Mr. Silver thanks for your reply, and yes therapy is often thought of as a money maker with no real concern for the skills involoved. ( not trying to be errogant). I have been doing this for close to 14 years and it seems to be getting worse and with poorer quality of care. I get frustrated with myself because in a way I am supporting this industry as I continue to work in it. However, I truely enjoy working with the geriatric population and feel that I can at least do my best to make their stay in a nursing home a little better.