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When you can no longer use the rooms in your home for their intended purpose.
When sanitation is so lacking that your health could be in jeopardy.
When your home is dangerously cluttered, posing a risk.
You could easily get injured from falling stacks of stuff, trip hazards, fire hazards.
Conditions that would make it difficult or impossible to get out in case of fire or for emergence personnel to get in to help you should you become injured or ill.
Insect or rodent infestations.
Nonfunctioning fixtures like toilets & other plumbing.
And so on...
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