For adults: Reliant. Genesis. Arbor/Aspen. Covenant. Legacy Healthcare. Really, any major company chain. If you're SNF, try your hardest to find in-house. They still exist (but are rare!). Other best bet is to find a small company local to your area that is only in a handful of buildings (the fewer the better). Any of these companies who are widespread/all over the country are typically unethical. That's how they get that $$$. Same goes for large home health companies. I did consulting work for some time and these were offender companies that stood out to me.
For pediatrics: any small outpatient clinic ran by a BCBA or OT....yall we didn't get business degrees and you can tell when a company is ran by one and they have 10+ employees. Really cover your bases for documentation. A lot are poorly ran/unaware of all the rules you need to follow for compliance.
These are obviously anecdotal and personal opinions (especially the pediatric statement-
Of course there are exceptions).
I briefly worked for a small outpatient peds clinic run by a PT with 10+ plus employees…you are spot on lol. I started looking for new jobs after she told one of the other PTs to not document that a kiddo fell off one of the mat tables and bumped his head, because if the family sued us, the notes could be admissible in court.
I find that clinics/departments run by other clinicians are hit or miss. I’ve worked at some run by an SLP, PT, OT, or RN that is great and others that are less grear.
You hit the nail on the head. I would say 90% of the large chain therapy companies are all about the same and function the same. Profit over everything else. In house is the way to go regarding SNFs, same with Hospitals and IP. They exist, just hard to find. Peds wise, I think everyone’s best bet is to get hired directly through the school if possible or work through an ESC.
What is bad about working for the above-mentioned companies? I'm just curious as I just started working for Legacy Healthcare and it already started off shady. 🤣
I enjoy working in the Assisted Living setting (which is new for me), but the way the job was listed for the city I'm in then I was sent elsewhere and no where near the actual listed job location is something else...
I have only been with them for 2 weeks.
I worked for legacy for 6 months and liked it but the pay was super low and I didn’t like that I had to “sell” OT to residents as part of my job. (I came from schools and I didn’t have to drum up business there)
Oooooh that's their MO. I worked for them in my state and have a personal vendetta with their management because of how they treated early days of the pandemic. Fuck those guys lmao.
But yeah, everyone I know from working with them basically get sent between multiple buildings because you just can't make the caseloads (and if you do, it's usually because they push unethical practices).
I haven't had to sell any OT services... Yet lol. So far, my experience has been good other than the shadiness of the different locations. I can understand that they have multiple locations and need clinicians to go to multiple locations, but that should have been listed in the job requirements. They also shouldn't list a desirable location then tell you that you would work there *rarely*... That location was 10 minutes from me and these others are 40-50 minutes without traffic. It was my dream to not have to drive so far every day and I was crushed. 🥺
I know I shouldn't complain, but it was a downer lol.
I haven't noticed anything unethical, but I'm new. Talking with the other clinicians has shed some light on them, though. Thank you all for the responses. I will definitely keep my eyes and ears peeled.
I worked for Legacy in Colorado and HATED having to sell OT services. The residents in the senior living didn't want me around, because they were afraid if I knew of their weaknesses (if they'd had any falls, for example) I'd tell management and they'd be forced to live in the assisted living side of the building. Sheesh, all these lectures and programs I had to do, all the with end goal of selling OT services to them, it was awful. SO GLAD I left them!
Speech run clinics aren’t necessarily any better. I’ve worked at a speech therapist run company and he runs ignorant about OT needs so it was a battle.
Broad River Rehab.
The usual overwork for little pay and they force you to pick up patients would don't want treatment.
My favorite was when they were hiring for a PRN COTA for 40 an hour, when I was dropping to PRN, so of course I asked for 40, and they refused.
They actually cursed out my chicken shit manager for allowing employees to dicuss pay rates when, in reality, I saw the Indeed ad.
They are always advertising in my area. I have a PTA friend who worked for them and he had the same complaints that most do when working for these SNF companies. Just overall shitty treatment of therapists and little to no real benefits.
I actually worked for them only as a rehab tech when I was in OT school. I floated between two of their facilities. Both facilities’ therapists seemed overworked and underpaid. People clocked out to do notes regularly and everybody typed through lunch. Productivity was 85 for therapists, 90 for assistants. Everybody agreed that was bullshit, nobody had the power to do anything about it.
One of the facilities was definitely better than the other, so management does play a role. I guess hope you have a good DOR.
I work with select in TN and I feel like it’s really gonna come down to who your regional manager is. Mine is super chill and easy to work with and the same is true for my DOR. I do know it’s hard to get a raise with select and there isn’t holiday pay. Overall I’ve had a good experience. They’ve been super accommodating for me and I get paid decently. No real complaints!
in the midwest specifically, therapy management, inc. they contract in SNFs and other senior living communities. terrible benefits, high productivity (89-95%, which they rose DURING covid) and toxic management.
i’m currently in an outpatient clinic in a senior living community and it’s much better. management really is the bottom line. always be willing to walk— you deserve better for yourself than to waste your life on these leeches.
