HUNTSVILLE, Ala. - Help at Home employed nearly 800 caregivers scattered across every county in Alabama, helping 1,100 older and disabled clients with activities such as bathing, housework and meal preparation. And then suddenly, it was gone. Alabama's largest provider of home care services said it abruptly left the state last fall because the state's "reimbursement and regulatory environment" made it difficult to recruit and retain enough workers, according to