As for her being "always on call" as a PCA- I'm calling bullshit. Maybe she was offered a PRN position, where they offer her the opportunity to work if someone gets sick or there's not enough coverage, but definitely not "on call." PCAs are so low on the medical professional food chain, they might as well not be on it. Even the four hour shifts seems fishy, since most medical facilities operate on 8 or 12 hour shifts. It's possible she was just an escort, pushing patients in wheelchairs from place to place, and that's why her hours were shorter. She mentions she worked some 8 and even a few 16 hour shifts, leading me to believe her facility operated on 8 hour shifts and she just couldn't keep up with it, so they lowered her hours. There's so many geriatric facilities in Florida because it's a retirement hotspot, the facilities can't maintain enough staff to keep up with the demand. ALFs are rather notorious for the constant influx of new employees, most failing to make it to the end of their probationary period. The CNAs who are decent at their job go to better paying facilities, where they can actually perform the entirety of their job description. ALFs get the newbies and the underqualified who want an easy job with quite a good deal of freedom. I wouldn't be surprised if Amber was hired for a regular 8 hour shift, but began to slack halfway through the shift as her weight and it's consequences catch up with her. Desperate for staff, the facility possibly figured having an employee for half a shift is better than not having an employee for a whole shift, and cut her hours instead of firing her for sitting down for the second half of the shift.