It’s in Idaho. It’s supposed to be a crisis model get them stable with medication, therapy, health issues,etc, then help teach them skills to transition back to the community. It was opened in the 1900s and it was a “school and hospital”. It was completely self-sufficient. It had several acres of land that the patients worked at and had a purpose. There were over 2000 men women children and even babies. Then the state closed most of it down and turned the land into gold courses and we still utilize 3 residents buildings. They changed the model in the early 2000s to what it is now. They closed down the pool ( of which the patients loved and utilized), and the building that has the basketball court and the other sensory rooms etc. I didn’t start until 2015 and there where a lot more patients in the 3 buildings. We had 1 RN manager, 2 day shift nurses, 1 swing shift nurse ( which was insane since it is the most “active” shift, I ran 3 buildings alone with about 40 patients with varying levels of functional DD), and 1 noc nurse all of us LPNS. It is a behavioral facility. Nursing is highly disrespected and we have a ton of non medical staff controlling what the nurses do or don’t do, as well as our MD. It’s a very long complicated issue. Which is off point. We have had some patients for years that we can’t seem to be able to get to the transition level and quite a few returns frequently after going out in the community, some within days, some within months. I just want to do what’s best for them and trying to find new ideas. Sorry it was a long response. I am very passionate about my job and my patients. They are amazing to get to know and I want them to be successful.