For 5 years, RN sometimes does not follow doctor's written orders, but RN does what they pleased. . . Sending patient to the local emergency room the very next day after their visit with patient. Also RN uses bad blood pressure cup, administers addition blood pressure medicine without a doctor's order. Also when RN is sick with flu, RN phones patient to go to patient's home. There are too many other unacceptable instances to write in this review to mention! We did not know at the time about other Home Healthcare options (companies) until recently and the change from this Hoover, Alabama Alacare has finally been made recently.