I worked in different nursing homes and they are really not that different maybe some worst just because of nurse to patient ratio. I now work at a LTC , some floors have only one nurse for 40 residents for the 3-11 shifts and you are expected to do everything, treatment, meds, admission, answer to your CNA needs, you are everything. Your day may become even worst if you have residents or family members who are very demanding. The staffing situation is a real issue.