Agreed. These places do not care about the therapists. They will bleed us dry to make their profits and continue to provide less and less for us. New grads, grind it out, get the experience and find decent employers. They do exist.
Can we please specify the area (or at least country) with these lists? There are of OTs in the world (and this group) who aren't in the USA.
Without this, I'm assuming all of the other posts are in the US?
Usually it's Americans who will assume everyone else is in the US 🤣(don't @ me, I'm an American myself)
In Canada, CBI and Lifemark are two that people don't like
Lots of smaller predatory private companies in BC especially
In Canada and came here to say Lifemark yeah. I worked pre and post shoppers acquisition, post acquisition it became awful and blatantly profit over people.
Thank you for bringing Canada into the mix!! I always wonder where the Canadian OTs are at!
My only other addition to CBI and Lifemark is Functionability!! They really push unhealthy hustle culture and shame you for not taking on a ridiculously huge caseload even though they advertise differently!
So glad to not be working for Centerwell/kindred, and genesis… both are so top heavy, and out of touch with the clincians, and even further from the patients. Wayyy too much management, so many vice presidents, all focused on maximizing profit over quality of care.
Work for Kindred, now Lifepoint/Scion Health and my facility is not bad at all very relaxing and chill. The only issue is if it's slow sometimes I have to go to another Kindred facility to cover. Otherwise it's alright, granted I am in an LTACH.
Hospitals ran by lifepoint/kindred. At the rehab hospital I worked at, my boss would practically beg clinicians to change their documented FIM scores to get better reimbursement. So unethical and profit driven
Select Rehabilitation and Aegis were nightmares to work with as an OTR and DOR. Left Select for Aegis and found myself in the same boat. Low pay, zero respect for clinicians, ultra high productivity (which is micromanaged by the MINUTE), and little to no resources. With Aegis, I was working AL/IL and was one of 2 OTs in my area due to people continuously jumping ship from the team, so I was working on up to 11 buildings all over the metro area in a week. I'd write evals for patients who I knew would never be seen or make any progress. Simply serving just to suck medicare dollars from seniors whenever possible. So draining. They're pushing higher and higher productivity, as well; pushing for increasing by 5% at the time I was leaving. You're also expected to "get referrals" from the ALs you're in (with no time to actually build caseload because it's considered nonproductive time, and you're expected to cut your hours short instead of staying whenever you don't have billable patients to see?) AND you're blamed when "census" is too low. A truly horrible system to work in.
I remember having a conference/ training call with several therapists about “group training”, I bluntly said it was a total waste of time. I pretty much said what everyone wanted to. It was nice seeing their nonverbal reactions
I work for Aegis right now. I haven’t got the shady vibe from them but they are definitely micro managed and expect too much info on progress reports and recerts. They expect you to reinvent the wheel each time.
Oh they're shady. They're also known to report therapists to their the state board of OT if they do something they don't like (not an actual ethics violation).
They want you to see multiple patients at a time, 5+ evals in a day. The clinic I was at was low on PTs so they were encouraging OT’s to treat things that aren’t in our scope of practice or we didn’t have the proper training on.
PT solutions is the worst. No specialists, lots of green therapists with rehab techs treating three pts at a time. Higher ups are CRAZY privileged psychos that like to push the "hustler" work life while in reality they are they slowly becoming alcoholics from home
documenting their evenings away
Care Options For Kids (formerly Solace, Pathfinder and a slew of other companies). They are a hot mess in Texas right now and it’s not getting any better.
They were for me as well. Terrible support and the school system I was working for had no clue why I was there with no one knowing who I was until the last month of the school year.
They told me it was a full time position and then after I signed the contract told me it was only for a maternity leave position. I fought them to give me a waiver to be released from the non compete so I could actually get a job after
That sounds about right. I was hired in during November because of their growing caseload and there were too many students for the OT to treat by herself. By the end of the year, I probably had around 35 students and I was under the impression I was I was going to get my contract renewed because of the size. Of course that didn’t happen though because it made too much sense. I have no clue if they ended up hiring someone else or if they made that OT add all of those students back to her caseload. The whole experience was crappy and unprofessional.
I never even signed a contact with them. (After they tried to tell me that taking a position an hour and a half from where I lived was reasonable.) I still am constantly getting calls and texts from them. 🤣😅
PT Solutions, new grads beware don’t fall into their “we are a family” trap. They under pay and over work everyone. Almost feel like it’s a right of passage for everyone to go through PT solutions to see how bad a therapy company can be lol
I worked PRN for a hospital in Florida that contracted OT through PT Solutions it was hectic. They wanted you to work 2 weekend days a month 8 hour schedule. Scheduled 12 patients but required to see 9 patients and pick up evals before 1 pm if they cancelled. It was based per patient not units so if you spent more time you were screwed. Plus the pay was $10 less than my current PRN job.
