Complete lack of structure in management and case implementation. Frontline staff and Team Leads are severely exploited—expected to absorb multiple roles and administrative duties without pay increases, only to have promised promotions withheld or reversed so leadership can keep them trapped working the floor. Management operates on toxic clique dynamics, using false promises of career advancement to manipulate high-performing staff into absorbing extra labor for free. This is one of the lowest-paying clinics in the area that relies on empty promises of career advancement to manipulate staff. The facility has major safety and ethical liabilities, including broken gym equipment left in use and technicians violating sanitation codes by eating clients' food, no protocols are taken to ensure client safety.