I had a very similar experience when I did PRN at two different LTC/SNF facilities. I really thought the problems at the first could not possibly exist at the second, I was wrong. Dead Wrong! Everything you have described sums up my entire experience in these facilities. Like you I became attached to my patients and that is why I stayed as long as I did. I tried to fight the system to improve it. I tried to implement new policies, root cause analysis, and attendance policy implementation. But no matter how hard I tried, nothing ever changed. I left before a really horrible sentinel event occurred on a floor I could likely have been working. Even as someone looking to get out of nursing, I still don't want to jeopardize the license I worked hard to get. And I definitely don't want to be part of a system that harms a fragile population. I will never go back to that setting, never ever!