I totally agree! I have 19 residents. 5 bariatric, 8 that cannot feed themselves, 2 that are highly combative, 6 high-maintenance ringers, and only 1 that is self care. Most of the time I ony have 1 cna per shift for the whole floor. It's way too much for 1 cna and 1 nurse. None of the residents get "top if the line" care. We do the best we can, and mgmt comes to us and complains that our medcart is turned the wrong way! It's crazy, mgmt needs to get their priorities in line.