But the bottom line is that he is unable to toilet himself independently and take care of his personal hygiene. In the past two days he has soiled himself and the floor around him despite wearing a brief. We have a bath aide who can assist but it not always immediately available. He does not seem to understand that an ability to toilet himself independently is required for him to be able to live home alone. When discussing this with him he said "I'm not leaving my home and I don't care if there is sh*t on the ceiling." Very unreasonable and he refuses to acknowledge his self care deficits.