Ruth, the keener, was actively involved with the staff and all registry as well as her son who did the accounting. Ruth and her staff made sure all of us were current on all of our certifications and provided us with continual testing. I worked as much it as little as I wanted. I have nothing but great things to say. when I was a new nurse , just starting out Ruth and her staff provided me with the encouragement I needed. I hope they are all doing well! Thanks