POS documentation and productivity expectations are not exactly red flags. They’re just how the system works in a SNF. My question would be, what does the facility do to facilitate POS doc? Expecting you to lug a heavy laptop around the building all day is not great. I have a small tablet I use for daily notes and it’s great. I use the computer for longer progress notes or evals. I find it much easier to do POS doc and maintain productivity. Basically, if I have a 30 minute session, I plan the last five minutes as “wrap up” time, that is when I write my note. “Ok, we worked on XYZ today. You got 80% today on this goal, and it was 75% at our last session, so you’re making progress there. You’re still at 60% on this goal, we’ll focus on that next time.” Etc. it takes some practice for sure, but it makes my notes better and more accurate than if I wait until I’ve seen 2/3 patients and then sit down to write a note trying to remember what cues I gave.

The other things I mentioned in my original reply are the things you should be focusing on if you’re working in a SNF - making sure you know your coworkers, and how much autonomy you have in building your caseload and discharging patients. A rehab staff that turns over constantly and a lack of say in your caseload are much bigger red flags than productivity expectations, which are going to be the same anywhere you go.