I don't think there is much, if anything, I haven't told the woman. They advertise that a client can say anything, I called their bluff.

I suppose the only new thing would be to tell her (although I think I have done so, so it might just be to remind her) that she was completely useless for everything but talking to about my sick person and that the reason she is not completely inadequate at that is that she does manage to stay back.
She has to be reminded or she thinks it is because the things are better -they are not, but I simply quit telling most stuff because of how useless she was.