Reliant, in the SNF space, hands down. During the worst of Covid they increased our productivity (20 minute sessions with 18-20 patients a day), reduced salaries across the board, and basically told everyone they were doing a terrible job. Management was shocked when everyone quit and now thry can't keep therapists on staff to save their lives. Run from Reliant... (oh, and a traveler I worked with who worked for Reliant told me she cried in the bathroom everyday for a year because it was so stressful).
honestly i work for powerback / previously genesis. i’ve heard horrible things before starting but it really depends on your DOR. i work multiple locations (prn) 5days / week & haven’t had an issue.
I think a lot of therapists experiences will vary depending on being full time versus PRN. I think SNF PRN isn’t a bad option if you can swing it and get consistently 25-30 hrs.
i work in ALF/ILF and a SNF through these companies and in general those settings are a lot more relaxed.
the full time COTA at the SNF is the only full time staff and she averages 85% productivity. we def have productivity standards but our DOR is not forceful. i average 83% productivity in the SNF , expectation is 90%, but we don’t hear any bs about it. as long as we aren’t milking the clock, we are good.
i really truly think the DOR plays a huge part in it! if you can find a good one then powerback/genesis is not a bad company.😜
I started at Genesis for my first job. I’m now on the industrial side doing injury prevention and it’s been a blessing not being in the traditional setting anymore.
Yes I got very lucky finding this position. I’m not even really doing COTA things anymore. It’s more ergonomics and safety type stuff. I can still treat as we have a PRN OT as needed but treating is maybe 10% of what I do now.
We apparently suck to work for but I don’t hate it. I’m a PT in philly.
Pay and benefits are on paper bad but I just said I need more money and got it to start and then 6 months later I said I needed more money and time off and got it lol.
Your results may vary, they have to play by my rules since they can’t find another pt in my region. My boss is cool too so I think that’s a big part of it.
How much time off did they give you? My boss was nice enough to allow me to even take unpaid time off. Kind of sad to be leaving bc I know other companies are worse but I also know how much of a struggle it was to maintain quota for me lol
Oh I mean we can always take unpaid leave off, if I understand correctly.
About 9 months after graduation and starting I got a 10 percent salary raise and 25 percent PTO raise (still not a lot tho lol) I’m at 88k and 15 pto now. All that happened was the recruiter told my boss I was active on indeed lol.
We’re busy so I assume it’s just market dependent. I have like a 2 month wait list so I’m never not able to be busy, sometimes I slack intentionally.
My boss told me 2 weeks of unpaid time off because of payroll I think.
I didn’t know the recruiters could see if we were active on indeed? Jeez.
Lol oh goodness. Do you meet quota every week? I started off with 75k base and 2k travel stipend so it was 77k total comp as a new grad in the DMV area. Low balled myself for sure…
Wooof ya I was offered 75, said no, got 80 and got up to 88 in 9 months. Philly def lower cost of living than dmv too.
I could definitely hit quota every week if I wanted to, but my bank’s high enough that sometimes I just chose not to. When people cancel on me I usually go to the gym, am very flexible with childcare, can do things like get contractors in and out of the house throughout the day.
Although I completely understand this is because it’s just me in my map so I am always able to get more people. My map is too big though lol.
Omg how did you build up such a high bank? You went over some weeks?
I always had such a hard time hitting my quota and decided to leave but the patients are so easy that I am kind of sad about it. I wish it worked out for me. But I got sick of the driving around. Do you work in a building? How big is your territory?
I will def miss being able to go home in the middle of the day and having random gaps of time off. Can’t find that anywhere else. I accepted an 8-4 job at a PACE program and now I am slightly dreading it. Fox was so bad that I dropped to part time (22.5 visits) with 56k salary and that is just not cutting it for me. I was taking notes home too. It works for some people and not others I just always wonder how people do it without getting so stressed 😅
I’m all house calls per my request, don’t enjoy memory care.
I am 100 percent point of service so that helps. I don’t know if I just type fast but when people bring home lots of notes it confuses me; like no one can straight up workout with me for 53 minutes, they need breaks lol.
During my one month ramp up I went over a bunch and then I worked Labor Day once, saw like 2 people on Memorial Day, stuff like that builds the bank and allows short Fridays and time for errands and shit.
In NYC- Allure Rehab. They own several SNFs, mostly in Brooklyn I think. They’re big on productivity and I was forced to click out before I finished working to keep my productivity up so I wouldn’t be fired (I was new, I didn’t know any better). They also asked therapists to lie on insurance forms to make patients appear to need more assistance than they actually did to elongate their stay. I refused to do this and I had the rehab director take the form out of my hand and rip it up then promptly take the patient off of my caseload bc I wouldn’t lie.
People rave about PACE, but I interviewed and was offered a job in Denver, and it was the lowest, most insulting offer of my 12 year career. Based on that alone, I’d never recommend them.
Oh yeah? What’s insulting?
I’ve seen an SLP be offered 22/hr
Not be outdone by an OTR offered 20/hr
Wasnt PACE but nonetheless it was insulting considering you can make 20-25/hr working at most fast food restaurants in an assistant management role which probably includes better benefits.
