Overall I would say our stay was OK. The backyard area was the highlight of the house. The pool was large, and the waterslide was really fun for the kids (and adults).
The inside of the house, however, is a different story. There is a pungent odor that hits you the second you walk in, we couldn't really identify it but it was strong. The biggest issue regarding cleanliness/sanitation was the dried blood we found in the master bedroom when we checked in. The comforter on the bed had at least 10+ spots of dried blood on it, and the door to that room had blood smears above the knob on both sides of it. We reported this disgusting issue right away, however, it took the rental company a full 48 hrs. to resolve it. That is 2 days of our vacation that we will never get back.