Pretty on the outside, Ugly on the inside. - Registered Nurse III Palomar Health Employee Review

Professional team, supportive environment, and nice patient care. Scripps Health has a strong reputation.

Large organization, so some processes can take time and communication may occasionally require follow-up.

• Staff Diversity: There is a decent level of diversity among the medical assistants and frontline staff, which creates a multicultural work environment. • Peer Resilience: Despite high-pressure conditions and systemic gaps, some coworkers try to support one another within their specific clinic teams. • Broad Clinical Exposure: The mandatory "floating" requirement allows staff to gain experience with various providers and specialties across the department.

The organization suffers from severe operational and clinical instability, characterized by a high turnover rate and inconsistent adherence to labor law compliance. There is a concerning pattern of litigation and internal disputes, often stemming from a culture where raising legitimate workplace or safety concerns is met with perceived retaliation rather than professional resolution. This instability is compounded by a 'volume-over-quality' approach that compromises clinical standards. Sanitation protocols—such as thorough room turnover and sanitation between patients, dust control, and floor maintenance—are frequently bypassed to meet high patient quotas. The infrastructure is significantly outdated, relying on aging healthcare software and inefficient filing systems that force medical assistants to perform the workload of 2–3 people. Furthermore, the mandatory 'floating' policy often exposes staff to unprofessional behavior from certain providers and supporting healthcare staff, including verbal ridicule and unrealistic expectations. This is exacerbated by a management team that appears to prioritize personal relationships over professional oversight. There is a notable lack of standardized training among office leadership regarding clinic operations and sanitation, with critical issues often met with a 'figure it out' response. The result is a disorganized environment that struggles to maintain professional or clinical basics.