I think it depends on the region you work for. I worked for Bayada Nurses for 6yrs and was sadly dissappointed. If it hadn't been for my client I would have left long ago. It wasn't uncommon for your replacement not to show up and you being left to work the next shift. It wasn't uncommon for them to have no replacements on Holidays and the last person signed up to work got stuck working till someone was found. Never once when a replacement wasn't found did a supervisor show up to relieve the nurse at the case. More than once a nurse would be stranded at a case for 24hrs. When I started working for Bayada as a LPN my starting wage was $18/hr....when I quit it was $18/hr.