My theory is, he was never granted home health time for butt wiping, and was told to do it himself from the beginning. BUT, since he could claim abuse if they left him in a wet, shitty diaper, he made sure he had a ripe load ready every morning when the workers came in. The health workers had to spend their limited time cleaning him up, which caused them to get behind on their other duties. When the second shift came in, none of the stuff on the first shift's work checklist was done, causing infighting among the caregivers, and causing Andy to run out of available work hours before the month was over. Cue sperging.
I guess he sperged so hard that he and his roommate are both getting evicted, beginning the lay-in-the-snow and play-in-traffic arcs once again.
I feel bad for the roommate, because Andy's shenanigans not only cut into his care, now he has to find somewhere else to live, and he's probably genuinely disabled and not a faker. Poor guy, he's collateral damage in Andy's rage.