flex” minutes) means you better not stop to talk to a nurse or chat with a resident that’s not on your schedule. If you’ve ever worked in a SNF, you’ll know that the mental, physical, and emotional demands of the environment are already taxing, and now you can look forward to trying to coordinate and treat multiple patients at a time without sacrificing your soul to the dark lord, compromising your ethics, or ticking off the CNAs. The company is so scroogey, they don’t provide anything for creative group sessions but expect you not to bore your patients to death with the same activities over and over. They push minimal treatment times for skilled patients who are going home and excruciatingly long sessions for bedridden, non-functional patients because Part Bs are the cash cows. You’ll probably develop high blood pressure, carpal tunnel, and be chronically dehydrated, but maybe they’ll send some gross little brownies at Christmas. If you have other options, I would definitely consider those first. 

Applicants Beware, You do not want to work here. Rehab Director is horrible and makes the place feel like a hostile work environment. Productivity guidelines are unrealistic. There is currently an enormous outbreak of COVID 19 and numerous deaths some of which are probably not even being reported. They would not even allow workers to wear face masks and removed all hand sanitizer from machines until state went in to do inspection. Director of Nursing and her staff harass and intimidate workers who question the reasoning behind incompetent decisions made by management. Overall, the company does not care about the residents in the building or its workers, It only cares about profits and billing. Horrible turnover rate, People who do join the therapy staff, leave when they experience the unprofessional work environment in which I am describing, Do yourself a favor and do not apply for this one. There are much better places to work and therapy jobs out there! This place was an amazing place to work back in 2016 when I originally started, but due to Management changes and a new Rehab Director, this place went from being great to a horrible work environment really quickly. Thank you for taking the time to read this, I just wanted you all to know how it really is there.

Top Job Titles	Average Salary
Physical therapist assistant 2278 salaries reported	$36.15 per hour
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Speech language pathologist 2000 salaries reported	$52.90 per hour
Certified occupational therapy assistant 1825 salaries reported	$36.23 per hour
Occupational therapist 1883 salaries reported	$52.66 per hour

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