Constantly asked to take on more work.. do a great job and you’re rewarded not by more pay, but by a bigger caseload. Upper management doesn’t have a clue what’s going on because they stay in an air conditioned coffee shop and send the lower paid staff into the trenches of filth, abuse and mental illness in the homes we walk into every day. When a patient cancels on you, it’s your fault if it causes you to miss service hours and you’re asked to give more of your time to make up for it, so work-life balance is non existent.