Are some of you finding that the quality of care of the CNA’s has declined in recent years?

My mom is not in a facility, but we use the Vetarans money for a CNA to help out.   She is going to school (online and at night).  I can see how the more ambitious ones will take less pay with an agency so they can advance their career.

In my state, CNAs are usually Filipino or Mexican and despite their thick accents, many were born here and they are excellent employees. They do a job a lot of people aren’t willing to do.

I do think a huge factor, in any job industry, is that you kinda get what you pay for.

My sis works at a couple of facilities and the immigrants are usually the ones she is praising, it's the local, entitled, younger twits who are perpetually calling in "sick" or sitting on their azzes leaving work for others or threatening to file grievances over every. petty. little. thing.

Thistledown, you don't say what state (or country) you live in. In my US home state of MN we have many West Africans working in the NHs. I have found them to be friendly, hardworking, and warm to the residents. I think training is another issue and is the responsibility of the facilities. As for accents, I do think this can be a challenge to the elderly who already have comprehension and hearing issues, but with a labor shortage here in the states, I don't have any solutions. My own grandparents were immigrants, so I'm sensitive to how people perceive and treat those who are recent arrivals. I think training is the main issue, and you should talk to the admins if you aren't happy, but do mention specific incidents and suggest how you think they can reasonably address the problem.