Oh, I feel for you.........I did that job for only a year-and-a-half, and it just about drove me over the edge! Sixty-hour weeks were the norm, I was always taking work home, plus I was on-call 24/7, and did we EVER do paperwork on the computer so it would go faster and easier?? Hell, no! :angryfire I almost had a nervous breakdown........I had as many as 15 skilled Medicare residents at a time, plus the "young adult" unit which housed 20 extremely troubled residents from 18 to 50 (they had drug/ETOH issues, spinal cord injuries, various personality disorders, sexual perversion and other mental illnesses), PLUS a small ICF wing of 12 residents. The work load was absolutely overwhelming.........no normal human could have accomplished everything this facility expected unless they literally LIVED there and didn't eat, sleep, or go to the bathroom.
That's why I'm deliriously happy being a "peon" on a med/surg floor again.......no more living, eating, or breathing the job, no more middle-of-the-night phone calls, no more taking work home, no working for free (I was salaried)........I come in, work my assigned shift, and go home. I'm responsible only for my own practice. I get paid for every single minute I'm on that floor, and it's time-and-a-half for anything over my 8-hour shift. And I don't have the state in my face over an 'i' that didn't get dotted or a 't' that didn't get crossed.
The funny thing is, I still keep getting recruiting letters from various LTC facilities throughout the state, wanting me to come manage their SNF or special-care units. Never again........I'm happy where I am.