Is this common or any similar experiences in hospice?

I’ve been a hospice nurse for several years, and lately I’ve grown more concerned about the direction my company is heading. The focus seems to have shifted from patient-centered care to metrics, appearances, and box-checking. I still love the work itself, but it’s becoming harder to do it with integrity.

There have been repeated situations where I didn’t feel safe entering a home due to documented risk factors. When I asked for support, I was told it was “none of my business.” I’ve also faced pressure to delete or revise documentation without explanation — even when I was simply charting objective observations or explaining something to a family member who felt confused about the program. In some cases, I’ve been held accountable for internal incidents I was never even informed about, then removed from internal communications afterward.

The inconsistency is exhausting. I’ve noticed other nurses copying my documentation word-for-word with no accountability, while I’m treated as if I’ve done something wrong for being thorough. Policies are vague and constantly shifting — expectations are often communicated verbally and changed later without documentation or support. When I started, no one could clearly define my hours or territory. I was hired for one region but am regularly scheduled far beyond it, often driving 100+ miles per day with no notice. I’ve been told to start earlier or stay later, yet there’s no acknowledgment or compensation for that time.

It’s disheartening to feel like doing things ethically makes you a problem. I’ve worked hard to chart accurately, support families, and advocate for patients, but it feels like I’m being worn down by a system that punishes transparency and rewards silence. I’ve been told charting “less is more.”