Its not good. It might even be against the rules and unethical and leave him vulnerable to others trying to get something from him. You are right, sets up a bad dynamic. Can you/he afford it? Check out the gift policy and if you can afford extras, and there are good caregivers, recognize them quietly in wAys you see fit. Could even get the employee in trouble. There are so many bad things happening in nursing homes, and caregivers are rarely paid a living wage, even though care is expensive. if you can afford it, find out who the good ones are, and do what you can for them. Christmas? Gift card? ( Maybe he sees it like a massageā¦š³)