I am beginning my second round of home (IV) infusions and my insurance dictates that I use Preferred Homecare to oversee the infusions and change the dressing on the PICC line once a week. I commend the RN who comes out weekly to monitor the infusions. She's professional, friendly and compassionate. However, I've found the central office to be disorganized with little follow-through. An example: when I started this new round of infusions on Monday, an RN came to establish service and have me sign all the paperwork required. She stated my PICC line dressing would have to be changed on Thursday and that an RN would be calling me. Thursday came and went and there was no call from an RN; so on Friday morning, I called Preferred Homecare's central office to inquire what had happened and the clinical coordinator seemed to be completely in the dark. She did say, however, that she would put me on the list of patients to be seen today and an RN would be calling me. Still no call or visit by an RN so I called the central office again. The clinical coordinator said I had somehow "dropped off the list". The result is that I won't be seen until the first of next week. Such incompetence is inexcusable and this is not the first time such a scenario has happened. During my first round of infusions, I encountered a number of problems including blood clots and the process and communication between myself and Preferred would be described as chaotic at best. If it were not for the trust I place in the personal nurse assigned to me, I would not use Preferred Homecare.