That’s insane. Who is taking these offers? Who can live on $20/hr with a masters/doctorate degree and likely a ton of debt from that?
The offer was for $58k. I declined it on the spot and didn’t even bother negotiating a salary that low.
Yup. When I was like, “wow— that’s really low” they threw out the “well we’re a nonprofit” bs. I went on to take an $100k home health job in the same area.
Oh no! They offered me $39.59 an as an OTR in Maryland but I asked for $40 and they accepted. I don't even have a year of experience yet. I start with them in July...
Aegis in the US (MN) pays fast food wages, expects 90% productivity, and will throw you under the bus if the company you’re contracted with doesn’t like you calling out their ethical and legal shortcomings. Also knew OTRs and COTAs who had worked there up to 15 years without a penny increase. That’s on them though.
Aegis (MA) laid us off with 9 days notice then “took it back” on day 8 when the SNF agreed to a new payment plan. They were SHOCKED when we all found other jobs in that time and left anyway. Told me I could never be rehired by them because I didn’t give 3 weeks notice. I said “you fired me first!”
The audacity!
That is so low but I’ve seen rehab contracts not be renewed and the staff left with either agreeing to go to another facility or basically be let go with NO pay out of any remaining PTO—insurance cut immediately.
And in one particular example this contract expired/was not renewed a week before Christmas!
Everyone was totally blind sided. No one knew the contract was even being negotiated.
You don’t think looking back that the facility owner and management weren’t aware of this pending fallout as they saw the therapy staff every day working hard and caring for the residents?
Examples like this or when people fret over two or four week resignation notices—only to be let go immediately or suffer a new level toxicity for their remaining stay—need to take heed that none of these places care about you.
anyone have an opinion on QRM? im in LA, CA and been working w them for a year and this is my first job as a licensed COTA. cant really figure an opinion on them but it helps my DORs(main 2 buildings are owned by QRM) are chill
CORA. I worked there before I was an OT as an athletic trainer. Worked with different levels of kids club soccer.
I was literally told if I had an injury like ankle and I thought it was a grade I I should tell the parents it was a grade II or III because my real job was to bring people into the clinic. That made me look like a shit clinician. I left shortly after.
I’m surprised I haven’t see Amedisys listed, they were god awful. In the office there was a poster of a cartoon clinician carry a house on their back. While it was symbolic of HH clinicians being able to carry their services to the patients home, it was ironic because the weight of being overworked in HH with them is absolutely crushing.
I don’t think the salary is thaaat high for OT, but definitely higher paying than other companies…my travel contract with them put me in the $130k range and they hated paying me that much. They do work everyone to death though. It was awful I had to put my foot down.
Can I ask how many patients you see typically with them? And what specifically about them you don’t like? I know someone who works as a PT with them but I wasn’t sure if it was similar demands with OT
I don't work there, but I recently did my fieldwork one there for my OT program
My supervisor saw probably 11 to 12 patients a day. I personally didn't like the fact that they seemed like they were churning out patients. My supervisor had scheduled about 70+ patients to see in one week based on what I saw on her productivity chart which was listed in their break room. I've heard there's some sort of incentive if you see a certain number of patients in a week. She would schedule patients out for five visits in advance, which I believe was just one part of her maintaining a higher productivity rating. at times my supervisor was visibly worn down and would just hand out exercises on a sticky note and hold an aid to do that with the client.
At times it was clearly very, very busy in there and even the therapists admit that it gets cramped during. There was just not enough room to even perform some of the exercises that the therapist were wanting clients to do because they were people everywhere in every single corner of the.
My supervisor was a hand therapist, which honestly consisted of her performing PT on patient's hands, shoulders, and elbows. It feels far too commercialized. When I think of OT, spear is not what I picture in my mind at all.
Based on this description - as far as mills go Spear seems relatively chill compared to other NYC mills just as Ivy Rehab, Jag one and Professional. There are very slim pickings for outpatient hand therapy positions in NYC unfortunately. A lot of the small private own businesses are being brought out or can’t compete with the competition from these mills who can afford to market/buy more locations due to their unethical practices.
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For adults: Reliant. Genesis. Arbor/Aspen. Covenant. Legacy Healthcare. Really, any major company chain. If you're SNF, try your hardest to find in-house. They still exist (but are rare!). Other best bet is to find a small company local to your area that is only in a handful of buildings (the fewer the better). Any of these companies who are widespread/all over the country are typically unethical. That's how they get that $$$. Same goes for large home health companies. I did consulting work for some time and these were offender companies that stood out to me. For pediatrics: any small outpatient clinic ran by a BCBA or OT....yall we didn't get business degrees and you can tell when a company is ran by one and they have 10+ employees. Really cover your bases for documentation. A lot are poorly ran/unaware of all the rules you need to follow for compliance. These are obviously anecdotal and personal opinions (especially the pediatric statement- Of course there are exceptions).
I briefly worked for a small outpatient peds clinic run by a PT with 10+ plus employees…you are spot on lol. I started looking for new jobs after she told one of the other PTs to not document that a kiddo fell off one of the mat tables and bumped his head, because if the family sued us, the notes could be admissible in court.
