In the LTC facilities I've worked in I have witnessed terrible care and ethics. Yes, I discreetly have reported what I've found with evidence but nothing ever changed.
Just one example the other day working an agency shift....I open a chart with the pt's wife standing close to report how the vitals have been the last 5 days since admission. There was nothing charted for vitals since admission. The pt also went out for an appt with the wrong pts info packet. ***** This was not just one nurse but many nurses that just didn't seem to notice that they were not monitoring nor have the aides take routine vitals on a recent transplant pt.
I would not want to work as a new grad in a LTC. No resources, crappy house Dr's, shoddy orientation, lazy co-workers. I do love the residents and that is why I still pick up shifts, to keep my favs safe.