We've had Community Nursing Services or CNS (VA-provided) caregivers taking care of my 90-year-old father for about 3 years or so, and up until the last 6-9 months or so the care was fine. We have an energetic dog, so I put him in the house when the caregivers arrive so he doesn't jump on them. Because the arrival time is apparently at the whim of the caregivers, I've asked to have them call to let me know when they'll be here so I can make sure I'm home, but I guess that's too much trouble because they have only done so once or twice in the last 6-9 months, which tells me that they have no respect for us or our time. I also had been noticing lately that my dad wasn't getting the care he needs (he wasn't getting a shower or changing his clothes) and even though there's now a housekeeper coming out once a week, very little was getting cleaned. I called and complained to the supervisor, and she said she'd make sure the caregiver called to let me know when she was coming out (which still didn't happen) and would make sure that my father was getting the care and housekeeping services that CNS is getting paid for. I called and complained again when nothing changed, but it was to no avail. I called my father's PCP and reported my problems with CNS to them since CNS doesn't seem to take my complaints seriously, and that I also needed to change the time for the caregivers to come out to be some time in the morning. CNS was contacted and claimed they had no caregivers available in the morning and that basically we were going to have to like it or lump it. I then called CNS and told them that I would be canceling their services because of this, and magically they were able to find a caregiver who was available in the mornings. However, today the caregiver who was scheduled to come this morning didn't show up, so I put a lock on my gate. Apparently when the caregiver finally showed up in the afternoon and found the gate locked, SHE CLIMBED OVER THE FENCE and damaged it in the process. This was the last straw. What on earth would make someone think that this is professional or acceptable behavior? Furthermore, all of these problems make me question the quality of care that my father is (or isn't) receiving.