I have been in long term care for 25 years and have found, in my way up the ladder that it can be a career you can love. I too started as an LPN, and, as hard as it may be, I do recommend that you start back to school as soon as possible. There are many wonderful facilities that are cutting edge in the types of patients you care for. I would strongly recommend a not for profit setting, as for profits do tend to be all about the dollars, rather than evidence based practice and elevation of competency. Good luck!