LewisGale Regional Health System
Health system in Pulaski, VA
- Sign-on bonus up to $7,000 on 1 role
- Hiring days
From 2 postings, the employer’s site and nurse reviews · Employer research Aug 25, 2026Sources
The short version
You would clock in at LewisGale Regional Health System, part of HCA Virginia / HCA Healthcare, with postings and reviews that point to Salem and Blacksburg as well as Pulaski.
Employer research, Aug 25, 2026
A current RN listed self-scheduling as a plus and called the pay decent.
For experienced nursesSources
As of 2025-11-06 · 2026-03-14Source 1: glassdoor.comSource 2: glassdoor.comSource 3: glassdoor.co.ukA student nurse extern review is rated 5.0 with a 100% recommend, and culture, DEI, and work-life each rated 5.0.
For new gradsSources
As of 2025Source: glassdoor.comYou would be joining an HCA Virginia system based in Pulaski, with postings and reviews that also point to Salem and Blacksburg.
If you are moving hereSources
Nursing here
- Tuition support
Education assistance listed: tuition, certification support, and dependent scholarships
LewisGale Regional Health System · employer research
Sources
As of 2026- Loan assistance
Student loan support included in education-assistance benefits
LewisGale Regional Health System · employer research
Sources
As of 2026- Scheduling
A current RN reported self-scheduling; a former surgical tech reported schedule changes and heavy on-call.
LewisGale Regional Health System · employer research
Sources
Benefits
401(k) with 100% match on 3% to 9% of pay by tenure; ESPP at 10% off HCA stock; medical with free telemedicine and AirMed; PTO; paid family leave; STD/LTD; fertility and adoption aid; counseling; tuition, certification support, dependent scholarships, and student loan help.
Published pay and benefits
- Hourly pay
RN Progressive Care Unit typical wage-range minimum, Salem VA; posting says typical hire is below midpoint
As of 2026
- Hourly pay
RN Progressive Care Unit typical wage-range maximum, Salem VA
As of 2026
- Sign-on bonus
Sign-on bonus up to $15,000 for RN Progressive Care Unit; commitment term not stated
As of 2026
- Benefits
RN Progressive Care Unit monthly estimate range $5,720–$8,493, Salem VA
As of 2026
- Benefits
LewisGale Medical Center announced increased pay rates for select PRN nursing roles
As of 2023
Sources
Units hiring now
- Med surgDays 11 open
- PsychDays 11 open
Progressive Care Unit
Full-time on-site RN PCU job in Salem lists $33.28–$49.92/hr and a sign-on bonus up to $15k.
Sources
Source location unconfirmed
What nurses say
Themes from public reviews
Summaries of published reviews, with the original sources.
- Pay adequacy
- A current RN called pay decent; a current PCT called salary competitive and hiring fast.
Sources
- Self-scheduling
- Current RN (3+ years) listed self-scheduling as a plus alongside decent pay.
Sources
As of 2025-11-06Source: glassdoor.com- Turnover
- Current RN cited high turnover among both staff and leadership.
Sources
As of 2025-11-06Source: glassdoor.com
More review themes
- Sick time and attendance
- PCT said HCA is unforgiving about sickness; former CST said missed work is taken from PTO.
Sources
- Staffing mix and policies
- Former CST described vague policies, schedule changes, heavy call, and travelers favored over staff.
Sources
As of 2024-12-27Source: glassdoor.com- Clinical coworkers
- Former surgical tech praised staff, surgeons, nurses, and surgical techs.
Sources
As of 2024-12-27Source: glassdoor.com- Student nurse extern experience
- Single extern review is 5.0 with 100% recommend; culture, DEI, and work-life each rated 5.0.
Sources
As of 2025Source: glassdoor.com- Organization
- Current PCT said HCA is not very well organized.
Sources
As of 2026-03-14Source: glassdoor.co.uk
The hard parts
A current RN cited high turnover among both staff and leadership.
Sources
As of 2025-11-06Source: glassdoor.com
What to ask
- How is base pay set for the role, and which differentials apply?
- When would a sign-on bonus have to be repaid?
- Which shifts are open, and what are the weekend, holiday and call rules?
- How long is orientation, and will I have one preceptor?
- What is the usual patient load, and how often do nurses float?
- Which hospital or site, and which unit, would I work on?
Common questions
Does LewisGale Regional Health System hire new grads?
1 of 2 roles asks for nursing experience, and none says it welcomes new grads.
Is there a sign-on bonus?
Yes, on 1 of 2 roles, up to $7,000.
Which shifts are open?
Of the 2 roles with a stated shift, 2 are day shifts.
Which units are hiring?
Med surg (1) and psych (1).
How do I apply?
Choose a role and press Apply. Your application comes to our team, we send it to LewisGale Regional Health System, and we tell you what happens next.
Roles from LewisGale Regional Health System
Pulmonary Renal Med Surg LPN
$23–$32/hr
- Sign-on bonus
- LPN/LVN
- Day shift
- Tuition reimbursement
RN Employee Health
$29/hr
- RN
- Day shift
- ADN accepted
Sources
- facebook.com/LewisGaleRegionalHealthSystem/posts/lewisgale-medical-center-is-excited-to-announce-increased-pay-rates-for-bedside-/1440811524098497
Nursing here · as of 2023
- glassdoor.co.uk/Reviews/Employee-Review-LewisGale-Regional-Health-System-E121134-RVW103172022.htm
The short version, What nurses say · as of 2025-11-06 · 2026-03-14
- glassdoor.com/Reviews/Employee-Review-LewisGale-Regional-Health-System-E121134-RVW101123994.htm
The short version, Nursing here, What nurses say, The hard parts · as of 2025-11-06 · 2026-03-14
- glassdoor.com/Reviews/Employee-Review-LewisGale-Regional-Health-System-E121134-RVW93923141.htm
The short version, Nursing here, What nurses say · as of 2025-11-06 · 2026-03-14
- glassdoor.com/Reviews/LewisGale-Regional-Health-System-Student-Nurse-Extern-Reviews-EI_IE121134.0,32_KO33,53.htm
The short version, What nurses say · as of 2025
- hcavirginia.com/locations/lewisgale-hospital-pulaski
Employer website
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