SQUALOR

There is no intention to save items.

There is no intentional saving or acquiring items.  The build up is due to neglect or inability to remove them.

The home is generally in a state of disrepair and may look unclean or unkempt.

The state of the home may or may not cause distress depending on the individual's mental status.  The state of the home has a negative impact on the the health and well being of all the residents, and may have a broader impact on surrounding homes.

Source:   5th edition of the Diagnostic and Statistical Manual of Mental Disorders (APA, 2014)