Putting people with minor disabilities in nursing homes, who otherwise with a different insurance could get some home care to meet their needs, Some managers have a belief that lying and getting their employees to look bad is meeting a some type of personal quota to make them feel powerful. There's a couple of nurses who gossip and spread rumors about participants and other co-workers. Unfortunately some of the management feeds into this behavior and enforces it. Employee satisfaction survey is not confidential, and will come to haunt you if you're honest on it.