The people they send to your house have absolutely no skills, training or common sense. There are call-outs that result in nobody being sent to the home to care for clients and they don't notify you until after they should have been there. Not professional, not reliable, not consistent. Absolute bare minimum job.
From Amada Senior Care
Amada offers four types of services for seniors and their families: in-home senior care, senior housing advising, home monitoring, and financial care coordination (help with long-term care insurance and other funding options for senior care, such as the veteran’s aid and attendance benefit).