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Any organized, decent, LTC facilities??

Hello Everyone,

I was wondering if there are any organized, decent LTC facilities out there to work for? I have been working for a LTC facility for a while now. The facility is disorganized, the acuity continues to increase, as a result the work load continues to increase without additional nursing staff to offset. Some of the nursing staff seem as unbalanced as the place, not doing there job, doing there job but not doing it correctly, passing on stuff they could complete to the next shift etc. I am decreasing my hours to search elsewhere. Fellow nurses at my facility say all LTC are pretty much the same. Are there any decent LTC facilities in MA or should I search in another nursing discipline? Unfortunately I am limited in my options since I hold an LPN. I will eventually continue with school down the road toward my RN but have to search where my license will take me.

I'm also an LPN in a LTC facility and I have the same complaints that you mentioned. Without sounding too pessimistic, it seems to be the norm. Other LPN's that I know of who work in similar settings also feel that kind of discontentment. But the grass is always greener on the other side, and its difficult to find a job--even in a nursing home--within the Boston area and the sorrounding areas. My facility just laid off several nurses aides, and they only hired me to work per diem because they don't have any FT positions open. Hang in there!

CapeCodMermaid, RN

Specializes in Gerontology, Med surg, Home Health.

I work in Massachusetts and there are plenty of good SNFs. I guess it depends on what part of the state you live in...here on Cape there are at least 15 facilities and most of them are quite good. Maybe it's the competition that keeps us all on our toes and trying to do our best.

Thanks for the reply. Your lucky you live on the cape, the cape has always been different than the rest of MA people and attitude wise. It is almost like a different state. Unfortunately the cape is too far for me, I live near Boston.

VivaLasViejas, ASN, RN

Specializes in LTC, assisted living, med-surg, psych.

I'm lucky enough to work in a decent SNF/ICF. It's far from perfect, but it's one of the two best in this area, and I feel I can give good care most of the time.

TheCommuter, BSN, RN

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

I've worked at several LTC facilities. Although they all are plagued with the same problems (understaffed, employee turnover, etc.), I've found some places to be more organized than others. In addition, I've found that some LTC facilities in my area have strict managers that will punish nurses who continually "pass the buck" onto the next shift.


Specializes in LTC, ER, ICU, Psych, Med-surg...etc....

There are many wonderful facilities in VA.

lovingtheunloved, ASN, RN

Specializes in LTC, home health, critical care.

Sheesh. The facility I work for isn't perfect, but it's an awesome place to work with awesome administration. The grass is greener over here. I'm well into year number 6 and don't plan on going anywhere for a LOOOONNNGGG time.

Cape Cod.

Do you need any day shift Baylors over your way???


My facility is owned by a large corporation that owns a ton of facilities.

Our facility is clean, organized and very decent. Never are we understaffed for nurses (more times than not we have a "extra" LPN on the floor who will do those so needed but time consuming treatments etc). Our CNA's will run short every once in a while but they pull together and they do what needs to be done.

Our wages are also a bit better than the other LTC facilities around here and we have had glowing surveys when the State comes a callin.

Whats odd is, I did clinicals at some of the other facilities that this same corporation owns, and ewwwwww! Never would i work there, in any capasity.

I have to admit, I am quite happy with my place. Of course I have my rants and raves but you do in any job, there are far more +'s than -'s working for my facility. :)

CT Pixie,

Do you mind if I pm you? I'd like to know what facility you work for. I also work for a huge corporation with many facilities in MA and national, we could work for the same Corp. I'm looking to start per diem somewhere.

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