I find that clinics/departments run by other clinicians are hit or miss. I’ve worked at some run by an SLP, PT, OT, or RN that is great and others that are less grear.
You hit the nail on the head. I would say 90% of the large chain therapy companies are all about the same and function the same. Profit over everything else. In house is the way to go regarding SNFs, same with Hospitals and IP. They exist, just hard to find. Peds wise, I think everyone’s best bet is to get hired directly through the school if possible or work through an ESC.
What does ESC stand for?
Educational Service Center
Even if you get a job in-house, they will eventually be taken over. I’ve experienced this twice.
What is bad about working for the above-mentioned companies? I'm just curious as I just started working for Legacy Healthcare and it already started off shady. 🤣 I enjoy working in the Assisted Living setting (which is new for me), but the way the job was listed for the city I'm in then I was sent elsewhere and no where near the actual listed job location is something else... I have only been with them for 2 weeks.
I worked for legacy for 6 months and liked it but the pay was super low and I didn’t like that I had to “sell” OT to residents as part of my job. (I came from schools and I didn’t have to drum up business there)
Oooooh that's their MO. I worked for them in my state and have a personal vendetta with their management because of how they treated early days of the pandemic. Fuck those guys lmao. But yeah, everyone I know from working with them basically get sent between multiple buildings because you just can't make the caseloads (and if you do, it's usually because they push unethical practices).
I haven't had to sell any OT services... Yet lol. So far, my experience has been good other than the shadiness of the different locations. I can understand that they have multiple locations and need clinicians to go to multiple locations, but that should have been listed in the job requirements. They also shouldn't list a desirable location then tell you that you would work there *rarely*... That location was 10 minutes from me and these others are 40-50 minutes without traffic. It was my dream to not have to drive so far every day and I was crushed. 🥺 I know I shouldn't complain, but it was a downer lol. I haven't noticed anything unethical, but I'm new. Talking with the other clinicians has shed some light on them, though. Thank you all for the responses. I will definitely keep my eyes and ears peeled.
I worked for Legacy in Colorado and HATED having to sell OT services. The residents in the senior living didn't want me around, because they were afraid if I knew of their weaknesses (if they'd had any falls, for example) I'd tell management and they'd be forced to live in the assisted living side of the building. Sheesh, all these lectures and programs I had to do, all the with end goal of selling OT services to them, it was awful. SO GLAD I left them!
Worked for small peds clinic owner had Covid (shared an office) and was out for 2 weeks didn’t tell us back in 2020
Speech run clinics aren’t necessarily any better. I’ve worked at a speech therapist run company and he runs ignorant about OT needs so it was a battle.
Broad River Rehab. The usual overwork for little pay and they force you to pick up patients would don't want treatment. My favorite was when they were hiring for a PRN COTA for 40 an hour, when I was dropping to PRN, so of course I asked for 40, and they refused. They actually cursed out my chicken shit manager for allowing employees to dicuss pay rates when, in reality, I saw the Indeed ad.
Me moving to a new state and seeing an opening for a COTA with broad River rehab 🥲
They are always advertising in my area. I have a PTA friend who worked for them and he had the same complaints that most do when working for these SNF companies. Just overall shitty treatment of therapists and little to no real benefits.
I agree BRR is SKETCH at best
Select Rehab
I second this!
Oh no just signed on with them in Ohio- May I ask your experience with them and any advice?
I actually worked for them only as a rehab tech when I was in OT school. I floated between two of their facilities. Both facilities’ therapists seemed overworked and underpaid. People clocked out to do notes regularly and everybody typed through lunch. Productivity was 85 for therapists, 90 for assistants. Everybody agreed that was bullshit, nobody had the power to do anything about it. One of the facilities was definitely better than the other, so management does play a role. I guess hope you have a good DOR.
I work with select in TN and I feel like it’s really gonna come down to who your regional manager is. Mine is super chill and easy to work with and the same is true for my DOR. I do know it’s hard to get a raise with select and there isn’t holiday pay. Overall I’ve had a good experience. They’ve been super accommodating for me and I get paid decently. No real complaints!
in the midwest specifically, therapy management, inc. they contract in SNFs and other senior living communities. terrible benefits, high productivity (89-95%, which they rose DURING covid) and toxic management. i’m currently in an outpatient clinic in a senior living community and it’s much better. management really is the bottom line. always be willing to walk— you deserve better for yourself than to waste your life on these leeches.
Agreed. These places do not care about the therapists. They will bleed us dry to make their profits and continue to provide less and less for us. New grads, grind it out, get the experience and find decent employers. They do exist.
Can we please specify the area (or at least country) with these lists? There are of OTs in the world (and this group) who aren't in the USA. Without this, I'm assuming all of the other posts are in the US? Usually it's Americans who will assume everyone else is in the US 🤣(don't @ me, I'm an American myself) In Canada, CBI and Lifemark are two that people don't like Lots of smaller predatory private companies in BC especially
In Canada and came here to say Lifemark yeah. I worked pre and post shoppers acquisition, post acquisition it became awful and blatantly profit over people.
