I very much disagree. While every facility is different, and different states have different regulations, that would never ever happen here in CT. I’ve worked in this field as have many of my friends and coworkers, and while burn out is a very real thing, it’s not allowed to get to this extent. There are multiple things put into place to prevent such a thing, such as extended paid vacations for direct support professionals, capped maximum work hours, etc. Also, the pay here for a job like that starts at $14.75 an hour, and that’s entry level no/limited experience, so while it’s not great pay, it’s not terrible either.
Also, in my state, any medical decisions are made under the direction of a nurse with many many hours of medical training for the employees themselves.