Extremely pleased with our aid. She is very thoughtful and does an excellent job. The nurse is excellent that interviewed my mother. Although, since inception of service she has only visited my mom once, at the interview. The care plan is not reviewed and I feel there should be a periodic review and discussed with the family. Billing forms have improved. Wish they would send self addressed envelopes. Office hours are only to 3PM. After hours you must call the exchange ( no on-call personnel, this makes it difficult to relay a message) and I had an experience when the message was not relayed to the office manager. I also will say the personnel communication, admin in particular, could improve. There seems to be a disconnect with personnel and admin.