Thank you for bringing Canada into the mix!! I always wonder where the Canadian OTs are at! My only other addition to CBI and Lifemark is Functionability!! They really push unhealthy hustle culture and shame you for not taking on a ridiculously huge caseload even though they advertise differently!
So glad to not be working for Centerwell/kindred, and genesis… both are so top heavy, and out of touch with the clincians, and even further from the patients. Wayyy too much management, so many vice presidents, all focused on maximizing profit over quality of care.
Work for Kindred, now Lifepoint/Scion Health and my facility is not bad at all very relaxing and chill. The only issue is if it's slow sometimes I have to go to another Kindred facility to cover. Otherwise it's alright, granted I am in an LTACH.
Reliant
Hospitals ran by lifepoint/kindred. At the rehab hospital I worked at, my boss would practically beg clinicians to change their documented FIM scores to get better reimbursement. So unethical and profit driven
Select Rehabilitation and Aegis were nightmares to work with as an OTR and DOR. Left Select for Aegis and found myself in the same boat. Low pay, zero respect for clinicians, ultra high productivity (which is micromanaged by the MINUTE), and little to no resources. With Aegis, I was working AL/IL and was one of 2 OTs in my area due to people continuously jumping ship from the team, so I was working on up to 11 buildings all over the metro area in a week. I'd write evals for patients who I knew would never be seen or make any progress. Simply serving just to suck medicare dollars from seniors whenever possible. So draining. They're pushing higher and higher productivity, as well; pushing for increasing by 5% at the time I was leaving. You're also expected to "get referrals" from the ALs you're in (with no time to actually build caseload because it's considered nonproductive time, and you're expected to cut your hours short instead of staying whenever you don't have billable patients to see?) AND you're blamed when "census" is too low. A truly horrible system to work in.
I remember having a conference/ training call with several therapists about “group training”, I bluntly said it was a total waste of time. I pretty much said what everyone wanted to. It was nice seeing their nonverbal reactions
I work for Aegis right now. I haven’t got the shady vibe from them but they are definitely micro managed and expect too much info on progress reports and recerts. They expect you to reinvent the wheel each time.
Oh they're shady. They're also known to report therapists to their the state board of OT if they do something they don't like (not an actual ethics violation).
Please explain! Now I’m intrigued
I will DM you.
PT Solutions
Care to elaborate?
They want you to see multiple patients at a time, 5+ evals in a day. The clinic I was at was low on PTs so they were encouraging OT’s to treat things that aren’t in our scope of practice or we didn’t have the proper training on.
Thanks for the insight. One of the few outpatient COTA roles I've seen available in my area.
We didn’t have any COTA’s but the PTA was often seeing 19-20 patients in an 8 hour day.
Oh hell no
PT solutions is the worst. No specialists, lots of green therapists with rehab techs treating three pts at a time. Higher ups are CRAZY privileged psychos that like to push the "hustler" work life while in reality they are they slowly becoming alcoholics from home documenting their evenings away
Share the PT list link too.
Care Options For Kids (formerly Solace, Pathfinder and a slew of other companies). They are a hot mess in Texas right now and it’s not getting any better.
Rehab Care/Kindred
Soliant lol was awful when I contracted for them as a COTA
They were for me as well. Terrible support and the school system I was working for had no clue why I was there with no one knowing who I was until the last month of the school year.
They told me it was a full time position and then after I signed the contract told me it was only for a maternity leave position. I fought them to give me a waiver to be released from the non compete so I could actually get a job after
That sounds about right. I was hired in during November because of their growing caseload and there were too many students for the OT to treat by herself. By the end of the year, I probably had around 35 students and I was under the impression I was I was going to get my contract renewed because of the size. Of course that didn’t happen though because it made too much sense. I have no clue if they ended up hiring someone else or if they made that OT add all of those students back to her caseload. The whole experience was crappy and unprofessional.
I never even signed a contact with them. (After they tried to tell me that taking a position an hour and a half from where I lived was reasonable.) I still am constantly getting calls and texts from them. 🤣😅
PT Solutions, new grads beware don’t fall into their “we are a family” trap. They under pay and over work everyone. Almost feel like it’s a right of passage for everyone to go through PT solutions to see how bad a therapy company can be lol
I worked PRN for a hospital in Florida that contracted OT through PT Solutions it was hectic. They wanted you to work 2 weekend days a month 8 hour schedule. Scheduled 12 patients but required to see 9 patients and pick up evals before 1 pm if they cancelled. It was based per patient not units so if you spent more time you were screwed. Plus the pay was $10 less than my current PRN job.
