the nurses are what you would expect most are good some are outstanding a few were sub par due to high turn over I belive . Problem is managements lack of communication , on going issues that we addressed with them kept reoccurring ,there responce " oh we didn't know" not acceptable when it been discussed several times . Could be great with the right people in the office with more hands on experience actually on the job nursing . If you use PTHC set up email communication and document your needs and concerns , with that all should be good. At this time they don't use a back up service so there are times when you don't have service. They say they are addressing it, but ask about it before you decied. Hope this helps. God bless and I wish you well in your time of need.