This study explores the pervasive issue of workplace incivility among healthcare aides (HCAs) in long-term care (LTC) settings. While overt bullying was rare, HCAs frequently encountered subtle, passive-aggressive behaviours, including social exclusion, gossip, blaming, and refusal to offer help. These behaviours were particularly prevalent among casual staff and had serious implications for HCAs’ mental and physical well-being. Incivility contributed to stress, reluctance to work, and an increased risk of musculoskeletal injury, as HCAs became hesitant to request or provide assistance with resident care. Gender dynamics and power relations influenced these interactions, with staff attributing such behaviours to the nature of "women’s" work or strong personalities. Current policies, which focus on overt aggression, fail to address the gendered, low-intensity nature of incivility. The study calls for more gender-informed policies and offers practice recommendations at the individual, organizational, and systemic levels, alongside suggestions for future research on the link between workplace culture and injury rates.