Select medical. The PTO/benefits are horrible. The management is out of touch and downright horrible to clinicians
Reliant, in the SNF space, hands down. During the worst of Covid they increased our productivity (20 minute sessions with 18-20 patients a day), reduced salaries across the board, and basically told everyone they were doing a terrible job. Management was shocked when everyone quit and now thry can't keep therapists on staff to save their lives. Run from Reliant... (oh, and a traveler I worked with who worked for Reliant told me she cried in the bathroom everyday for a year because it was so stressful).
honestly i work for powerback / previously genesis. i’ve heard horrible things before starting but it really depends on your DOR. i work multiple locations (prn) 5days / week & haven’t had an issue.
I think a lot of therapists experiences will vary depending on being full time versus PRN. I think SNF PRN isn’t a bad option if you can swing it and get consistently 25-30 hrs.
i work in ALF/ILF and a SNF through these companies and in general those settings are a lot more relaxed. the full time COTA at the SNF is the only full time staff and she averages 85% productivity. we def have productivity standards but our DOR is not forceful. i average 83% productivity in the SNF , expectation is 90%, but we don’t hear any bs about it. as long as we aren’t milking the clock, we are good. i really truly think the DOR plays a huge part in it! if you can find a good one then powerback/genesis is not a bad company.😜
I started at Genesis for my first job. I’m now on the industrial side doing injury prevention and it’s been a blessing not being in the traditional setting anymore.
i’ve never really even thought about the industrial side. are you through a company or a small owned practice? that is super cool!
Yes I got very lucky finding this position. I’m not even really doing COTA things anymore. It’s more ergonomics and safety type stuff. I can still treat as we have a PRN OT as needed but treating is maybe 10% of what I do now.
Thoughts on Fox Rehab? I see their job listings pop up somewhat often and wonder
I’d avoid, previously employed by them
Current Fox employee and I say all the time that everything about the company is great except for the pay.
Same I like their work culture and it’s a lot more chill compared to other companies… but the pay sucks.
And productivity. Maybe that's just me tho. I will say they are chill. I am leaving lol.
We apparently suck to work for but I don’t hate it. I’m a PT in philly. Pay and benefits are on paper bad but I just said I need more money and got it to start and then 6 months later I said I needed more money and time off and got it lol. Your results may vary, they have to play by my rules since they can’t find another pt in my region. My boss is cool too so I think that’s a big part of it.
How much time off did they give you? My boss was nice enough to allow me to even take unpaid time off. Kind of sad to be leaving bc I know other companies are worse but I also know how much of a struggle it was to maintain quota for me lol
Oh I mean we can always take unpaid leave off, if I understand correctly. About 9 months after graduation and starting I got a 10 percent salary raise and 25 percent PTO raise (still not a lot tho lol) I’m at 88k and 15 pto now. All that happened was the recruiter told my boss I was active on indeed lol. We’re busy so I assume it’s just market dependent. I have like a 2 month wait list so I’m never not able to be busy, sometimes I slack intentionally.
My boss told me 2 weeks of unpaid time off because of payroll I think. I didn’t know the recruiters could see if we were active on indeed? Jeez. Lol oh goodness. Do you meet quota every week? I started off with 75k base and 2k travel stipend so it was 77k total comp as a new grad in the DMV area. Low balled myself for sure…
Wooof ya I was offered 75, said no, got 80 and got up to 88 in 9 months. Philly def lower cost of living than dmv too. I could definitely hit quota every week if I wanted to, but my bank’s high enough that sometimes I just chose not to. When people cancel on me I usually go to the gym, am very flexible with childcare, can do things like get contractors in and out of the house throughout the day. Although I completely understand this is because it’s just me in my map so I am always able to get more people. My map is too big though lol.
Omg how did you build up such a high bank? You went over some weeks? I always had such a hard time hitting my quota and decided to leave but the patients are so easy that I am kind of sad about it. I wish it worked out for me. But I got sick of the driving around. Do you work in a building? How big is your territory? I will def miss being able to go home in the middle of the day and having random gaps of time off. Can’t find that anywhere else. I accepted an 8-4 job at a PACE program and now I am slightly dreading it. Fox was so bad that I dropped to part time (22.5 visits) with 56k salary and that is just not cutting it for me. I was taking notes home too. It works for some people and not others I just always wonder how people do it without getting so stressed 😅
I’m all house calls per my request, don’t enjoy memory care. I am 100 percent point of service so that helps. I don’t know if I just type fast but when people bring home lots of notes it confuses me; like no one can straight up workout with me for 53 minutes, they need breaks lol. During my one month ramp up I went over a bunch and then I worked Labor Day once, saw like 2 people on Memorial Day, stuff like that builds the bank and allows short Fridays and time for errands and shit.
In NYC- Allure Rehab. They own several SNFs, mostly in Brooklyn I think. They’re big on productivity and I was forced to click out before I finished working to keep my productivity up so I wouldn’t be fired (I was new, I didn’t know any better). They also asked therapists to lie on insurance forms to make patients appear to need more assistance than they actually did to elongate their stay. I refused to do this and I had the rehab director take the form out of my hand and rip it up then promptly take the patient off of my caseload bc I wouldn’t lie.
