I have been working at the same large LTCF for about 15 months, so it has been a little over 1 year. I started in the LTC unit, and remained there until about a week ago.
I was involuntarily transferred to the rehab/long term acute unit very recently. Our long term acute care units have horrendous employee turnover rates because the work load is challenging. I would say that the entire long term acute care staff turns over every 2 to 3 months at my facility due to lack of orientation, excessive paperwork, and sorry nurse managers. In addition, the very sick residents are demanding and expect instant gratification, without any regard of the fact that you are caring for 14 other patients.
The family members also tend to be abusive and bothersome, because they expect instant gratification. They will curse, swear, threaten to sue, or hold you up for a very long time. Furthermore, the admission paperwork often takes up 2 to 3 hours of your time, so you will often fall behind in your other duties (med pass, treatments) to get the new patient properly admitted and assessed.
Here are the positive aspects of rehab/long term acute care. You will learn many skills. I give IV push, IV piggyback antibiotics, accomplish very complicated wound treatments, flush PICC lines, etc. Also, your shifts tend to pass by very quickly. Good luck!