I was asked to review some charts and begin a QA department for a Home Health Agency. They have not had any QA at all prior to my arrival.Frankly, I have done this before, and maybe I am burned out, but it is such a mess that there is nothing I can do for them. I have seen situations like this before and walked away, however, that was in a better economic environment. I have told agencies before that there was nothing I could do for them. Maybe I am giving up too soon, but this is a real disaster.The entire agency needs to be rebuilt from the ground up. The Director has no clue about the content of their policies.I need the job and it will be hard to find another one in the area I live in, but this is beyond my ability. I don't know anyone who would take on such a situation. (This includes other QA and consultants.) I have previously done electronic charts for QA and coding for agencies when the consulting firm would not send any more staff into the building, so I have seen some very difficult situations. To make matters worse, the Director is burned out, has an angry attitude and is very vocal about her own situation. I do not blame her. If I were in her shoes I would have been gone a long time ago. This makes it very difficult to work with her towards solutions to the serious problems they are facing.I am seeing this as a turning point for me. I do not ever want to do QA again. The problems in this agency are so serious that I can't even look at the work in front of me.Any suggestions would be appreciated, keeping in mind that finding another job is very difficult where I live.