I would have ranked a little higher because I never rank anyone this bad, but their "keeper" secretly continued supplying alcohol (beer and vodka) to my 80 y/o parent for at least the last 9 months which is when they were told by 2 people (and in writing) it was against doctor's orders and could be fatal given the 3 nightly sleeping pills among others. Patient diminished from 110 pounds to 82 pounds in about 2 years under their care. As far as doing house keeping (the primary job description), after they were canceled (6 hours a week) and patient was hospitalized (for a month and counting), I did the clothes piled all over the floor (12 loads) and filthy bedding, then vacuumed up enough hair to replace the dog at least twice over, dusted down lots of smoke stained cobwebs, threw away all dry goods (mealworm infested), did tons of dishes and dumped a science experiment gone wrong in the crock pot. Haven't tackled the filthy shower yet..... read more