Gentiva - page 2

Does anyone know aboug Gentiva? They are supposedly the largest HHC agency in the States. How is it working for them? I got an offer.... Read More

  1. by   alintanurse
    Quote from Cmyst
    Trying to be objective, but also going into the meeting with the cautions given here clearly in mind:
    The office environment was quiet, calm, yet seemed supportive. Very professional. The area for field staff to document, etc. was satisfactory, but did not have any individual desks or booths. Since I like to do paperwork in the OFFICE as opposed to my home, that was a negative.
    The expectation was 6 visits per day for full-time. They pay an hourly salary, and they break down opens, recerts and driving time into various percentages of 6 visits per day. (This seems reasonable, but is influenced by ...)
    All staff begins the day at 8am in the office, where they review their assignments for the day with the Clinical Sup. (negative)
    The reimbursement rate is $0.30 per mile. (negative)
    The coverage area for the agency extends beyond Sacramento by about 20 or 30 miles, and Sacramento itself is quite a large area to cover. (negative)
    While there is an agreement as to what zip code areas one will cover, there is the expectation that if someone calls in sick, others WILL cover their areas. (negative)
    Their benefits include health coverage that will end up costing me about $200 per month as my share, and since I presently pay for my own coverage at $320 per month, that is really not much incentive.
    Their PTO plan averages "about 10 hours per month" of time off. That includes sick time and vacation time, and it is not very competitive in my estimation. Full time hospital positions in this area offer about twice that in PTO, and my first HHC job in Sacramento back in 1993, I earned 6 weeks of PTO per year.
    Hourly rate for my 7 years of HHC experience is $36, which is about $3 less than what I earned at a full-time staff position in the hospital. It seems about right, maybe even a little higher than what I could make on a per visit pay scale.
    Here's my take on it, though. One of the things I value about HHC is the autonomy. I am really concerned about placing the ability to control my own daily workload and schedule into the hands of a supervisor. Especially when I'm the one who will be managing the case in every other way. I foresee that "emergencies" dictating that I drive out into the boonies, or do mostly opens and management while an LVN does revisits, will be more likely.
    This is a real subjective point, as in reality any agency can/will ask you to do inconvenient things, and of course you will negotiate and end up doing some of them. But there's a big difference between being asked, and being mandated. And it's hard to define, and nothing that anyone said outright, but I got the feeling that their concern is that their staff be working up to their expectations -- and not that they will be able to meet the expectations of their staff.
    There's just a big difference in taking on that extra open, or visit, and knowing you'll get paid the per visit rate.
    So, at present, I am leaning towards Interim.
    I work in northern cal. also and I will tell by experience that 5-6 snv's a day is all you will be able to manage. The paperwork has increased tremendously
    since the early nineties. Plus the acuity is so much higher now . It's difficult getting to your next visit due to increased traffic. Consider everything before making a committment.
  2. by   DDRN4me
    I`have worked for Gentiva since it was Olsten in the 1980s. i have done both pedi private duty and visits, adult visits, and was a manager.

    while i enjoy home health , and still work for the office, i would never work for another for -profit agency again. why?? its all about making $$ for the company.

    i say this not to discourage anyone from working there, but i also think Interim would be the same.

    the only reason i still work for them is that i have had and known the same patients for years.

    Pay rates are a little less than the non profit agency in our area. ($35 /visit. $45 or $50 for open and recert.
    hope this helps a little. Mary
  3. by   Cmyst
    Quote from alintanurse
    I work in northern cal. also and I will tell by experience that 5-6 snv's a day is all you will be able to manage. The paperwork has increased tremendously
    since the early nineties. Plus the acuity is so much higher now . It's difficult getting to your next visit due to increased traffic. Consider everything before making a committment.
    The traffic does concern me. Since Interim was very clear that they didn't accept referrals outside of metropolitan Sacramento and that they did not want to send nurses outside their preferred area of Sacramento, I am hoping that I can keep busy enough while staying in a manageable radius of my home. They only require a monthly staff meeting and that opens be turned in within 48 hours, but even if I go to the office every day it is about five minutes driving time from my condo.
    The acuity of hospital patients on the general Med/Surg floors has increased, too.
    I guess I'm just going to have to jump in and see how it works out this time around. As my daughter said, "Better to beat up your car than beat up your body", and my knees/back/feet just are really protesting the stress of 12 hour hospital shifts. I don't think I'll be going with Gentiva, though. I think it's going to be per diem for Interim. If worse comes to worst, Interim would probably also be able to hook me up with a couple hospital shifts.

    Again, thanks for the input everyone. It's pretty groovy that if a company screws over nurses in one part of the country, a nurse in another area entirely is influenced by their treatment of those nurses and decides they aren't worth the gamble.
  4. by   alintanurse
    My point about pt. acuity is that the visits take much longer than they did in the past,along with the followup afterwards (calling MD,supp orders ,ordering supplies etc.) You really can't see 8-9 pts. a day anymore.
  5. by   renerian
    I am coming over to your side of the fence and the for profit company.

    renerian
  6. by   NRSKarenRN
    Quote from mgallant
    $35 /visit. $45 or $50 for open and recert.
    Similiar Pay for Philly area. Admit is ~$5 more than RV rate $35.00/hr; $5.00 more per hour on WE.

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