Leadership and workplace culture have noticeably declined over time. Communication from management often felt passive aggressive, overly critical, and intimidating, which made staff uncomfortable voicing concerns. Favoritism and inconsistent accountability created frustration, especially regarding admin responsibilities and workload distribution. Staff frequently felt unsupported during high stress situations, while leadership presence in the clinic was inconsistent. Morale suffered due to burnout, lack of transparency, and feeling unheard despite ongoing concerns being raised. Professionalism during staff interactions and meetings was also inconsistent, which contributed to a disconnect between leadership and direct staff. Overall, the environment shifted from collaborative and supportive to stressful and discouraging.