I think it depends on what state you live in on what you can do with an LPN licensure. I have been a LPN for 20 yrs and live/work in Indiana. I currently (for the last 6 years) been a nurse in a specialty office (surgeons) and prior to that worked in a heart hospital as a staff nurse. So, there are other options than working in a nursing home. I have enjoyed being an LPN and have made a good living as one. However, I am finally going back to get my RN. Hope this helps!! Amber