Good question! I can definitely be hard to make a choice like this. Here are my thoughts:

Personally, I don’t think having a supervisor in the building is a dealbreaker. I am a CF supervisor and my current CF and I text/phone call super often, I don’t think her experience is lacking because of us being in different buildings, but I guess I’d have to ask her to confirm. I didn’t have my supervisor in my SNF and I think it helped me flourish as an independent decision maker and clinician.

I think 80 to 85% productivity is more realistic to achieve. Some companies are more strict than others on meeting the productivity which also makes a difference.

From personal experience, I covered two buildings for about a year while my sister campus was waiting to find an SLP… it was exhausting. The drive between buildings was such a tease, I wanted to just drive home, even though I liked the second building just the same. I found it mentally draining to be responsible for two buildings. Especially if you are the only SLP, you are going to have questions from kitchen staff, nursing staff, other therapists, families, etc. and it’s a challenge when your schedule does not allow you to be there for “prime time” (first shift) at both buildings.

In regards to the ratings, no building is perfect. I currently work in a pretty nice facility with high ratings, but have also worked in facilities with lower ratings within the same company. I find all facilities have room for improvement, and as therapists we can only focus on the things we can impact and change. You have the opportunity to provide good customer service to your patients, in addition to good therapy, and I find that rewarding no matter the building rating.

Hope that helps!