I worked in one as bad in many ways. "Nurses" who, despite a nursing shortage, would not find other work. Admin who cared about the money, and had posh offices, with bare bones patient rooms. I was fired when I got into nursing school, I think because they thought I would report them. For gross violations of various health codes. ( I certainly would have.) I worked as an RN in a skilled facility, and although much, much better, it was still largely dependent on the aides. The good ones, usually putting themselves through college, didn't need much supervision. The bad ones, often older and unskilled and bitter- were un-supervise-able, wouldn't follow any kind of direction honestly. I personally wish we were as humane with our ill and elderly as with our animals. If I no longer have a joy in life, give me a nice overdose of anesthetic. I understand that it's not that simple, but I would want it for myself.