In Great Falls, Montana, Kathy has hoarded out her triplex and a dance studio and is facing financial ruin if she can't clean up and rent out her spaces. Her 12 children, including a daughter who developed split personality disorder to cope with the hoard, will try to get her to face her demons. Elmira's hoard has become so bad that code enforcement is on the verge of condemning her Chesapeake, Virginia home. Elmira's family will have to resolve their "step vs. blood" dynamics to help her through the process.