Upper management does not compensate home staff in a way that reflects the level of stress, responsibility, and frequent client escalations involved in the job. Cost-of-living raises have been communicated multiple times over the past few years but have not been followed through. Employees working at the Orchard campus often earn more and have evenings, holidays, and weekends off, while home staff regularly work off-hours and holidays, with little to no chance for a different shift. This makes it difficult for many direct-care employees to prioritize time with their own families and contributes significantly to burnout.