You're pretty close to western state hospital in Washington state. They're getting a lot of news media attention like this article: Insiders speak about 'toxic' environment at Western State | News, Weather, Sports, Breaking News | KOMO And this one: Western State hospital staff say they face retaliation | News, Weather, Sports, Breaking News | KOMO There are a whole host of concerns at western. A Google news search will show you patient abuse, rampant violence, and stagnant bureaucracy. The staff is overworked, largely because of recruiting problems. The negative attention in the news both draws attention to problems that need fixing and makes them harder to fix by constantly reminding employees and potential employees that it's a terrible place to work.