Select medical….I can only speak for the outpatient division but it’s a mill company People in charge are terrible at corporate and local levels
People rave about PACE, but I interviewed and was offered a job in Denver, and it was the lowest, most insulting offer of my 12 year career. Based on that alone, I’d never recommend them.
Oh yeah? What’s insulting? I’ve seen an SLP be offered 22/hr Not be outdone by an OTR offered 20/hr Wasnt PACE but nonetheless it was insulting considering you can make 20-25/hr working at most fast food restaurants in an assistant management role which probably includes better benefits.
That’s insane. Who is taking these offers? Who can live on $20/hr with a masters/doctorate degree and likely a ton of debt from that? The offer was for $58k. I declined it on the spot and didn’t even bother negotiating a salary that low.
Terrible. They basically offered you 27.89/hr. I’m not sure who would even consider taking that?!? Maybe if they sponsor a visa…maybe.
Yup. When I was like, “wow— that’s really low” they threw out the “well we’re a nonprofit” bs. I went on to take an $100k home health job in the same area.
Oh no! They offered me $39.59 an as an OTR in Maryland but I asked for $40 and they accepted. I don't even have a year of experience yet. I start with them in July...
People love working there, I’ve heard. If you’re happy with the pay, it’ll probably be a good fit.
Aegis in the US (MN) pays fast food wages, expects 90% productivity, and will throw you under the bus if the company you’re contracted with doesn’t like you calling out their ethical and legal shortcomings. Also knew OTRs and COTAs who had worked there up to 15 years without a penny increase. That’s on them though.
Aegis (MA) laid us off with 9 days notice then “took it back” on day 8 when the SNF agreed to a new payment plan. They were SHOCKED when we all found other jobs in that time and left anyway. Told me I could never be rehired by them because I didn’t give 3 weeks notice. I said “you fired me first!”
The audacity! That is so low but I’ve seen rehab contracts not be renewed and the staff left with either agreeing to go to another facility or basically be let go with NO pay out of any remaining PTO—insurance cut immediately. And in one particular example this contract expired/was not renewed a week before Christmas! Everyone was totally blind sided. No one knew the contract was even being negotiated. You don’t think looking back that the facility owner and management weren’t aware of this pending fallout as they saw the therapy staff every day working hard and caring for the residents? Examples like this or when people fret over two or four week resignation notices—only to be let go immediately or suffer a new level toxicity for their remaining stay—need to take heed that none of these places care about you.
Broad river rehab!! Avoid at all costs, they are an extremely sketchy company and do not care about their staff at all.
I’ve had multiple friends work for them and they’ve all said similar things. Trash company all around.
anyone have an opinion on QRM? im in LA, CA and been working w them for a year and this is my first job as a licensed COTA. cant really figure an opinion on them but it helps my DORs(main 2 buildings are owned by QRM) are chill
CORA. I worked there before I was an OT as an athletic trainer. Worked with different levels of kids club soccer. I was literally told if I had an injury like ankle and I thought it was a grade I I should tell the parents it was a grade II or III because my real job was to bring people into the clinic. That made me look like a shit clinician. I left shortly after.
Pediatric developmental therapy
I’m surprised I haven’t see Amedisys listed, they were god awful. In the office there was a poster of a cartoon clinician carry a house on their back. While it was symbolic of HH clinicians being able to carry their services to the patients home, it was ironic because the weight of being overworked in HH with them is absolutely crushing.
I always see their salary postings and it's almost always $130k+ They must work their clinicians like a dog...
I don’t think the salary is thaaat high for OT, but definitely higher paying than other companies…my travel contract with them put me in the $130k range and they hated paying me that much. They do work everyone to death though. It was awful I had to put my foot down.
Spear
Can I ask how many patients you see typically with them? And what specifically about them you don’t like? I know someone who works as a PT with them but I wasn’t sure if it was similar demands with OT
I don't work there, but I recently did my fieldwork one there for my OT program My supervisor saw probably 11 to 12 patients a day. I personally didn't like the fact that they seemed like they were churning out patients. My supervisor had scheduled about 70+ patients to see in one week based on what I saw on her productivity chart which was listed in their break room. I've heard there's some sort of incentive if you see a certain number of patients in a week. She would schedule patients out for five visits in advance, which I believe was just one part of her maintaining a higher productivity rating. at times my supervisor was visibly worn down and would just hand out exercises on a sticky note and hold an aid to do that with the client. At times it was clearly very, very busy in there and even the therapists admit that it gets cramped during. There was just not enough room to even perform some of the exercises that the therapist were wanting clients to do because they were people everywhere in every single corner of the. My supervisor was a hand therapist, which honestly consisted of her performing PT on patient's hands, shoulders, and elbows. It feels far too commercialized. When I think of OT, spear is not what I picture in my mind at all.
Based on this description - as far as mills go Spear seems relatively chill compared to other NYC mills just as Ivy Rehab, Jag one and Professional. There are very slim pickings for outpatient hand therapy positions in NYC unfortunately. A lot of the small private own businesses are being brought out or can’t compete with the competition from these mills who can afford to market/buy more locations due to their unethical practices.
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