Granny NANNIES is doing a great job. We only use it for three hours a day, which is a relief for my aunt. My uncle went in to have his knees replaced, but he was also a diabetic, and a couple of weeks after, he lost circulation and ended up amputating both legs. We asked for them just to come in to the home for three hours, so my aunt can go out, sit on the porch, have a cup of coffee, and not worry if my uncle needed something done. They are wonderful and very patient. You can call them 15 times in 5 minutes, and they are very pleasant. The caregiver is always 15 minutes early. We get the bill in the mail, and then we pay it once a month.